Background:Feelings of uncertainty and concern before, during, or after labor are referred to as fears of childbirth. Women face a variety of worries related to childbirth, from minor ones to serious ones. It has an impact on the health of women during the postpartum period and her family.. Objective:The objective of this study was to determine the Fear of childbirth among pregnant women attending antenatal care inDebreBirhanTowen Public HealthInstitution,Amhara, Ethiopia.2022/ 2023. Methods:A cross-sectional study was carried out among 405 pregnant patients receiving antenatal treatment at four public health facilities in DebreBirhanTowen. choose study participants, a methodical random sampling technique was employed. Face-to-face interviews with a structured, previously tested questioner were used to get the data. To measure fear of childbirth , the Wijma Delivery Expectation/Experience Questionnaire was employed. The gathered data were input. Epi-data-4.6 statistical software was used to enter the collected data, and SPSS-25 statistical packages were used for analysis. For multivariate analysis, a P-value of less than 0.05 was deemed significant in multivariate bivariate analysis when it was less than 0.25 in bivariate analysis. Results: Out of the total, 400 respondents took part in the study with a response rate was 98.8%. This study showed that 45(11.3%) of study participants had low fear of childbirth, 225(56.3%) moderate, 93(23.3%) high, 37(9.3%) severe fear of childbirth. Having no formal education(AOR=5,95%CI:(1.37-18.15)(p=0.02), previous obstetrics complications AOR=3,95%CI: (1.14-7.8)(p=0.03), mode of delivery preference AOR=3,95%CI:(1.02-9.03) (p=0.045).Having medical illness AOR=3.6,95%CI(1.02-9.03)(p=0.02)showed significant association with a fear of childbirth. Conclusion and recommendations:The study setting is one where Fear of childbirth is common. Education level, previous obstetric problems medical illness, and preferred delivery method were all associated with lower levels of fear of childbirth. The women were categorized as having fear of childbirth based on a cut-off value of high and severe fear of childbirth. In the research setting, early detection of women at risk for fear of childbirth is clinically significant to enhance women's health throughout the perinatal period. Keywords:Pregnancy, fear of childbirth,Wijma Delivery Expectancy Questionnaire A, DebreBirhan.