Background: Unsafe abortions resulting from unintended pregnancies denote an importantrnpublic health challenge throughout the world. Although various strategies have been used tornaddress this problem unsafe abortion remained the cause for a significant number of maternalrnmorbidity and mortality.rnObjective: To assess the prevalence of unwanted pregnancies and factors which are associatedrnwith unwanted pregnancies.rnMethodology: A cross sectional study was conducted to select randomly 349 women ofrnreproductive age from five hospitals providing ANC in Addis Ababa. Data were collected usingrnstandardized pretested interviewer administered questionnaire. Logistic regression was used tornanalyze the association between the dependent and independent variables.rnResult: A total of 333 reproductive age group females participated in the study making thernresponse rate 95.4%. A total of 126(37.6%) and 50(50%) respondents had had unwantedrnpregnancy and induced abortion at some point in their lives. Being in school was the main reasonrncited by 83(37.2%) respondents to terminate pregnancy. Females aged 20-24 years were morernlikely to have unwanted pregnancy compared to 25-29 years with [AOR= 1.84(95%CI: 1.03-rn3.29)]. Single women are more likely to have induced abortion [AOR=2.355(95%CI: 1.48-rn3.73)] as compared to the married counterparts.rnConclusion & recommendation: The prevalence of unwanted pregnancy and inducedrnabortion were high, and most of the induced abortion was the result of unwantedrnpregnancy. This study has implication that comprehensive approaches should be emphasized tornincrease awareness, access and use of family planning methods.rnKey words: women of reproductive age, unwanted pregnancy, induced abortion , Addis Ababa