Assessment of Anaemia in Pregnancy and Maternal Outcomes at General Hospital Maiduguri, Borno State, North East Nigeria

Anaemia in pregnancy is a leading contributor to maternal morbidity and adverse birth outcomes in Nigeria, and its burden is particularly elevated in conflict-affected North East states where nutritional access and antenatal care attendance are compromised. This study assesses the prevalence, severity, and maternal outcomes associated with anaemia among pregnant women delivering at General Hospital Maiduguri, Borno State. A retrospective cross-sectional design is applied to delivery records and antenatal case notes from 2020 to 2023. Data include haemoglobin level at booking and at term, iron supplementation compliance, malaria prophylaxis history, mode of delivery, postpartum haemorrhage occurrence, blood transfusion administered, and neonatal birth weight. SPSS is used for descriptive statistics and chi-square analysis. Available clinical literature from Borno State indicates anaemia prevalence in pregnancy exceeding 60 percent, with severe anaemia (haemoglobin below 7g/dL) contributing significantly to peripartum blood transfusion and maternal mortality. WHO anaemia in pregnancy criteria and the Nigerian obstetric haemorrhage guidelines provide the normative reference. Findings will support General Hospital Maiduguri in strengthening antenatal iron supplementation protocols, malaria in pregnancy prevention, and emergency obstetric blood product availability. Keywords: anaemia in pregnancy, maternal outcomes, Maiduguri, Borno State, North East Nigeria.