Context: - It is a universally accepted fact that unintended pregnancy and births could havernnegative consequences for women, children, families and societies at large. The current studyrnaimed to examine the level and determinants of unintended pregnancy among selected women inrnGozamen woreda in the Amhara Region.rnMethods: - A cross-sectional study involving a sample of 576 currently married women ofrnreproductive age, whose most recent pregnancy occurred within the last five years prior to thernsurvey was carried out in three kebeles, selected from the study area. All pregnancies regardlessrnof outcome are included in the study Data was collected from 554 respondents using a structuredrnquestionnaire. A multistage sampling technique was used to reach the respondents. Bothrnquantitative and qualitative methods were employed. Descriptive and multivariate statisticalrntechniques were used in the analysis of the data.rnResults: - About two out of five women (40.8 percent) reported that their most recent pregnanciesrnwere unintended. High percentage of unintended pregnancy (87.2%) was among respondentsrnwho were not using modern method of contraception prior to their most recent pregnancies.rnResults of the multivariate analysis indicated that several demographic, socio-economic andrnfamily planning factors influence whether a pregnancy is intended or unplanned. Women aged 35rnand above (OR: 6.644), those who didnâ€™t use contraceptive prior to the recent pregnancy (OR :rn2.047 ), those with no knowledge of modern contraceptive methods (OR : 4.068) and thosernmarried to husbands who do not approve contraceptive methods (OR: 3.962) had a higherrnchance of experiencing unintended pregnancy. Furthermore, those married at the age of 18 andrnabove (OR: 0 .321), respondents who have exposure to media (OR: 0.404), women with at leastrnprimary education (OR: 0 .169), those women working outside home (OR: 0.387) and thosernmarried to husbands working in the non-agricultural sector (OR: 0.172) had lower chance ofrnexperiencing unintended pregnancyrnConclusion and recommendation: - Unintended pregnancy was found to be a major reproductivernhealth problem in the study area resulting from the high unmet need for family planning and thusrndeserves priority attention. Policymakers and program planners need to design programs andrnservices carefully to reduce unintended pregnancy in the region, especially, services should focusrnon helping those groups of women who are identified in the analysis as being at increased risk ofrnunintended pregnancy- illiterate, ,older women aged 35 and above, those who got married atrnearly age ,those who have less knowledge and practice of contraceptive methods and those whornhave five or more living children and women in rural areas