摘要:It was stated that maternal satisfaction with delivery care service is used to measure the ability of services provided to meet the client expectation. In Nekemte Specialized Hospital there is lack of empirical evidences on the level of maternal satisfaction who attend maternity ward to gate delivery care services. Objectives: To assess the level of maternal satisfaction and associated factors towards delivery service among mothers who gave birth at Nekemte Specialized Hospital, 2019. Methods: A facility based quantitative cross-sectional study was conducted from April-01 to April-30, 2019 in Maternity ward of the Hospital. The data was collected using a structured interview-based questionnaire, and a total of 260 mothers were interviewed using consecutive sampling technique. Data was entered into Epidata 3.1 and transported to SPSS for windows program version 20. Odds ratio and 95% confidence interval (CI) was calculated and P-value<0.05 was considered statistically significant. Results: The overall satisfaction of mothers with delivery service was 82% (95% CI:75.8, 84.00). Mothers who delivered through cesarean section (Adjusted odd ratio (AOR=2.80, 95% CI:1.335.89)), privacy assured (AOR=2.63, 95% CI:1.42-4.85), short duration of labor persist <12 hours. (AOR=1.98, 95% CI:1.12-3.50), waiting time<15 min (AOR=3.23, 95 %CI: 1.83-5.71) and normal fetal condition (AOR=4.33, 95% CI:1.94-9.66) were associated with mother’s satisfaction with delivery services. Conclusions: The overall maternal satisfaction with delivery care services provided in the hospital was good. Mode of delivery, assured privacy, duration of labor persists <12 hours, waiting time<15 min and normal fetal condition were factors associated with mother’s satisfaction with delivery services. Therefore, health workers should work together on identified factors to improve maternal satisfaction.