Modern coinage, likely inspired by the country Malaysia.
Milaysia is a modern American name, likely created as a phonetic variation of the country name Malaysia. It follows a trend of using place names or geographical locations as inspiration for unique feminine names, often incorporating the popular 'Mi-' prefix.
Less common today
Milaysia isn't in the latest US Top 1000. It last peaked at #10,008 in 2016.
US births per 5-year period, 1990βpresent (SSA data).