Context: - It is a universally acceptedfact that unintended pregnancy and births could havernnegative consequences/or women, children, families and societies at large. The current studyrnaimed to examine the level and determinants 0/ unintended pregnancy among selected women inrnGozamen woreda in the Amhara RegionrnMethods: - A cross-sectional study involving a sample 0/576 currently married women ofrnreproductive age, whose most recent pregnancy occurred within the last five years prior to thernsurvey was carried out in three kebeles, selectedli'om the study area. All pregnancies regardlessrna/outcome are included in the study Data was col/ected/i'om 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 o/the data.rnResults: - About two out 0/ jive women (40.8 percent) reported that their most recent pregnanciesrnwere unintended. High percentage 0/ unintended pregnancy (8 7. 2%) was among respondentsrnwho were not using modem method 0/ contraception prior 10 their most recent pregnancies.rnResults of the multivariate analysis indicafed that several demographic, socio-economic andrnfamily planning/clclors influence whether a pregnancy is intended or unplanned Women aged 35rnand above (OR: 6.644), those who didn 't use contraceptive prior to the recent pregnancy (OR:rn2.047 ), those with no knowledge o/modern contraceptive methods (OR 4.068) and thosernmarried to husbands who do not approve contraceptive methods (OR: 3.962) had a higherrnchance 0/ 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 leas/rnprimmy 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 0/rnexperiencing unintended pregnancy.Conclus ion and recommendation: - Unintended pregnancy was/ound to be a major reproductivernhealth problem in the study area resultingji-om the high ul1lnet need/or{amily planning and thu srndeserves priority allentiol1. Policymakers and program planners need to design programs andrnservices carefidly to reduce unintended pregnancy in the region, especially, services should/ocusrnon helping those groups o/women who are identified in the analysis as bein g at increased risk 0/rnunintended pregnancy- illiterate, ,older women aged 35 and above, those who go t married atrnearly age ,those who have less knowledge and practice 0/ co ntraceptive methods and those whornhave/ive or more living children and women in rural areas.