Background: Breastfeeding is one of the foundations of child health, development and survival. It is especially important where diarrhea, pneumonia and undernutrition are common causes of mortality in children under 5 years of age. Breastfeeding also helps to reduce overweight and obesity and protects maternal health in all parts of the world. For these reasons, the World Health Organization (WHO) recommends that breastfeeding should be initiated within the first hour after birth and that infants should exclusively breastfeed for the first 6 months; complementary foods should then be introduced with continued breastfeeding until 24 months of age or older. The positioning of the baby’s body is important for maintaining good attachment and successful breastfeeding. Objective: to assess the proportion and associated factors of poor attachment and poor positioning of breastfeeding among woman who delivered at Tibebe Ghion Specialized Hospital, Bahirdar, Amhara region, Ethiopia Methods: Institution based cross sectional study was conducted from March 2021 2021 -July 2021. A structured questionnaire and observational checklist used to interview members of sampled women. Data was entered on EPIDATA version 3.1 and analyzed using SPSS version 26. Descriptive summaries were done to present pertinent results and ordinary logistic regression analysis done for a predictor that had association with dependent variables. Result: The finding of this study showed that 30%, 35.2% and 34.8% for poor attachment, average attachment and good attachment respectively. For mother and neonatal position, it is 29.5%, 30.5% and 34% for poor position, average position and good position respectively. Going from para >5 to para 2-5 increase the log odds of being in poor attachment by 2.544 times (AOR: 2.544 CI: 0.736, 9.736), Going from para >5 to para 2-5 increased in poor position by the odds of 2.008 as compared to the combined category, given that all other variables held constant (AOR:2.008, CI:0.584,7.465) Conclusion: This study showed that the proportion of good position and good attachment was low at TGSH. The primipara, low income, not counselling at ANC and after delivery associated with poor position and attachment. Training for maternal and neonatal care providers should be arrange. Key words: practice of breastfeeding, attachment, positioning, Tibebe Gion Hospital, ordinary logistic regression