After years of endeavors to improve access to health services, yet, the mortality rate of mothers and neonate is still one of the highest in the world ,and is only gradually declining .Birth preparedness and complication Readiness (BPCR) is an important measure to improve utilization of maternal health services by planing for normal birth and predicting actions needed in case of emergency. Although there are documented challenges in making BPCR popular among all pregnant women, there is a dearth of evidence on what proportion of women are aware of and practice BPCR in a rural setup. Thus, this study was designed to assess current BPCR practice and associated factors in the rural Gurage Zone of Southern Regional State Ethiopia.Findings from this study are expected help planners, administrators, and stakeholders in the field of maternal health to improve BPCR strategy , thereby, on one hand improving maternal health service utilization ,and decreasing maternal mortality on the other. It will also generate additional research question for future study. ukryj opis