AimAnalyse differences in intervention and pregnancy outcomes characteristics in obstetric patients with a diagnosis of COVID-19 and non-COVID-19 at one of the Indonesia tertiary referral hospital in East Java.DesignThis was cross sectional study.MethodsThis study was performed 694 obstetric patients, the data for these patients were obtained from the hospital medical records Sampling was used simple random. This study used Mann-Whitney test to analyse the differences between the variables.ResultsThere was a significant difference in the Length Of Stay (LOS), LOS of COVID-19 patients tends to be longer than that of non-COVID-19 patients. More than half of the patients gave birth by caesarean delivery, 83 for COVID-19 and 283 for Non COVID-19. Some of the most common complications among COVID-19 patients were maternal infectious and parasitic diseases (1.3% vs 0.0%), abnormalities of forces of labour (12.3% vs 9.6%), complication of puerperium (0.6 % vs 0.0%). 40.9% COVID-19 patient suffered Acute Respiratory Distress Syndrome (ARDS). COVID-19 infection had no significant effect on pregnancy outcomes.ConclusionSeveral interventions need to be re-evaluated, such as cesarean delivery in COVID-19 and non-COVID-19 patients. The health-care delivery system must also be re-evaluated, and the tiered referral system must be strengthened.

The high maternal mortality rate (MMR) is still a problem that Indonesia must face today. Through the results of the 2015 Inter-Census Population Survey (Supas), the government estimates that the MMR in Indonesia reaches 305 per 100,000 live births. Maternal health services that are carried out sustainably (Continuity of Maternal Healthcare) is a concept that can be applied to reduce MMR in Indonesia. This literature review aims to describe the implementation and utilization of Continuity of Care in Indonesia. Literature searches were carried out on Google Scholar, Science Direct, and PubMed search engines with the last 5 years of publication. The results of the analysis of the 7 articles obtained relate to the description of the implementation and utilization of Continuity of Maternal Healthcare in Indonesia which is influenced by sociodemographic, cultural, and performance factors of midwives. It can be concluded that the implementation of Continuity Of Maternal Healthcare is important to do in order to achieve service quality and reduce maternal mortality and morbidity in Indonesia.