[Severely injured pregnant women-The obstetrical perspective!]

The treatment of severely injured pregnant women places the highest demands on interdisciplinary cooperation in order to adequately account for maternal and fetal requirements. In the preclinical stage the mother must be optimally stabilized and treated. Important is the correct left lateral position (15° to relieve the vena cava) during the transfer to the trauma unit. On arrival at the hospital, obstetricians and neonatologists should be involved in the diagnostic and therapeutic measures at an early stage. In principle, all methods that are used in non-pregnant polytrauma patients should also be used without hesitation, especially in the initial routine diagnostics in order to establish the best treatment plan. The question of emergency delivery depends on the gestational age, the acute situation of the fetus and the mother as well as the risks resulting from the next therapeutic steps with respect to monitoring and intervention options in favor of the child.