We introduced the traditional Chinese medicine（TCM） understanding on coronavirus disease 2019（COVID-19） during pregnancy and the characteristics of syndrome differentiation and treatment. It is pointed out that yin deficiency and lung dryness

stagnation of qi and rebellion of qi

stagnation of phlegm and stagnation of dampness during pregnancy are the main causes of the disease; vital qi deficiency and pathogen collapsing

obstruction of lung by epidemic toxin

block without ventilating are the main pathogenesis. Based on the Expert Suggestions on Traditional Chinese Medicine Treatment of Coronavirus Disease 2019 in Pregnancy（Trial）

combined with the Diagnosis and Treatment Plan of Coronavirus Infected Pneumonia（Trial Seventh Edition）

the main points of differentiation and treatment of COVID-19 in pregnancy are interpretated and explained. We emphasize that in the treatment of COVID-19 during pregnancy

treatment for the disease and fetal safe should be simultaneously considered

and the use of pregnancy contraindications should be avoided as much as possible. If the condition requires the application

the dosage and time of medication should be strictly controlled to ensure the safety of mothers and fetuses.