Context: - It is a universally accepted(act that unintended pregnancy and births could havernnegative consequencesfor women, children, jelmi!ies and societies at large. The current studyrnaimed to examine the leveL and determinants o(unintended pregnancy among selected women inrnGozamen woreda in the Amhara Region.rnAllethods: - A cross-sectionaL study involving a sampLe of 576 currenrly married wurnen ofrnreproductive age, whose most recent pregnancy occurred within the Last jive years prior to thernsurvey was carried out in three kebeles, selected Fom the study area. ALI pregnancies regardlessrnof outcome are incLuded in the study Data was coLlectedFom 554 re;pondents using a structuredrnquestionnaire. A mullistage 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 ()ffive women (40.8 percent) reported that their most recent pregnanciesrnwere unintended. High percentage o( unintended pregnancy (87.2%) was among re;pondentsrnwho were not using modern method o( contraception prior to their most recent pregnancies.rnResults ()( the multivariate analysis indicated that severaL demographic, socio-economic andrnfamily pLanningfactors influence whether a pregnancy is intended or unplanned. Women aged 35rnand above (OR: 6.6-14), those who didn 't lise contraceptive prior to the recent pregnancy (OR:rn2.047 ), those with no kno,vledge ()( modern contraceptive methods (OR 4.068) and thosernmarried to husbands who do not approve contraceptive methods (OR: 3. 962) had a higherrnchance ()( experiencing unintended pregnancy. Furthermore, those married at the age ()(18 andrnabove (OR: 0.321), re,pondents who have exposure to media (OR: 0.-104), women with at leastrnprimm)! 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 o(rnexperiencing unintended pregnancy. Conclusion and recommendation: - Unintended pregnancy was/ound to be a major reproductivernhealth problem in the study area resliiting./i"om the high unmet need/or{amily planning and thusrndeserves priority allention. Policymokers and program planners need to design programs andrnservices care/idly to reduce unintended pregnancy in the region, especially, services should/ocusrnon helping those groups o{women who are identified in the analysis as being at increased risk 0/rnlInintended pregnancy- illiterate, ,older women aged 35 and above, those who got married atrnearly age ,those who have less knowledge and practice o/contraceptive methods and those whornhavefive or more living children and women in rural areas.