Background: Contraception methods are used to prevent pregnancy and can be broadly categorized into several types based on their mechanism, duration, and form. Aim & objectives: The present study was conducted to assess the acceptability and safety of IUCD among study population. Materials & Methods: 400 Women delivering vaginally or by caesarean section, counselled for IUD insertion in pre-natal period or in labour were recorded. IUCD was inserted after 3rd stage labour management that is after placental removal. An outpatient follow-up was conducted after six weeks. Symptom, education, SES, parity was recorded. Results: 400 Women delivering vaginally or by caesarean section, counselled for IUD insertion. IUCD was accepted by 50 and declined by 350. Age was 24.17±2.95 and 23.80±3.25 among accepted and declined subjects respectively. The difference was nonsignificant (P>0.05). People from urban locality more often accepted PPIUCD and that was statistically significant (P< 0.05). Education was primary in 15 and 91, secondary in 18 and 189 and upto college in 17 and 70 among accepted and declined subjects respectively. Occupation was employed in 11 and 30 and unemployed in 39 and 320 among accepted and declined subjects respectively. Socio economic status was upper in 4 and 32, middle in 32 and 130 and lower in 14 and 188 among accepted and declined subjects respectively. Parity was Primi in 21 and 160, 2 pregnancies in 19 and 169 and >3 pregnancies in 10 and 21 among accepted and declined subjects respectively. The difference was significant (P< 0.05). The mode of delivery was vaginal in 8 accepted and 290 declined cases and caesarean in 42 accepted and 60 declined cases. The difference was significant (P< 0.05). Reason for not accepting IUCD was partner not accepted in 58, religious belief in 38, fear in 39, don’t want contraception in 45 and want some other method in 170 cases. The difference was significant (P< 0.05). Conclusion: Less educated, lower- class and unemployed women did not accept PPIUCD as a means of meeting unfulfilled needs or controlling the population.