Lokken EM, Taylor GG, Huebner EM, et al. - During the early months of the coronavirus disease 2019 pandemic, uncertainty was there concerning the risks linked with severe acute respiratory syndrome coronavirus 2 in pregnancy. In order to ascertain if pregnant women were protected by the public health response or through their interactions with obstetrical providers in the early months of pandemic, researchers here determined the severe acute respiratory syndrome coronavirus 2 infection rate in pregnancy as well as investigated the differences by race and ethnicity and English language proficiency in Washington State. From March 1, 2020, to June 30, 2020, they identified a total of 240 pregnant patients with severe acute respiratory syndrome coronavirus 2 infections within 35 hospitals and clinics, capturing 61% of annual deliveries in Washington State. Of these women, 70.7% were from minority racial and ethnic groups. Findings revealed 70% higher severe acute respiratory syndrome coronavirus 2 infection rate in pregnant people compared with similarly aged adults in Washington State, which could not be completely explained by universal screening at delivery. Overrepresentation was recorded for pregnant patients from almost all racial and ethnic minority groups and patients receiving medical care in a non-English language. Protection among pregnant women against severe acute respiratory syndrome coronavirus 2 infection was not evident in the early months of the pandemic. Furthermore, nearly all racial and ethnic minority groups exhibited the greatest burden of infections. These data combined with a broader recognition that pregnancy is a risk factor for severe illness and maternal mortality strongly emphasize broad prioritization of pregnant people for coronavirus disease 2019 vaccine allocation in the United States similar to some states.