Introduction: The COVID-19 pandemic has disrupted health services worldwide. Quarantine laws and a perception of the high risk of COVID-19 in hospitals has led to a substantial drop in the number of patients presenting to the Emergency Department. The aim of this study was to assess the utilization of the obstetric and gynaecol. emergency services during the COVID-19 pandemic and compare these numbers to pre-pandemic emergency attendances. Design: Population-based study. Methodol.: We reviewed the total number of attendees to the Gynae Admission Room at Mater Dei Hospital during the months of March to Dec. 2019 (pre-pandemic) and March to Dec. 2020 (COVID-19 pandemic). An independent t test was used to reject the null hypothesis. Results: A total of 7899 visits were documented during March to Dec. 2019, while a total of 4236 visits were noted during the same months in 2020. A 46.4% decrease of visits was noted during 2020 which was statistically significant (p <0.00). Conclusion: A significant reduction in attendees to the Gynae Admission Room at Mater Dei Hospital was observed during the COVID-19 pandemic. This indirectly points towards the probable previous inappropriate use of the obstetric and gynaecol. emergency services with non-urgent health problems. Furthermore, the fear associated with the virus may have also lead to a delay in seeking medical care. Another reason may be less obstetric patients, as the pandemic posed a time of uncertainty and not a time to plan a pregnancy.