Background: Intra uterine contraceptive device (IUCD) to prevent pregnancy is among the oldest methods of contraception. Many women also find the IUCD to be very convenient; because it requires little attention once it is inserted. The purpose of this study was to assess and compare the efficacy of post placental and intra-cesarean insertion of intrauterine contraceptive devices. Material and methods: A total of 400 women were enrolled as subjects for this study. Any complication that arose was aptly managed and kept a record of. Frequent follow ups and recall appointments were scheduled for every patient to collect and analyse the necessary data. All the collected data was stored in Microsoft excel sheets. SPSS software was used for statistical analysis of the records. Results: The desire for future pregnancy was mostly desired after or equal to 3 years period (76%). The most common reason for acceptance was “No remembrance once inserted” with32.5% of subjects of this opinion. 25.25% of patients accepted because of the reversible nature of the procedure. The major complication was bleeding which accounted for 12.75% of all cases. Expulsion and lack of visibility of strings was encountered in 8.25% and 5.25% cases respectively. Conclusion: The PPIUCD was demonstrably safe and the occasional problems of device expulsion, missing threads at follow-up, and the tendency of increased puerperal bleeding need to be solved. Key words: Intrauterine Device, Postpartum Contraception