Objectives Maternal and Child Health Outcomes have been considered a serious global concern in recent times, especially for low to middle-income countries like Nigeria. The aim of the study was to identify factors associated with the choice of obstetric delivery among pregnant women in a local community of Ikenne LG, Nigeria. Design The study used a validated 32-item questionnaire to gather demographic information, knowledge about obstetric care, and participants’ experiences. It involved 200 pregnant women from Ikenne LG and collected data through an Interviewer-Administered method. Setting A health education sensitization program and administration of questionnaires were conducted at the health facilities. Population or Sample Methods Pregnant women in Ikenne local government, Ogun state, Nigeria, are surveyed on demographic characteristics, pregnancy outcomes, personal risk choice, knowledge of OB delivery services, and obstetric history. Main outcome They are classified into two independent variables and dependent variables. Measures The researcher reviewed and edited questionnaires, with a trained assistant available for completeness. The SPSS Package was used for data analysis. Results The study revealed that 73% of participants had their last deliveries in a hospital, with factors like previous deliveries, recommendations, government approval, and proximity influencing birthplace choices. Conclusions In conclusion, factors associated with the choice of delivery facilities included knowledge, recommendation, proximity, and perception of risk involved.