During the COVID-19 pandemic, labour and delivery are not going to be put on hold. Managing anaesthesia for patients with COVID-19 will be a challenge, but there is little available data. Having reviewed the literature and the recommendations of experts, and the knowledge gained from the SARS epidemic, this article examines contemporary thinking regarding COVID-19 and pregnancy, the advantages and difficulties of various forms of anaesthesia, and a number of practical considerations related to the management of obstetric analgesia and anaesthesia for pregnant women with the disease.