This study was conducted to assess birth preparedness and complication readiness among postnatal mothers at Khombedza Health Centre in Salima District, Malawi. The study design was descriptive cross sectional and utilized qualitative data collection and analysis method on a random sample of 15 postnatal mothers. A semi structured questionnaire was used to assess birth preparedness and complication readiness among the postnatal mothers during their most recent pregnancy and child birth. The findings indicate that overall, all the mothers had attended antenatal care and were aware of the importance of seeking health facility delivery. The mothers were also conversant with the items to bring with them during labour and delivery. Results further show that the participants had some knowledge of danger signs during postpartum and also for the new born baby but had limited knowledge of danger signs during antenatal, labour and delivery. Although the mothers had planned to deliver at the hospital, they did not save money for transport. There is therefore a need to strengthen antenatal care education on birth preparedness and complication readiness. Such knowledge would assist pregnant mothers to identify danger signs during antenatal, labour and delivery and therefore seek emergency obstetric care on time to minimize maternal and neonatal mortalities.