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Background: Anemia in pregnancy is common in malaria endemic areas like ours and is a risk factor for maternal morbidity and mortality. Its consequences can be prevented by instituting adequate preventive measures. Objective: The aim of this study is to determine the prevalence of anemia among unbooked women presenting in labour at term and its association with asymptomatic malaria parasitemia. Methods: A prospective cross-sectional study conducted in the labor ward complex of the Federal Teaching Hospital Abakaliki over three months period from March-May 2012. Two hundred and fifty unbooked pregnant women who presented in labor were consecutively recruited after an informed consent. A structured data sheet was administered to each parturient. The hemoglobin concentration was determined using the Hemocue system. Analysis was done using Epi info programme (2005) of CDC Atlanta USA 3.3.2 version. Logistic regression was used to determine level of associations. Level of significance was set at P-value <0.05. Results: A total of 250 parturients participated in the study. The mean age in the study was 28.2±7.2 years and ranged from 19 – 45 years. The mean parity was 2±1.7 and ranged from 0 – 5. One hundred and seven parturients (42.8%) were primigravida while 143 (57.2%) were parous women. Majority of the parturients were of low socio-economic class. The prevalence of asymptomatic malaria parasitemia was 194 (77.6%). The prevalence of anemia in the study was 46.8%. There was significant association between asymptomatic malaria parasitemia and maternal anemia with P<0.001. None of the parturients without malaria parasitemia had anemia. Conclusion: Anemia in pregnancy was common among unbooked pregnant women. It was also common among parturients with asymptomatic malaria parasitemia.

Anemia Among Unbooked Parturients With Asymptomatic Malaria Parasitemia At A Tertiary Institution Southeast Nigeria