The innate immune system’s recognition of microorganisms through pattern recognition receptors (PRRs) is a fundamental aspect of host defense and microbial symbiosis. During pregnancy, this system is finely tuned to accommodate the fetal allograft while still protecting against infections. Dysregulation in the recognition and response to commensal microorganisms can lead to pathological conditions, which may have implications for both maternal and fetal health. PRRs play a critical role in maintaining a balanced immune response, which is essential during pregnancy to prevent excessive inflammation that could affect pregnancy outcomes. They are involved in the regulation of immune cell proliferation and the integrity of mucosal barriers, which are vital for the protection of the maternal-fetal interface. The signaling pathways of PRRs are also key in the initiation and modulation of inflammation in response to microbial invasion. Changes in PRR function, as observed in certain animal models, indicate that the outcome of immune responses can be significantly altered by the specific signaling pathways activated in immune cells, and by the nature of the microbial environment. This is particularly relevant in pregnancy, where an altered PRR response may influence the risk of developing inflammatory conditions that could impact gestation and labor. In light of these considerations, understanding the role of PRR signaling in pregnancy is crucial for elucidating the mechanisms of maternal immune tolerance and the maintenance of a healthy pregnancy, as well as for identifying potential therapeutic targets for pregnancy-related complications arising from immune system dysregulation.