A retrospective analysis of 300 pregnant women in rural Western Kenya revealed alarming rates of adverse pregnancy outcomes: BMI abnormalities affected 124.5 per 1000 pregnancies, anemia 99.3 per 1000, and fetal/neonatal death 81.3 per 1000. Mothers under 20 and over 35 showed significantly higher anemia risks, with prior malaria infection compounding this vulnerability. Urinary tract infections correlated with low birthweight infants. These rates substantially exceed both Kenyan national averages and global benchmarks, underscoring the compounded health challenges facing women in malaria-endemic, resource-limited regions. The findings illuminate how infectious diseases intersect with maternal age to amplify pregnancy risks in vulnerable populations. While this preprint awaits peer review and results may change, the data suggests that standard global pregnancy risk models may inadequately capture the realities of rural sub-Saharan Africa. The research reinforces the critical need for enhanced malaria prevention, early antenatal screening, and targeted nutritional interventions in similar settings. This appears to be solid confirmatory epidemiological work documenting known but poorly quantified health disparities.