Readers are invited to submit letters for publication in this department. Submit letters online at http://joem.edmgr.com. Choose “Submit New Manuscript.” A signed copyright assignment and financial disclosure form must be submitted with the letter. Form available at www.joem.org under Author and Reviewer information.Our letter faced for the first time the issue of the protection of pregnancy in healthcare workers (HCWs) during the recent coronavirus disease (COVID-19) pandemic.[1] Although there were only few studies about the impact of coronavirus infection on pregnant women and their fetus, we stated that pregnant HCWs should not be exposed to confirmed or suspected COVID-19 patients.We would thank the Authors of the letter “Protecting Pregnant Healthcare Workers” to have stressed this important topic, updating current scientific findings about pregnancy and COVID-19.[2] As reported by the Authors, according to latest studies, pregnant women seem to be at higher risk for complications in case of coronavirus infection. This confirm that pregnant women should not be exposed to a higher risk of COVID-19 transmission during work activities.We take the opportunity to report that the issue COVID-19 and pregnancy in healthcare settings is a concern not only for pregnant HCWs, but also for HCWs who take care for pregnant women, that may be affected from COVID-19. Those HCWs, especially midwives, are generally exposed to a higher biological risk during childbirth.[3] In fact, midwives may be at higher risk of contracting infections because of their close contact with patients, who could generate aerosol while they cough, shout or vomit during labor.[4,5] Further studies are needed, not only for the effects of coronavirus on pregnancy, but also for assessing the risk of infection transmission to HCWs during childbirth and during pregnant women's care.