Background: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue. Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic. Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and  565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test. Results: Statistical tests showed a ρ value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida. Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java.  Significant differences in maternal mortality rate are influenced by gravida status.

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.