Trauma in pregnancy is a frequent condition estimated to affect 1/12 of all pregnancies. It represents 46 % of all maternal deaths and is considered to be the leading cause of non-obstetrical maternal death. The mechanisms of injury are various, from motor vehicle accidents to domestic abuse including falls, burns, and toxic exposure while penetrant injuries are frequent in developed countries. Since pregnancy is linked with a hypercoagulable state, trauma-induced coagulopathy requires special knowledge of the coagulation of the pregnant patient. Specific pathologies, intrinsic to pregnancy, such as hypertensive disorders and thrombocytopenia might also complicate the treatment of the injured pregnant patient, requiring rapid assessment and a multidisciplinary management.