id author title date pages extension mime words sentences flesch summary cache txt cord-268653-mje0rysp Chen, Miaomiao Changes in physiology and immune system during pregnancy and coronavirus infection: a review 2020-10-16 .txt text/plain 2922 167 47 We explained why pregnant women are susceptible to coronavirus in terms of their adaptive changes in physiology and immune system during pregnancy, and described the associations between maternal clinical symptoms, perinatal outcomes and coronavirus infections. Corona Virus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been labeled as a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO) on January 30, 2020 [1] [2] . Pregnant women are suspected to aspiration pneumonia because of the decreased sphincter tone in the lower esophagus, which is thought to be associated with high levels of progesterone [30] , which can reduce both pro-inflammatory and cytotoxic T cell responses. As mentioned earlier, pregnant women in their first and third trimester of pregnancy are both at the pro-inflammatory state, and the cytokine storm induced by SARS-CoV-2 in these periods may exacerbate the severity of inflammatory J o u r n a l P r e -p r o o f state, following the obstetric adverse outcomes. ./cache/cord-268653-mje0rysp.txt ./txt/cord-268653-mje0rysp.txt