Introduction: Urinary incontinence (UI) is a common condition among women, significantly impacting their quality of life across psychological, social, and physical dimensions. Despite its prevalence, UI often goes untreated due to social stigma and limited awareness of available management strategies, including physiotherapy. This study aimed to evaluate the awareness levels among pregnant women regarding UI and the role of physiotherapy in its prevention and management, with a focus on populations in Sudan and Egypt. Methods: A quantitative, cross-sectional descriptive study was conducted with 75 pregnant women in Sudan and Egypt aged 15–49 years, selected using simple random sampling. Participants completed structured questionnaires covering demographic data, obstetric history, and knowledge about UI and physiotherapy. Data were analyzed manually using descriptive statistics. All necessary ethical approvals were obtained. Results: Findings showed that 56% of participants were aware of UI, however, only 5% had consulted a physiotherapist as noted by Parlas and Bilgic (2024), higher levels of UI knowledge are positively associated with attitudes toward management and help seeking, indicating that structured, evidence-based health education especially during antenatal care can bridge the gap between awareness and action. Conclusion: The study highlights a significant gap in awareness of physiotherapy as a preventive tool for UI among pregnant women. These results emphasize the need for targeted educational interventions and the integration of physiotherapy education into antenatal care programs.