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Background: An evaluation of prevalence of malaria and  the risk factors in pregnancy across various transmission contexts is necessary. Methods: This is a cross-sectional study conducted in a health facility in April and May,2024. The convenient sampling technique was used to enrol 120 pregnant women attending antenatal in Health center, South-south, Nigeria. A questionnaire was used, to gather clinical and sociodemographic data. Blood smears were done using a standard technique. The factors associated with malaria were evaluated using pearson Chi-square and p- value of less than 0.05 was considered statistically significant. Result: Among symptomatic pregnant women, the prevalence of malaria was 83.3% (100/120). The following factors were significantly associated with the prevalence of malaria in pregnant women with malaria symptoms: not being on antimalarial treatment for 1-5 months (p<0.001), being higher degree (p<0.018), being primigravidae (p<0.001), being in the first trimester (p= 0.081), and those pregnant women between 26 and 30 years old (p= 0.001). Conclusion: Malaria remains the main public health concern among pregnant women, even though, there is an increased rate of intervention on antimalarial drugs in this region. Pregnant women who are at risk for these conditions should therefore recieve extra care.