DOI: 10.1097/AOG.0000000000003585 Blunt abdominal trauma is the leading type of traumatic injury in pregnancy, with motor vehicle crashes, falls, and assault being the most common etiologies. Several adverse outcomes can occur in pregnancy, including placental abruption, preterm labor and preterm delivery, uterine rupture, and pelvic fracture. Trauma in pregnancy is most commonly reported in the last trimester. The reported risk of fetal death as a result of blunt abdominal trauma is higher than