Birth preparedness is a safe motherhood initiative with the objective of planning for normal birth and anticipating actions needed in the case of emergency.2 The pregnant women and their families are encouraged to effectively plan for births and deal with anticipated complication, if they occur. It ensures that the readiness and timely utilization of skilled maternal and unit health care services. It helps the women to reach professional delivery care and key to decrease maternal mortality.5 Aim of this study is to find out the birth preparedness practices and preferences towards delivery among Primigravida women. A descriptive design among 200 women selected by purposive sampling, who visited antenatal OPD in selected Hospitals of Ambala, Haryana. Self-Structured checklist was used by (Interview) self-report method and data were analyzed using the SPSS software (version 16.0. Chicago, Inc.) Findings revealed that the 67.5% women had good level of birth preparedness practices and 99.5% women had preferences normal delivery and 71% Governmental institutional delivery, home delivery 91.5% delivery by doctor, 42% wants to stay in labour room with their mother 22.5% wants to stay with their husband. It can be conclude that the women had good level of birth preparedness. The association of birth preparedness as found to be statistically highly significant age, religion, education status of self & husband, socioeconomic status, duration of marriage (p<0.05).