The Covid-19 pandemic has not caused a baby boom, but quite the opposite in the city. Mumbai registered nearly 24% fewer births in 2021 compared to the pre-pandemic year of 2019—the second year of the country's second most populous city recording a significant drop in birth registrations.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.