Background: Evidence recommends that the ideal gap between the birth of two children should be at least three years. The use of the modern contraceptive method(s) for at least one to two years after childbirth can have multidimensional benefits for the women/couple. Aim: This study aimed at assessing the knowledge and practices regarding contraception among lactating women. Material and Methods: A single centre, hospital-based cross-sectional study involving 287 lactating mothers was conducted for a total duration of 6 months. The data on demography, fertility, knowledge and current practices about contraception was collected. Results: The mean and the median age of the participants were 24.2 (±3.1) and 23 years. A total of 183 (63.8%) women expressed the desire for more children. The modern methods of contraception known to most participants were: male condoms (97.2%), female sterilization (94%), and pills (92.7%). A total of 176 (61%) study participants reported using any method of contraception during their last sexual intercourse. The single most common method used by the couple was a male condom (21%) followed by oral pills (16.5%) and IUCD (14.8%). The total unmet need for contraception was 24.3%: spacing (16%) and limiting (8.3%). Conclusion: Despite knowing several contraceptive methods, about one-fourth of women had an unmet need for family planning.