RESUMO
Background: About 30 million women living in malaria endemic area become pregnant each year. We determined the prevalence; determinants and consequences of malaria parasitemia in pregnancy in Maiduguri; North-eastern Nigeria. Method: Four hundred healthy pregnant women were randomly selected for the study. Packed cell volume estimation and blood film examination for malaria parasite were done at booking and delivery. Cord blood and placental tissue were also examined for malaria parasite. Risk factors and consequences of malaria parasitemia were determined. Results: The prevalence of malaria parasitemia at booking was 60.3with mean parasite density of 701.04+382.22 parasite/?l. These dropped to 28.8and 405.17+310.43 parasite/?l; respectively at delivery. The factors associated with malaria parasitemia were young maternal age (p0.001); low parity (p0.001); late booking (pCl = 2.2-5.5); preterm delivery (OR = 2.5; 95Cl = 1.12-5.2); low birth weight (OR = 10.5; 95Cl = 4.4-25.1); placental malaria (OR = 6.00; 95Cl = 3.7-9.6) and cord parasitemia (OR = 16.9; 95Cl = 8.5-33.6). Conclusion: There were high prevalence of malaria parasitemia and parasite density in pregnancy at booking. However; both declined remarkably at delivery as a result of intermitten preventive therapy