Abstract : Maternal Mortality Rate (MMR) in developing countries is currently the highest in the world. Birth Preparedness and Complications Readiness/BPCR) is one of the main key interventions to reduce maternal mortality and achieve the Sustainable Development Goals (SDG's) targets that have been implemented in various countries. The purpose of this study was to describe the factors influencing Birth Preparedness and Complication Readiness (BPCR) in rural areas. This study conducted a systematic review following the PRISMA statement and collected individual research studies from databases such as CINAHL/Ebscohost, PubMed, Web of Science, and Embase. This Systematic Literature Review (SLR) of surveyed among pregnant women, this survey on pregnant women describes knowledge about childbirth readiness from each indicator, that either includes saving money as much as 46.8 % -88 %, identified mode of transportation 18 % -76.3 %, skilled provider 15.7 % -100 %, place of birth 44.3 % -85.8 %, and blood donor 0.89 % -29.6 %. Furthermore, the awareness of Complication Readiness ranged from 14.3 % to 82.4 %. Meanwhile, the BPCR practice rate is 32.78 % -61.8 %, indicating that it is well prepared. Furthermore, the most prevalent characteristics that impact BPCR practice are parity, Ante Natal Care (ANC) visits, knowledge of BPCR, mother's education, mother's occupation, and gestational age.