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BACKGROUND Trauma is the leading cause of non-obstetric death during pregnancy and is associated with an increased risk of maternal and fetal mortality. In an effort to improve the delivery of care to pregnant trauma patients, we developed an institutional multidisciplinary quality initiative designed to improve response times of non-trauma specialists and ensure immediate availability of resources. We hypothesized that implementation of a Perinatal Emergency Response Team (PERT) would improve time to patient and fetal evaluation and monit