BackgroundGlobally, each year more than half million women die from pregnancy-related causes and an estimated 10 million experience injuries, infections and disease that can cause lifelong suffering attributed to poor quality care. Client satisfaction on health care delivery is an indication of quality care and reported to affect health service utilization. Individuals happy with the care received comply with services and follow up. The aim of this study was to assess women’s satisfaction with care during child birth and associated factors.MethodsHospital based cross-sectional study was conducted on women delivering their baby in April to May 2014. Systematic sampling procedure was used to select 594 eligible women, and face to face interview technique was used to collect the data. The data were coded, entered into EPI-INFO (3.5.1) and analyzed using SPSS version 20 software package.ResultsThe findings of this study revealed that the proportion of women satisfied with childbirth care service was 74.9 %. Mothers whose age less than 20, and 20–34 years were less likely to satisfy with the care during child birth compared to mothers whose age was above 35 years (AOR = 0.17, 95 % CI 0.04–0.68, and AOR = 0.13.95 % CI 0.13–0.85). Besides, women who did not attend ANC were more than 3 times likely to satisfy with care compared to women attended ANC (AOR = 3.75, 95 % CI 1.12–12.59). Moreover, who who gave birth for the first time, and two to five times were more than 4 times likely to satisfy compared to women who gave birth for more than 5 times (AOR = 4.68, 95 % CI 1.75–12.54, and AOR = 4.38, 95 % CI 1.91–12.22).ConclusionOnly 75 % of women gave birth satisfied with the care they received. Moreover, age of women, antenatal care follow-up and the number of deliveries were important predictors of level of satisfaction. Therefore, the hospital administration and health professionals need to offer patient oriented service to increase level of satisfaction, as it is one of the measures of quality care.