Maternal anemia is a common problem in pregnancy which causes maternal and fetal oxygen transport disrupted. The disorder may lead to hypoxia of the fetus inside the womb resulting in neonatal asphyxia which is the main cause of neonatal mortality on a term pregnancy. The study aimed to investigatethe relationship between maternal anemia in a term pregnancy with occurrence of neonatal asphyxia Banda Aceh. This is an analytic study using cross sectional design. The study population was all a term pregnant women who gave birth in Zainoel Abidin Hospital and Mother & Child Hospital, Banda Aceh. Data werecollected from medical records of mothers and babies delivered from January to February 2012. Samples were taken by purposive sampling with 91 samples. Maternal (gravidarum) anemia is defined as the condition in which level of Haemoglobin (Hb) < 11gr/dl and neonatal asphyxia defined as Apgar score < 7 at the first or the fifth minutes. The data analyzed using chi square test (==0.05). The results showed that mother who had anemia and having baby with neonatal asphyxia was 10 (20.8%). It also showed that mothers who suffered from maternal anemia are 4.47 times more likely to have baby with neonatal asphyxia (p value= 0,023). In conclusion, pregnant women with anemia have a higher risk to deliver baby with neonatal asphyxia than those of not anemia.