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Background: Although hospital services were available, urban poor people often have limited access to hospitals when needed. This situation could occur because of their ignorance, or because they did not have health insurance. This study was conducted to analyze the determinants of childbirth in a hospital in urban poor women in Indonesia. Methods: The analysis in this study uses raw data from the 2017 IDHS. With stratification and multistage random sampling, 7891 women aged 15-49 years in urban poor communities with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test. Results: "Problems during pregnancy" was not proven as a determinant of the hospital use for delivery in urban poor women in Indonesia. Age was proven to be one of the determinants, while in the education level category, urban poor women with tertiary education were 2.506 times more likely to use hospitals for delivery than urban poor women who were not in school (OR 2.506; 95% CI 1.059-5.929). Parity was significantly proven as one of the determinants that influence the use of hospital for delivery in urban poor women in Indonesia. Urban poor women who were covered by health insurance have 1.933 times more possibility of utilizing hospital for delivery than those who do not have health insurance (OR 1.933; 95% CI 1.744-2.143). Conclusion: Variable "problem during pregnancy" was not a predictor of the hospital use for childbirth in the urban poor community in Indonesia. The determinants or variables that influence, on the hospital use for childbirth were age, education level, parity, and ownership of health insurance.