Aim: The research was conducted to determine the factors affecting the birth type preferences of primiparous pregnancies. Methods: The study was conducted with 102 primiparous pregnant women who admitted to a public and private hospital in Famagusta between September 2017- February 2018. Written consents of pregnants were obtained for the study. The data were collected with Pregnancy Introducing Features Form and Obstetric Story Form and the Prenatal Self Evaluation Questionnaire Fear of Birth Subscale and Birth Preparedness Subscale. Frequency, chi-square, mean, standard deviation, t-test and regression analysis were used in the evaluation of the data. Significance level is assumed as p<0.05. Results: It was found that 76.5% of pregnant women prefer vaginal birth and 84.6% of pregnants preferred vaginal birth because of it’ s natural, 58.3% of pregnants preferred cesarean delivery because of they afraid of birth and pain. There wasn’ t statistically a significant difference between birth preferences according to age, education, working status, place of residence and family type of pregnant women (p>0.05). When gestational weeks were examined, 38 week and after pregnants were prefered more cesarean birth than 38 weeks before pregnants (p=0.019). It was determined that there was no difference between birth preference according to pregnancy demand, planning of pregnancy, obtaining birth-oriented information, gender of the baby and preferences of hospitals (p>0.05). It was found that birth fear was effective in determining birth preference (p<0.001) and birth preparedness wasn’t effective (p=0.953). Conclusion: Attempts which reducing fear of birth, should applied before 38th week pregnancy to ensure vaginal birth preference. When planning these initiatives, women's preferences for birth type should be considered.