Pregnancy is described as unintended if it is either unwanted or mistimed. In the study area, there is limited data on unintended pregnancy. Therefore, this study fills this gap by studying the magnitude of unintended pregnancy and its associated factors among pregnant women attending antenatal care in the study area.

Researchers did a facility-based cross-sectional study among 612 randomly selected pregnant women attending antenatal care at Bako Tibe district public health facility. The direction and strength of statistical association were measured by an odds ratio with 95% CI. A variable with a  value < 0.05 was considered a significantly associated factor with the outcome one.

In this study, the prevalence of unintended pregnancy was 33.3%, at 95% CI. The significant association with unintended pregnancy was women who did not communicate about family planning with their husbands.

About one-third of the pregnant women reported that their pregnancy was unintended. Parity, family size, and lack of spousal communication showed a significant association with the problem. To decrease the current level of unintended pregnancy in the area, the Bako Tibe District Health Bureau and the health workers should work harder to scale up spousal communication on family planning.