Background: Clientsâ€™ preference to place of delivery and preferred types of attendants are considered rnimportant factors as generally female patients have the tendency to prefer female health professionalsrndue to various reasons like communication style of female physicianâ€™s in the provisions of health carernservices. Findings show that Women are not using available and accessible maternity care services.rnThis is illustrated by very low institutional delivery and low skill birth attendance (SBAs) ratesrncompared to high antenatal care (ANC). One potential reason for this could be the womenâ€™s preferencernto place of delivery and birth attendant. rn Objective: To assess preference of place of delivery, delivery attendants and associated factorsrn among women at Shashemene town. rn Methods: Community based cross-sectional study was conducted with mixed approach on a total of rn288 women who have child less than one year of age during the survey. Multi stage samplingrntechnique was used. In addition 6FGDs and 2IDI were conducted purposively. rn Quantitative Data was entered into EPI info and analyzed using SPSS 16.0 software. Analysis was donernusing different descriptive and inferential statistics. Logistic regression was used to controlrnconfounders and detects strength of association. FGDs and IDI interviews were transcribed andrntranslated into English from Afan Oromo and vice versa by two persons. Topic guides were reviewedrnmanually and electronically, responses were coded into categories then grouped into themernthematically. rn Result: out of 288 women of reproductive age who have less than one year old child 95.8% respondedrnto the questionnaires. Only 34.9%, 22.6% and 42.5% of the women attended ANC during their first,rnsecond and third trimester respectively. Regarding place of delivery 36.2% preferred home as place ofrn`1134ertyu;â€™delivering at health facility was high for those women whose income 1021-1530/monthrn[OR 4.2, 95%CI: (1.97, 9.32)], education greater or equal to secondary [OR 6.8, 95% CI: (2.9, 15.8)]rnand positive husband attitude toward health facility [OR 4.8, 95% CI: (1.3, 17.96)]. The chance ofrngiving birth at home was high for those aged between15-19 years (OR 6.3, 95%CI: (2.7, 14.9). Thirtyrnpercent of women explained as they feel comfortable being at home as the most frequent reason for notrndelivering at health facility followed by to gain family care (29%) and lack of privacy (16.2%)rnwhereas, preferring health facility was mainly due to service quality (47.8%). rn Conclusions: Most women preferred female health professionals to provide maternity health care. Still rn many women preferred home delivery. Socio-demographic and cultural factors were found to be rn barriers to preference of maternity care services. Policies about maternity health care services, rn education and women empowerment should take into account preferences of women. So, mitigation rn measure is in need to ensure right and informed choice for women to use maternity services justly.