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Published on: 4/4/2026
Current COVID variants are highly contagious Omicron descendants; in pregnancy they can still cause severe illness even if many cases resemble a cold, with sore throat, congestion, fatigue, and cough more common and loss of taste or smell less typical.
Vaccination, early testing, and pregnancy safe treatment reduce risks and can protect your newborn, and knowing red flag symptoms and prevention steps matters; there are several factors to consider, and the critical details that could guide your next healthcare steps are explained below.
COVID-19 continues to evolve. While the virus is not as disruptive as it was in the early years of the pandemic, new variants still circulate, and new COVID symptoms are reported from time to time. If you are pregnant, it is natural to wonder what this means for you and your baby.
This guide explains the current understanding of COVID-19 during pregnancy, including updated symptoms, risks, and how to protect both yourself and your baby. The information here is based on guidance from major public health organizations and obstetric experts.
The virus that causes COVID-19 continues to mutate. Most recent variants are descendants of the Omicron family. These variants are generally:
Pregnant individuals are considered a higher-risk group compared to non-pregnant peers because pregnancy changes the immune system, heart, and lungs. These changes can make it harder to fight respiratory infections.
While severe outcomes are less common today than in 2020–2021, they can still happen—especially in those who are unvaccinated or have underlying health conditions such as obesity, diabetes, or high blood pressure.
The core symptoms of COVID-19 remain similar, but some new COVID symptoms have been noted with recent variants. Loss of taste and smell, once very common, is now less frequently reported.
With newer variants, some patients report:
Symptoms can range from very mild to severe. In many vaccinated pregnant individuals, illness resembles a moderate cold or flu. However, it is important not to dismiss symptoms, especially if they worsen.
If you're experiencing any of these symptoms and want personalized guidance, use Ubie's free AI-powered COVID-19 symptom checker to quickly assess your risk and determine whether you should contact your healthcare provider.
Pregnancy affects nearly every system in the body:
COVID-19 can stress these same systems. Research has shown that pregnant individuals with symptomatic COVID-19 are at higher risk for:
Severe illness remains uncommon overall, but the risk is real—especially without vaccination or medical care.
Most babies born to mothers with COVID-19 are healthy. Transmission during pregnancy (vertical transmission) appears to be rare.
However, infection during pregnancy has been associated with:
The biggest risk to the baby typically comes from severe maternal illness, not from the virus directly infecting the fetus.
The good news: vaccination during pregnancy has been shown to provide protective antibodies to the baby, especially in the first months of life.
Major medical organizations continue to recommend COVID-19 vaccination during pregnancy.
Updated vaccines are periodically released to match circulating variants. Staying current with recommended boosters is one of the strongest protective steps you can take.
If you are unsure whether you need an updated dose, speak with your OB-GYN or healthcare provider.
Some symptoms should never be ignored during pregnancy, whether caused by COVID-19 or something else.
Seek urgent care if you experience:
These symptoms may indicate a serious or life-threatening condition. Do not wait—contact emergency services or go to the nearest emergency room.
Always speak to a doctor about anything that could be life-threatening or serious.
If you test positive while pregnant, contact your healthcare provider promptly. Early treatment can reduce the risk of severe illness.
Certain antiviral medications are considered safe in pregnancy and may be recommended if:
Treatment decisions should always be made in consultation with your doctor.
For mild cases, your doctor may recommend:
Stay in close contact with your healthcare provider during recovery.
You do not need to live in fear, but practical steps still matter.
If someone in your household tests positive:
These simple measures significantly reduce transmission risk.
Pregnancy already brings emotional ups and downs. Adding concerns about new COVID symptoms can increase stress.
Chronic stress during pregnancy is not ideal, so focus on:
Most pregnant individuals who contract COVID-19 recover fully and deliver healthy babies.
If you are unsure about symptoms, consider using a trusted screening tool like a COVID-19 symptom checker and follow up with your provider.
COVID-19 is no longer new, but it is still present. Pregnancy adds another layer of consideration, yet it does not mean you are powerless.
Stay informed. Stay vaccinated. Monitor symptoms carefully. And most importantly, maintain open communication with your healthcare provider.
If you experience severe symptoms or anything that feels life-threatening, seek emergency medical care immediately. When in doubt, speak to a doctor. Protecting your health is the best way to protect your baby.
(References)
* Niesen KM, Kiser M, Han JJ, et al. COVID-19 vaccination during pregnancy: A review of current evidence and recommendations. Semin Perinatol. 2024 Feb;48:101974. doi: 10.1016/j.semperi.2024.101974. Epub 2024 Jan 13. PMID: 38221081.
* Lin R, Liu M, Zheng J, et al. Impact of SARS-CoV-2 Omicron infection and vaccination on pregnancy outcomes and vertical transmission: A systematic review and meta-analysis. Eur J Clin Microbiol Infect Dis. 2023 Nov;42(11):1511-1522. doi: 10.1007/s10096-023-04689-5. Epub 2023 Sep 1. PMID: 37651046.
* Singh R, Gupta S, Gupta V, et al. COVID-19 in pregnancy: a comprehensive review of diagnosis, management, and outcomes during the Omicron variant era. J Obstet Gynaecol. 2023 Dec;43(1):2274944. doi: 10.1080/01443615.2023.2274944. PMID: 37886297.
* Gherman R, Colcerescu-Iurcov V, Filip-Stan M, et al. Maternal and Neonatal Outcomes in Pregnant Women Vaccinated Against SARS-CoV-2 During the Omicron Variant Predominance: A Systematic Review and Meta-Analysis. Vaccines (Basel). 2023 Dec 15;11(12):1924. doi: 10.3390/vaccines11121924. PMID: 38131379.
* Al-Beltagi M, Al-Shami H, Khedr O, et al. COVID-19 vaccine effectiveness and safety in pregnancy: a systematic review and meta-analysis. J Med Virol. 2023 Oct;95(10):e29082. doi: 10.1002/jmv.29082. Epub 2023 Sep 8. PMID: 37688264.
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