The fight against anaemia seems to be a daunting task across the globe especially in developing countries. Anaemia’s devastating effects could take a significant toll on national economies. It is estimated that 58% of pregnant women in developing countries are anaemic ; anaemia is the cause of 20% maternal deaths ; and further to that 50% of all maternal deaths are linked to anaemia. Anaemia is considered as harmful and compelling as epidemics of infectious diseases. Anaemia can generally affect all but the worst affected are infants, school-age children, and women of reproductive age. An eight-country study claims that women recognize most of the consequences of anemia in pregnancy. AIM OF THE STUDY: The aim of our study to assess the incidence and level of knowledge about anemia during pregnancy. OBJECTIVES: 1. To evaluate the incidence of anemia among pregnant women 2. To study the socio-demographic characteristics of study subjects. 3. To assess the risk factors leading to anemia among study samples. 4. To study the knowledge, attitude and practice towards anemia among pregnant women. 5. To provide patient counselling for anemia to minimize the risk of complication among study subjects. METHODOLOGY: Site of Study: At tertiary teaching care hospital, Komarapalayam, Tamil Nadu. Study Period: From January to August 2018. Study Population: Total study participants was 272. Type of Study: Prospective observational survey. Inclusion criteria: 1. Pregnant women, 2. Age groups from 15 to 35 years. Exclusion criteria: 1. Children, 2. Chronic infection, 3. Cancer / HIV patients, 4. Adults. Design of questionnaire form: A separate 2 questionnaire form (Part A, B and C) for incorporating patient details was designed. Part A question naire follows with questions to collect information on the socio demographic details like age, education, occupation, income, type of family, gestation age, and number of pregnancy, pregnancy interval and nature of diet. Part B questionnaire, it includes previous history, incidence, causes, severity, and sources of information. Part C include KAP questionnaire. Knowledge part of the questionnaire had questions regarding their awareness towards anemia, causes, symptoms, perceived effects due to anemia, vulnerability to anemia, diet, antenatal visit and treatment. regarding iron supplementation. Attitude regarding perception about anemia, antenatal check-up and healthy diet was assessed. Practice part questionnaire had 4 items on practice which included information on their diet, iron supplementation and reason for irregular iron consumption. CONCLUSION: The study concluded that the pregnant women fall within reproductive age group, had secondary and higher secondary education. • Most of the pregnant women have heard about anemia but unaware about relation of hookworm infection with anemia. • The study found that knowledge towards sign, vulnerability, diet, antenatal visit towards anemia were good meanwhile knowledge towards causes, perceived effects of anemia were poor. • Attitude towards anemia is average and preventive practice is good among the pregnant women. • In the study, most of the pregnant women were anemic, due to repeated pregnancy at short interval of less than 2 years, not properly adherent towards iron supplementation along with less knowledge and attitude. • Awareness should be created through appropriate nutritional counselling during antenatal visits and through media. • Continuous education and awareness programme regarding anemia is necessary among the pregnant women in order to prevent risk factors of anemia and mitigate the adverse effect of anemia in pregnancy. Early detection and management strategies should be adopted to prevent anemia.