Background: Women of reproductive age (WRA), aged 15–49 years, require adequate physical preparation and knowledge before pregnancy. Pregnancy eligibility includes physical and mental health, good nutritional status, and the absence of conditions that may adversely affect pregnancy and the fetus. Objective: To determine the relationship between knowledge and attitudes among WRA and pregnancy eligibility. Methods: This quantitative study used a cross-sectional design involving 41 WRA in the Banjarmasin Indah Public Health Center working area who attended Tunjung Biru Integrated Health Post. Respondents were selected through purposive sampling, and data were collected using a questionnaire. Results: Among respondents who were not eligible for pregnancy, 36.6% had positive attitudes and 39.1% had good knowledge. Among those eligible for pregnancy, 31.7% had positive attitudes and 34.0% had good knowledge. As more than 20% of cells had an expected count below five, Fisher’s exact test was used. A p-value > 0.05 indicated no significant relationship between knowledge or attitudes and pregnancy eligibility. Conclusion: Good knowledge and positive attitudes do not necessarily determine pregnancy eligibility, which may also be influenced by age, nutritional status, anemia, parity, birth spacing, and comorbidities. Integrated preconception education and screening are therefore needed to support healthy pregnancy preparation.
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