Background: Childbirth is a normal physiological process in a woman’s life, yet it is a life changing experience for the primigravida mothers. Boosting confidence regarding pregnancy and childbirth by enhancing knowledge is an important component of care. Methods: A quantitative research approach with a descriptive design was adopted. A total of 150 primigravida mothers were selected using a consecutive sampling technique. After obtaining informed consent, demographic data were collected, followed by an assessment of level of knowledge was done by using the Childbirth Knowledge Questionnaire. Data was analysed using descriptive and inferential statistics. Results: The study findings indicate that majority of the participants were graduates (64%), homemakers (60.7%), and from joint families (68%). Most participants were Hindus (41.3%), and 56% had a monthly family income between ₹20,001 and ₹40,000. Level of Knowledge assessment by using Childbirth Knowledge Questionnaire revealed that, majority of them had inadequate knowledge (68.7%) and 31.3% had moderately adequate knowledge. Statistical analysis showed no statistically significant association between selected maternal variables and knowledge scores of primi mothers (p>0.05) except with employment status of mothers (p<0.05) i.e. Knowledge score is significantly higher in employed mothers than the home makers. Conclusion: The study highlights that majority of primigravida mothers have inadequate level of knowledge about childbirth. Employment status plays a significant role in knowledge levels, with working mothers reporting higher knowledge. These findings emphasize the need of Childbirth classes to help expectant mothers to cope of with pregnancy, labor and postpartum period and have a positive childbirth experience and reduces maternal morbidity and mortality rates.