This study aimed to assess birth preparedness and factors associated with it among women who gave birth in the last 12 months preceding the Jardega Jarte district survey, Western Ethiopia. 

A community-based cross-sectional study was conducted. A total of 581 women who gave birth recently were randomly selected for an interview.

From 581 questionnaires distributed, 570 were completed making the response rate 98%. The mean age was 28 with a standard deviation of 5 years. Ninety percent of the respondents were rural in residency. The average family size was 6 with a range of 13. The majority of the respondents were grand multipara, 261. Despite the majority of the respondents reported as they made arrangements for birth, only 27.5% of them were well-prepared for delivery and its complication management. Urban residency, primipara, history of obstetric complication, and attending antenatal care were independently associated with preparation for birth and its difficulty. 

This study revealed that only about a quarter of pregnant women were well-prepared for delivery and complication management. Urban residencies, history of past obstetric complications, availing antenatal care, primipara, and absence of an under-five child in the household during recent delivery were predictors of birth preparedness.