In this podcast episode, Dr. Zaf Qasim discusses the complexities and critical considerations when managing trauma in pregnant patients. He emphasizes the importance of understanding normal pregnancy physiology, including cardiovascular, respiratory, and hematological changes, to identify abnormalities effectively. Dr. Qasim highlights the priority of treating the mother first, as this also benefits the fetus, and underscores the need for early multidisciplinary involvement. He covers essential modifications in procedures, airway management, and imaging techniques tailored to pregnant trauma patients. Additionally, he addresses the resuscitative hysterotomy (perimortem cesarean section), stressing the urgency and coordination required for successful outcomes. This episode provides valuable guidance for healthcare providers facing these challenging scenarios through practical insights and detailed explanations.