Background: Fear or phobia of childbirth is a significant distressing psychological disorder encountered among 14% of women of childbearing age. It is known as Tokophobiamaleusiophobia and parturiphobia. It is more common among primigravida women and can influence their decision on the mode of delivery. Little attention has been given to primigravida women's fear of childbirth and its effect on their decision regarding mode of delivery. The aim of this study: was to assess primigravida women's fear of childbirth and its effect on their decision regarding the mode of delivery. Subjects and Method: The study was conducted in Egypt at