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This article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26-32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3-10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women. [ABSTRACT FROM AUTHOR]

The case of COVID-19 in Indonesia has shown a significantly increasing curve. This condition affected the regulation of maternal health services in Indonesia, especially in East Java Province. The health services structure was a challenge in itself, where hospitals must be adaptive during the COVID-19 pandemic. This situation also caused changes in several components of maternal health services. The report focused on maternal services in two hospitals at East Java, Indonesia (Soetomo General Hospital and Universitas Airlangga Academic Hospital) that described five main components, including patient screening, hospital visit policies, intrapartum management, postpartum management, protection and safety for health workers, and funding issues. [ABSTRACT FROM AUTHOR]