“…Environmental factors may increase the susceptibility of pregnant women to be infected by SARS-CoV-2, including pre-pregnancy obesity —expected as non-stop increasing for 2030 according to the World Obesity Federation 2022 report [170] , diabetes mellitus, hypertension, nutrition habits, air, food, and water contaminants. These factors are considered part of the ecto -exposome and endo -exposome [136] , [171] to which pregnant women, their fetuses, and newborns are exposed. Also, it will be necessary to explore the effect of mass vaccination on infection during pregnancy and the newborn.…”