Pregnant and breastfeeding women are excluded from participating in the vast majority of clinical trials during the coronavirus 2019 (COVID-19) pandemic, a decision which the authors of this commentary suggest is misguided and not justifiable.

They recommend and urge the scientific community and professional societies that, without clear justification for exclusion, pregnant women should be given the opportunity to be included in clinical trials for COVID-19 based on the concepts of justice, equity, autonomy, and informed consent.