A recent issue of Clinical Obstetrics and Gynecology presents the results of a study examing intimate partner violence (IPV) in pregnancy. Previous studies have shown that homicide may be the most common cause of maternal death. Women who are both pregnant and victims of IPV have high rates of stress, are more likely to smoke or use other drugs, deliver a preterm or low birth weight infant, have an increased likelihood of infectious complications, and are less likely to obtain prenatal care. The violence is also likely to continue after the child is born. Pregnant adolescents may be at even higher risk than their adult counterparts. Children raised in violent homes have both immediate and life long adverse health outcomes as a result of their exposure to IPV. IPV adds substantially to healthcare costs both for direct services to treat the injuries and higher utilization of a wide range of healthcare services. Healthcare providers, particularly those who care for pregnant women, are in a unique position to identify these women and direct them and their families to the help they need to end the violence in their lives.