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A co-relational descriptive study was conducted with the aim to assess birth preparedness in terms of knowledge and practices among primigravida mothers in selected hospitals of Ambala, Haryana. Objectives: The objective of the study is to assess the knowledge, practice, determine the correlation between knowledge and practice score of primigravida mothers and to determine the association of knowledge and practices with their demographic variables regarding birth preparedness. Sample: Purposive sampling is used to collect data from 100 primigravida mothers. Setting: Setting of the study was Civil Hospital Ambala, Haryana. The data was collected by administering the structured knowledge questionnaire and express practice checklist. Results: More than half of primigravida mothers (52%) had below average knowledge and majority of primigravida mothers (99%) had good level of expressed practices. There is a negligible positive non significant co-relation between the knowledge and practice score of primigravida mothers regarding birth preparedness. Conclusion: This study concluded that primigravida mothers had below average knowledge but following good practices regarding birth preparedness.