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Perinatal morbidity and mortality in women with severe disease were high and warrant consideration. Outpatient management was safe for mild cases. A quarter of the women had severe COVID-19 that, combined with occurrence of disease in the second half of pregnancy, resulted in substantial maternal compromise. #link# Perinatal morbidity and mortality in women with severe disease were high and warrant consideration. Outpatient management was safe for mild cases.We detected a novel frameshift variant (HBA1 c.263delA) and - -SEA (Southeast As