Introduction: The fear of childbirth (tocophobia) is a major health problem that is often neglected in the society especially amongst nulliparous women and primigravidas. Its associated with increasing rate of caesarean section without a medical indication. Objectives: To determine prevalence of tocophobia among female undergraduate students at Bayero University, Kano Northwestern Nigeria. Methodology: Descriptive cross-sectional study was conducted among 291 respondents were selected by multi-stage sampling technique. Data was collected using semi-structured, self-administered, pre-tested, questionnaire and analysed with IBM SPSS version, a p< 0.05 was considered statistically significant. Results: The mean age of the respondents was 22.50±3.27. The prevalence of fear of pregnancy and childbirth was 59.1% while 40.9% have no fear of becoming pregnant and childbirth. None of the socio-demographic variables was found to be significantly associated with fear of childbirth but some of the reasons are fear of complication at delivery or during labour, lack of antenatal care access, lack of trust in the obstetric team. Conclusion: Fear of pregnancy and childbirth is common among undergraduates with some of the identified reasons; fear of complication at delivery or during labour, lack of antenatal care access, lack of trust in the obstetric team or fear of their competence, prior history of psychiatric illness, sexual abuse at childhood, family history of traumatic delivery. There is need for creating awareness on maternal health to the undergraduate students regardless of their marital status and invariably will address the tocophobia and its effects.