Background: Every pregnant woman is at risk of pregnancy complications which are unpredictablernand can lead to maternal and neonatal morbidity or mortality. Birth preparedness and complicationrnreadiness (BPCR) is a tool that promotes utilization of maternal health services there by improvingrnmaternal and neonatal survival.rnObjective: To assess the current level of practice regarding BPCR and associated factor amongrnrural women of reproductive age at community level in Abeshige woreda guraghe zone SNNPRrnEthiopia.rnMethod: Community-based cross-sectional study supplemented by qualitative design wasrnconducted from February to march 2015. A total of 454 women from 8 kebeles were selected afterrnproportionally allocated to population size and interviewed using structured and semi-structured,rnpre-tested questionnaires. Qualitative data also collected from purposely selected members of therncommunity by using open ended questionnaires .Quantitative data were analyzed using SPSS andrnassociations were determined using regression analysis. Qualitative data on the other hand werernanalyzed in line of study objective manually.rnResults: In This study about 37.2% of the respondents were prepared for birth and itsrncomplications. BPCR was lower among mothers who were farmer (AOR= 0.50, 95% CI:0.28,rn0.91).However, BPCR was higher among Women who live with in one hour walk from healthrncenter (AOR =3.51, 95% CI:1.78,36.79),Women who had awareness on danger signs of pregnancyrn(AOR=1.72, 95% CI=1.78, 2.94) and on danger signs of postpartum (AOR=2.32, 95% CI: 1.32,rn4.21).Source of information about BPCR from health extension worker and motherâ€™s one to fivernnetwork (AOR=2.81, 95% CI:1.34, 6.21) and (AOR=2.52, 95% CI=1.17, 5.54) respectively alsornhad significant association with BPCR.rnConclusion: This study revealed practice of BPCR was low (37.2%) due to; access to healthrnfacility, awareness on danger signs of obstetric complication, and health information related factors.rnBased on this finding; enhancing women awareness about obstetric danger signs through repeatedrnsensitization, strengthening BPCR information netwok at grass root level and better acces to healthrnfacility help to improve practice of BPCR.