Introduction: Complications during first trimester pregnancy is a common problem which affects both the mother’s and her child’s health. Life-threatening complications like ectopic gestation can occur in early pregnancy. It is therefore important to assess the level of awareness in our communities. Methods: This prospective cross sectional study was conducted among hundred women whose pregnancy test positive and pregnancy was confirmed with USG showing gestational sac and attending the outpatient department of obstetrics and gynecology department of Saveetha Medical College. Women were interviewed with semi-structured questioner. Early pregnant women were included. Pregnant women who were unable to communicate, psychiatric problem and very sick women were excluded. Result: In this study maximum number of participants were between 20 and 25 years of age, about 45% were primi, about 50% of women belong to upper middle class and about 40% completed their primary school education and about 44% had vague knowledge about complication of first trimester pregnancy. Overall results showed insufficient knowledge and awareness about complications of first trimester pregnancy. Original Research Article Conclusion: Our participants did not have ample knowledge and awareness about the complications. Rural women require more of awareness.