Trauma is estimated to complicate 1 in 12 pregnancies and is the leading cause of nonobstetric maternal death in the United States. The incidence of trauma increases as pregnancy progresses, which has both maternal and fetal implications. Potential maternal injuries include contusions, sprains and strains, fractures, dislocations, and poisoning, as well as life-threatening injuries. The gestational age at the time of injury, the type and severity of the injury, and the injury mechanism are all important considerations that impact treatment course as well as maternal and fetal outcomes. This chapter focuses primarily on noncatastrophic trauma in viable pregnancies, along with a brief discussion of catastrophic trauma including pelvic fractures, burns, electrical injuries, and maternal cardiopulmonary arrest. It provides a general overview of the classification of trauma during pregnancy. The chapter also provides guidelines for clinical management of noncatastrophic blunt abdominal trauma.