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Methodologic quality was assessed via NIH assessment tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Overall, 63 observational studies of 637 women (84.6% in third trimester) with laboratory\u2010confirmed SARS\u2010CoV\u20102 infection were included. Most (76.5%) women experienced mild disease. Maternal fatality, stillbirth, and neonatal fatality rates were 1.6%, 1.4%, and 1.0%, respectively. Older age, obesity, diabetes mellitus, and raised serum D\u2010dimer and interleukin\u20106 were predictive of poor outcomes. Overall, 33.7% of live births were preterm, of which half were iatrogenic among women with mild COVID\u201019 and no complications. Most women underwent cesarean despite lacking a clear indication. Eight (2.0%) neonates had positive nasopharyngeal swabs after delivery and developed chest infection within 48\u00a0hours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Advanced gestation, maternal age, obesity, diabetes mellitus, and a combination of elevated D\u2010dimer and interleukin\u20106 levels are predictive of poor pregnancy outcomes in COVID\u201019. 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