Introduction: Cervical cancer is a leading cause of deaths among women worldwide. But the condition is preventable through regular screening of women and treating those who have positive results. Pregnancy represents a unique opportunity to screen reproductive age women for carcinoma cervix and abnormal cervical cytology. Pap Smear is an important screening test for cervical dysplastic cells. Aim: The aim was to screen people with low grade epithelial abnormality, to educate them regarding hygiene, regular check-ups, importance of Pap smear at a tertiary level and healthcare centre in Garhwal region. Material and Methods: A prospective study of the Papanicolaou Smear was done in 150 pregnant females, 18-45 yrs, presenting for their initial obstetric visits during the period July to September 2012 in General Obstetrics & Gynaecological OPD at HNB Base Hospital Srikot, Pauri Garhwal. Information was obtained using a questionnaire which included their menstrual, obstetrical and past history, and their awareness regarding risk factors. Percentage of women with risk factors for cervical cancer and those that had undertaken Pap smear test were calculated. Results: 71 patients (47.3 %) had Normal Pap smears, & 72 (48 %) had Inflammatory Pap Smears. 5 cases were mild dysplastic (CIN I) and 2 were ASCUS. The mean age was 25.6 years (18-40 years) with 44% in the 21-25-year-old range. 68.67% of them belonged to rural area. All (100%) women received information through our study. All were Hindus.55% were primigravida and none of them had multiple sexual partners. Only 27.6% knew that having multiple sexual partners is a risk factor. Cigarette smoking, having a sexually transmitted disease/infection, oral contraceptive use, high parity and HIV/AIDS were other risk factors identified. Less than 24.3% had no idea about the risk factors. 48% were not using any contraceptive method. Conclusion: The present study shows that Pap smear is well tolerated, not causing cervical trauma and effective for detecting cervical pathology in pregnant females but the knowledge on prevention of cervical cancer and risk factors is low, suggesting a need of extensive health education programmes.