This study examines the different aspects of awareness and attitude regarding birth preparedness and complication readiness among the pregnant women attending PHCs of Kathmandu. A descriptive cross-sectional research design was used for the study. The total sample of 115 respondents were used by using non?probability purposive sampling technique. Semi-structured interview schedule and Likert\'s scale tool was used for collection of information. Data were analyzed by using IBM SPSS Version 20.0 and Descriptive statistics, Chi- square and Pearson?s correlation coefficient (r) test was applied.The study revealed that, the mean age of pregnant women was 26.22 year and 80% of respondents were employed. More than half of the respondents were aware about the needs of the BP/CR. Ninety three percent of the respondents were aware by radio. Cent percent of the respondents believed on necessity of arrangement of transportation to go health facility, arrangement of money, identify the health facility for childbirth and identifying skill birth attendant respectively. More than three quarter (83.5%) of respondents have the good level of awareness and 68% of the respondents have the positive attitude level of regarding BP/CR. There was significant association between level of awareness with age (p=0.006) and religion (p=0.047), positive level of attitude and level of education (p=0.056), religion (p=0.031) and employment status (p=0.025). There was positive correlation (r=0.186) between awareness and attitude regarding BP/CR.