Objectives: To investigate if the incidence of unfavorable pregnancy outcomes and perinatal death differed the year before the start of COVID-19 pandemic compared to the year during COVID-19 pandemic. Materials and Methods: This was a cross-sectional retrospective study conducted at department of Pathology, Forensic and Cytology at University Hospital of Split within the time span of March 1st 2019 to March 1st 2021. Data was collected from department of Pathology, Forensic and Cytology and department of Gynecology and Obstetrics. All miscarriages, intrauterine fetal demise and early neonatal death were obtained together with more specific information such as: gestational week of fetus or age of neonate, mothers age, gender, as well as previous obstetrical anamnestic data. Exclusion criteria where cases that lacked medical and histopathological records, and induced abortions. ReCoDe classification system was used to classify cases of perinatal death. Results: This study included unfavorable pregnancies outcomes; miscarriage and intrauterine fetal demise, as well as early perinatal death. Study groups were divided in two groups, the first group referred as before COVID-19 pandemic and spanned from 1st of March 2019 to 29th of February 2020, and the other group referred as during COVID-19 pandemic and covers time frame from 1st of March 2020 to 1st of March 2021. During the investigated period, 691 miscarriages occurred, 56.7% before and 43.4% during COVID-19 pandemic. In miscarriage there was no statistical difference in maternal age, gestational weeks, and incidence of habitual miscarriages between the two groups. However, in the year during COVID-19 statistically significant increase of patients who were pregnant at least one or two times prior compared to year before. (P<0.0001). They also had a higher frequency of previous parity and miscarriage. No statistically significant difference between the two groups studied in regard to stillbirth and early/late neonatal death Likewise, there was no statistically significant difference between studied groups in regards of ReCoDe subclassification for every perinatal cause of death. Conclusion: There was no increase in unfavorable outcomes during pregnancy when comparing the group before and the group during COVID-19 pandemic which points that the healthcare for pregnant women treated at University Hospital of Split during COVID-19 did not differ compared to the year before.