Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. This paper seeks to investigate how pregnant women in Okpatu Community prepare for delivery and in the event of complication. A Qualitative phenomenological type of study was conducted; and analyzed using thematic analysis. Respondents consisting of 87 pregnant women were used for the study. Focus group consisted of 5-10 women during each session of 45 minutes interview. Results shows that majority of the participants do not visit any health care facility until their third trimester, where as the TBAs places are mostly visit. Also majority of the participants do not engage in any form of preparation until after delivery. Participants noted that they will invite their mothers to assist them with domestic chores and care of the new baby. However they seem not to have any formal preparation for other siblings. The status of birth preparedness and complication readiness was low in Okpatu community. Socio demographic, economic, knowledge of key danger signs, attitude toward antenatal care use were identified as associated factors hindering birth preparedness in this community. The husbands are not committed to their wives' needs in preparing for delivery as deduced from some of the responses by the women. The women do not prepare until they are about to deliver.