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Disclosure: The authors report no conflict of interest Financial Support: No financial support was received for this study Condensation: Pregnancy in the setting of COVID-19 disease secondary to SARS-COV-2 infection is associated with higher rates of miscarriage, preterm birth, preeclampsia, cesarean and perinatal death. There were no reported cases of vertical transmission. AJOG AT A GLANCE A. Why was this study published? COVID-19 disease secondary to SARS-COV-2 infection is a worldwide pandemic with an increasing number of confirmed cases everyday. Little is known about the effect of CoV (coronavirus)-related infections during pregnancy. B. What are the key findings? C. Pregnancy in the setting of CoV infection is associated with higher rates of miscarriage, preterm birth, preeclampsia, cesarean delivery and perinatal death (7-11%). There were no reported cases of vertical transmission. D. What does this study add to what is already known? This is the first systematic review exploring pregnancy and perinatal outcomes of CoV infections occurring during pregnancy. Although limited, these data can guide and enhance prenatal counselling of women with COVID-19 infection occurring during pregnancy. Evidence is accumulating rapidly, so these data may need to be updated soon.