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Background: The aim of our study is to compare the maternal mortality between those who are infected with COVID-19 infection and those who are not. Our study was done at Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, which included 2 groups: group 1- pregnant women with COVID-19 infection, and group 2- pregnant women without COVID-19 infection. Methods: Our study is prospective and comparative study, done over 250 antenatal patients admitted at our centre, with COVID-19 infection status confirmed either by rapid antigen testing, or by reverse transcription polymerase chain reaction (RT-PCR)/TruNaat testing who had signs and symptoms of COVID-19 infection along with those who needed obstetric intervention or had a high-risk pregnancy status. Results: Preterm labor accounted for the maternal complication with a majority in COVID-19 infected maternal group. Maternal mortality did not increase amongst patients affected with COVID-19 infection within our study duration. Conclusions: Maternal mortality thus did not seem to be affected much by the COVID-19 pandemic probably due to the low infectivity and fatality of third wave was low.

Background: Our study aimed to evaluate the severity of COVID-19 infection and pregnancy complications in pregnant women with and without COVID-19, and its impact on maternal and neonatal morbidity and mortality at a tertiary care hospital in India. Methods: The research is a prospective, comparative, and observational study on antenatal patients with confirmed COVID-19 infection status. Results: Results showed preterm labour was the most common maternal complication among COVID-19 infected pregnant women, leading to various complications and long-term developmental delays. Maternal mortality was significantly higher among COVID-19 positive patients compared to non-infected patients. Although neonatal mortality rates were not significantly impacted, morbidity in terms of preterm birth increased among neonates born to COVID-19 positive mothers, resulting in complications like respiratory distress syndrome, intraventricular haemorrhage, and sepsis. Conclusions: our study found increased overall mortality in antenatal patients infected with COVID-19 compared to non-infected patients, consistent with previous studies. The increased mortality rates may be attributed to severe respiratory complications and co-morbidities associated with COVID-19 infection in pregnant women.