Trauma is the most common cause of nonobstetric death among pregnant women. Many physiologic changes occur during pregnancy. Therefore, comprehension of these change is important in pregnant trauma care because it enables the best outcome for both mother and fetus to be achieved. Optimal care of the pregnant trauma patient is achieved when there is good communication among multidisciplinary group of physicians. This review article presents an overview of management of the pregnant trauma patient, including anatomical and physiologic changes, key for history taking and physical examination, laboratory investigation and management guideline. Prevention of trauma in the pregnant patient is also included in this article.