Introduction: Anemia and its complications in pregnant women are among the main causes of admission to the department of gynecology-obstetrics at CHU Gabriel Touré. Methods: We conducted a cross-sectional study from January 1, 2006 to December 31, 2016. We included all women with anemia and a hemoglobin level of less than 11 g/dL. Logistic regression with SPSS software was used to analyze factors influencing maternal-fetal death. Results: We recorded 33,938 births of which 4980 women were anemic, or 14.7%. Women aged 35 and over, out-of-school women and multiparous women were the most represented risk factors. The main cause of anemia in our context was iron deficiency anemia in 34.3% of cases followed by blood plunder 25.84% and hemolysis 10.11%. Only 40% of anaemic women had at least one prenatal consultation (Antenatal care: ANC). Maternal comorbidities were a provider of maternal and fetal death. Conclusion: The coverage of ANC was low among women with anaemia. The focus must be on NPC among women in our context.
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