Trauma in the 3rd Trimester

Any resuscitative efforts geared toward optimizing the medical management of the pregnant mother will optimize the fetal well-being.
Provide high oxygen flow to compensate for the pregnancy-based predisposition toward hypoxia.
Aggressive IV fluids administration, since blood pressure and pulse are not a reliable indicator of impending cardiovascular collapse during pregnancy.
Avoid having the gravid uterus compressing the inferior vena cava with left-sided upward tilt, wedge displacement, or manual displacement.
Avoid femoral lines that could be impeded by a gravid uterus.
Administer prophylactic dose of Rhogam to all Rh-negative mothers with abdominal trauma.
Peri-mortem C-section should be considered within 5 minutes of witnessed cardiac arrest.