Aim: Post partum contraception is the best evidence based intervention in prevention of pregnancy and abortion related maternal morbidity and mortality in the developing countries. The unmet need for contraception among women in the postpartum period can be effectively fulfilled by post partum insertion of IUCD, in a single visit under the Government scheme of providing free maternity services during institutional delivery. PPIUCD is an effective, safe, reversible method of long term contraception with high reported expulsion and low perforation rate, compared to interval insertion. Objective: To evaluate the acceptability, safety, efficacy and feasibility of PPIUCD as a method of post partum contraception. Study design: This is a prospective cross sectional study conducted between October 2011 to December 2013 at Sri Chamarajendra Government Hospital, Hassan, Karnataka, India. 26,123 pregnant women were counseled (clients) for Post partum IUCD insertion as a method of contraception in pregnancy, early in labor and in the immediate post partum period (__ampersandsignlt;48 hours). Among the clients, 1832(7%) accepted and had PPIUCD inserted under asepsis by skilled Obstetricians. The timing of PPIUCD insertion were- 510(27.8 %) post placental, 427(23.3 %) in immediate post partum period__ampersandsignlt;48hrs, and 895(49 %) Intra caesarian insertions. The side effects were minimal, Infection and perforation were 00%, pregnancy reported were 0%, Expulsion rate was 0.32 %( o6/1832), and Removal rate was 0.76% %( 14/1832). IUCD retention rate was 98.90% (1812/1832) at 14weeks post partum. Conclusion: PPIUCD is a feasible, safe and effective method of immediate postpartum contraception that may be practiced during a single visit for institutional delivery which may be continued as a long term reversible contraception.