Background: Worldwide maternal mortality has witnessed a significant reduction in the last 2 decades and this has partly been due to the increase contraceptive use and with consequent reduction in inter-pregnancy interval. The aim of this study was to determine the factors influencing inter-pregnancy intervals among pregnant women attending antenatal care and their contraception needs Methods: A cross-sectional study on pregnant women with at least one previous delivery attending antenatal clinic of a Teaching Hospital using a structured questionnaire Results: The mean±SD age of the respondents was 27.4±0.6 (20-44) years. The majority (76%) were multiparous. Vaginal delivery (91%) and live birth (86.9%) were reported in the last pregnancy. Most respondent 64.4% had their last confinement more than 2years. Marital status (p<0.05), educational status (p=0.003), average income per month (p=0.003), parity (p=0.02), outcome of previous pregnancy (p=0.01), mode of delivery (p=0.001) and duration of breastfeeding (p=0.001) were factors which showed significant association with inter-pregnancy interval. Awareness of modern contraceptive methods was reported by 65.4%, with 60% and 32.6% wanting to resume contraceptive use immediately and within 6-12months of delivery respectively. Conclusions:The study showed inter-pregnancy interval of twenty-four months. Obstetric and socio-demographic factors were significantly associated with inter-pregnancy interval. Effective health information and reproductive education would encourage effective contraception uptake and better maternal and baby outcome. RESULTSFour hundred women were interviewed, however only 390 questionnaires were valid for analysis.