Moyer CA, Compton SD, Kaselitz E, et al. - Researchers examined how COVID-19 pandemic has affected pregnant women’s anxiety and sought factors most strongly linked with greater changes in anxiety. They conducted an anonymous, online, survey of pregnant women from April 3–24, 2020, including a modified pregnancy-related anxiety scale (PRAS) reflecting the respondents’ perception of pregnancy anxiety before COVID-19 and a current assessment of pregnancy-related anxiety. The survey was completed by 2,740 women from 47 states. Because of COVID-19, 25.8% (N = 706) stopped in-person visits, 15.2% used video visits (N = 415), and 31.8% (N = 817) used phone visits for prenatal care. Following COVID-19, there was a drop in those planning a hospital birth from 96.4% to 87.7%. Increased stress concerning food running out, losing a job or household income, or loss of childcare was described by more than half of women. Multivariate analysis revealed greater changes in pre- to post-COVID-19 pregnancy-related anxiety among those reporting higher agreement with COVID-19-related stressors. Findings thereby suggest a strong effect of the COVID-19 pandemic on pregnant women’s mental health; factors independent of pregnancy seem to be driving changes in pregnancy-specific anxiety.