Background: In developing countries, most maternal deaths are related to the lack of accessibility and availability of reproductive health services which is an important aspect for every country. A lack of knowledge of contraceptive methods or a source of supply, socioeconomic factors, education and poor accessibility are the barriers that exist in developing countries and plays an important role in its acceptance. The aim of the study was to assess the level of awareness about different types of contraceptive choices and also to find out the current practice of contraceptive methods by antenatal women attending the antenatal outpatient department in a tertiary care hospital. Methods: This was a cross-sectional study conducted over a period of 3 months at a tertiary care hospital. 250 antenatal women attending outpatient department of Obstetrics and Gynaecology were randomly selected and were interviewed with predesigned questionnaire. The data collected were analysed using percentage. Results: Majority of the women in the study were between 20 to 30 years. 95.2% were aware of contraception, 80.4 % were aware of the benefits of small family norms and only 42.8% were aware of the benefits of birth spacing methods. Majority of these women had used Oral contraceptive pills (87.25%) and condoms (76.47%). Health care workers (31.6%) and mass media (28.8%) played a major role as a source of knowledge. Majority of the antenatal women did not use contraception because of their shy attitude (65.47%) and family pressure (54.41%). Conclusions: Family planning is an essential component to address the reproductive health of the females. Correct choice of contraceptives is of utmost importance.