Background: Birth preparedness and complication readiness, a novel concept created by WHO. BPACR is a procedure for getting prepared for a normal delivery and anticipating actions that would be vital in any obstetric emergency, raising knowledge of danger signs, and teaching people to recognize and minimize the three delays. Aim: The aim of this study was to assess perception of primigravida women on birth preparedness for a safe childbirth and complication readiness. Design: descriptive design was used to conduct this study. Setting: the study was conducted at antenatal care clinic at Beni-Suef university hospital. Sample: A convenient sample of one hundred and twenty-eight primigravida women. Tools: three tools were used for the data collection, the first tool was divided into two parts, structured interviewing questionnaire to assess socio-demographic data of women and obstetric data, and the second tool was divided into two parts, 1-women knowledge about danger signs during pregnancy, labor and postpartum 2-knowledge of women about birth preparedness & complication readiness and third tool assessed the practices of pregnant women toward birth preparedness and complication readiness. Results: The mean age of women was 23.71 ±3.87 years, there was more than four fifths of women had unsatisfactory knowledge, more than one third of them had sufficient practices regarding birth preparedness and complication readiness. Conclusion: There was a statistically significant difference between studied women's knowledge and practice with socio-demographic characteristics of them and there was a significant correlation between the knowledge of the studied women and their practice. Recommendations: Constant educational programs for women and health care providers about BPACR are required to increase their awareness.