Barw Barw Medical Journal 2960-1959 2023 07 31 Adverse Pregnancy Outcomes (Maternal, Fetal, and Neonatal) in COVID-19: A Review 10.58742/bmj.v1i2.41 eng Huda M. Muhammad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. huda.muhammed@univsul.edu.iq Nahida HA. Ahmed Sulaimani maternity teaching hospital sulaimani Kurdistan, Iraq.. nahida.ahmed@gmail.com Gasha S. Ahmed Department of Medical Microbiology, Faculty of Medicine, Tokat Gaziosmanpasa University Tokat Turkey. Gasha.Ahmed@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq Sabah J. Hasan Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. sabah.jalal@gmail.com Berun A. Abdalla Smart Health Tower, Scientific Affairs Department, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. berun.anwer95@gmail.com Shvan H. Mohammed Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. shvanh80@gmail.com Snur Othman Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. Snurothmans@gmail.com Sanaa O. Karim College of Nursing, University of Sulaimani Madam Mitterand Street Kurdistan, Iraq.. sanaa.karim@gmail.com Hussein M. Hamasalih College of Nursing, University of Sulaimani Madam Mitterand Street Kurdistan, Iraq.. hussein.hama@gmail.com Yousif M. Mahmood Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. yousuf.smarthealth@gmail.com Hawbash M. Rahim Department of Medical Biology, Faculty of Medicine, Tokat Gaziosmanpasa University Tokat Turkey. hawbash.mhamad96@gmail.com 2023 07 10 Pregnant women represent a vulnerable population due to their altered immune response, potentially leading to increased susceptibility and severity of infections. The COVID-19 infection might increase the risk of adverse pregnancy outcomes in this population, however, to date, it has not been established whether SARS-CoV-2 infection leads to these outcomes as differing conclusions have been made by the published studies and reviews. This comprehensive review explores the impact of COVID-19 on pregnancy outcomes, encompassing maternal, fetal, and neonatal health. The current literature reports higher rates of adverse maternal outcomes among pregnant women with COVID-19, this includes increased rates of cesarean section, preeclampsia, and elevated risk of intensive care unit (ICU) admission and maternal death. Fetal and neonatal outcomes are also influenced by COVID-19 infection during pregnancy. Findings suggest an elevated risk of preterm birth, low birth weight, stillbirth, and Neonatal ICU admissions among newborns of mothers with COVID-19. The emergence of SARS-CoV-2 variants, such as the Delta variant, raises concerns about their potential impact on more adverse outcomes compared to the wild type. Vaccination has demonstrated safety and efficacy in pregnant women, providing a potential preventive measure against COVID-19. However, the potential impact of vaccination on adverse pregnancy outcomes requires further investigation. To address current knowledge gaps, future research should also focus on long-term effects, fertility considerations, child development, and the impact of emerging variants.