Our analysis of the course of pregnancy revealed that myocarditis against the background of COVID-19 is a fairly common pathology that is missed due to the difficulty in diagnosing this disease, and it occurs in the morbidity structure in 27% of cases at the convalescence stage. The significance of this pathology increases due to the latent course up to a certain point, as well as circulatory failure that develops sharply during pregnancy, and the associated placental dysfunction, leading to undesirable complications for the fetus and mother. Developed prenatal hypoxia negatively affects the prenatal state of the fetus and newborns, possibly leading to the development of cardiac pathologies. We put forward the opinion that pregnant women with COVID-19 associated myocarditis are at increased risk for the development of perinatal complications, aggravation of the course of pregnancy, the occurrence of cardiac pathologies of the mother and fetus, which undoubtedly requires improved management of pregnancy and childbirth in women with COVID-19 associated myocarditis. The results, which should be aimed at early detection of maternal and fetal cardiac pathology, thereby preventing obstetric and perinatal complications.