The aim of this mixed method systematic review was to assess maternal satisfaction with normal vaginal delivery and its influencing factors in Iranian population. All quantitative and qualitative studies about the factors related to women’s satisfaction with normal vaginal delivery were searched. Data extraction was performed using the data extraction form adapted from the Cochrane Collaboration guidelines. The quality of all studies was assessed by two researchers independently using the risk assessment checklist by Cochrane Collaboration. Studies that were conducted on pregnant women older than 18 years old who were in the first post-partum year and assessed satisfaction were included in this review. The current study revealed that the level of satisfaction about normal vaginal delivery was moderate in Iranian women. Fear of pain, vaginal delivery complication and sexual dysfunction were the most common factors that affected satisfaction about vaginal delivery.