The immediate postpartum period is an important time to initiate contraception as women are more likely to understand the need for contraception and are highly motivated and receptive to accept family planning methods. Also immediate postpartum period offers a unique opportunity both for health care providers and the patient to plan for contraception. PPIUCD has distinct advantage during postpartum period as it does not interfere with breast feeding, doesn’t require user compliance, is reversible and free from serious side effects of hormonal contraception. Intra-caesarean section PPIUCD is easy, safe, effective, long acting and reversible contraception with low expulsion and failure rate and high continuation rate with only minimal minor side effects.