Background: An interval of 3 years is advocated between 2 consecutive pregnancies more so in women undergoing caesarean section. Short inter conception period after caesarean section and associated increased morbidity, mortality and repeat caesarean section can be avoided by post placental CuT 380A insertion during caesarean section. Aims and Objectives: To study the role of post placental intrauterine contraceptive device insertion in women undergoing caesarean section. Material and Methods: Study was conducted in the Department of Obstetrics & Gynaecology in Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi. A total of forty subjects were included who underwent post placental IUCD insertion after Caesarean section. Results: In the present study, mean age was 25+4 years. Majority of the women were in between 19-30 years. As per modified Kuppu Swamy’s socio economic status scale, maximum number of women (50%) were in lower middle class socio economic status followed by upper middle socio economic status (20%). Amongst the total study population, nearly 7.5% had education till middle school. Most common complication was excessive vaginal bleeding. At 3 months follow up 10.5% patients had complaints of excessive vaginal bleeding. No case of perforation or pregnancy occurred. The possible reason for low perforation rate in post placental insertion was due to thick uterine wall. Conclusion: PPIUCD insertion is an effective, safe, convenient, low cost and long term method of post-partum contraception. Present study recommended that, it should be routinely offered to all eligible post-partum women undergoing cesarean section.