IUCD is a common method of contraception followed in women. The effectiveness and side effects of IUCD is best frequently reported. Here, we have attempted to evaluate the outcome in post-partum vaginal insertion and intracaesarean insertion of copper T. METHODSIn this study 1098 patients for whom Cu-T inserted in OG Department, Govt. Thoothukudi Medical College, Thoothukudi, were enrolled. Among these patients, 806 underwent vaginal insertion and 292 intracaesarean insertion. Both the groups were compared and analysed. Since there is a significant advantage of intracaesarean insertion over vaginal insertion, all patients who are planned for LSCS should be motivated for intracaesarean insertion of IUCD. RESULTSBoth modes of PPIUCD insertion were found to have very low rate of expulsion, vaginal bleeding, infection, missing string and also effective on contraception. Adverse effects are more in vaginal. Hence, intracaesarean from insertion of PPUICD is beneficiary. CONCLUSIONPPUICD is an effective approach and may become the best choice as post-partum contraception in both vaginal as well as caesarean delivery.