Injury to the pregnant woman evokes a certain amount of anxiety because of its infrequent occurrence and the complex implications. By definition, it constitutes a multitrauma and, throughout the resuscitation and assessment of the woman, it is important to remember that there are two patients. Of particular importance is that one of these patients must be resuscitated aggressively to save the other and, very occasionally, the baby has to be delivered to save the mother. Early transfer to an urban environment should be considered. The aim of the present paper is to provide an overview of the current management and issues in relation to trauma in pregnancy.