Objective: To assess mothers’ satisfaction with institutional delivery services and associated factors among women attending Hospitals in Wolaita Zone Administration. 

Methods: Hospital based cross - sectional survey was conducted. Systematic sampling technique was used. A total of 736 delivering mothers were joining managed in the study. We collected the data by using structured questionnaire every postnatal woman who delivered in the selected hospitals. The data was entered to Epi-Info version 7 and exported to SPSS version 20 for analysis. Bi-variate and Multi-variable logistic regression was applied to identify predictor of maternal satisfaction with institutional delivery services and associated factors. Odds ratio, P-value and 95% CI were computed to show the association of variables [p < 0.05]. 

Result: Among the total sample size [n = 737]; Seven Hundred Six women were surveyed giving their response rate 99.86% and 0.14 % nonresponse rate. The overall satisfaction level was 95%. After controlling confounders using multivariable analysis variables shown statistical satisfaction was residence [AOR= 0.07; 95% CIs 0.01 - 0.83], unwanted pregnancy [AOR= 7.91; 95% CIs 1.16 - 54.08], waiting time to be seen by health professionals [AOR= 44.607; 95% CIs 4.808 - 413.810] and overall cleanness of the hospital compound [AOR= 10.199; 95% CIs 1.222 - 85.105]. 

Conclusion: The overall satisfaction of mothers with institutional delivery services provided at four selected Hospitals was high. Hospital managements and service providers should give attention to maintain the satisfaction level of mothers. It needs decreasing waiting time, improving overall cleanness, educating mothers for plan delivery and creating awareness in order to understand and improve the satisfaction.