Aims and objectives: 1. to assess the safety and efficacy of PPIUCD. 2. To study the patient complaince after PPIUCD insertion. Materials and Methods: This is an observational study from June 2016 to May 2017, conducted in department of OBG, kodagu Institute of Medical Sciences to assess the safety and efficacy of CuT380A when inserted within 10 mins of placental expulsion upto 48 hours after delivery. During this period total number of deliveries was 3293. Among them 833 women had PPIUCD insertion. Counselling of PPIUCD was done during their antenatal visit, early labour, immediate postpartum and while preparing for the scheduled caesarean delivery.Post abortal and 6 weeks postpartum IUD insertion were excluded from study. Results: Of 3293 total deliveries, women who had PPIUCD insertion were 833 (25.9%). Among them Post placental 165 (19.8%), Primary cesarean delivery 550 (66%) and repeat cesarean delivery 24 (2.88%). PPIUCD counselling were done during antenatal period in 211 (25.3%), during early labour in 528 (63.3%) and during postpartum period 94 (11.2%). Acceptance of PPIUCD insertion was found to be 526(63.14%) among women of age 20-25 years, primipara 651(67.34%), who had atleast primary education 249(29.9%). 812 women attended follow up. 651(80.17%) had no complaints, continued counselling helped. Complications like string problem (5.9%), expulsion rate ( 2.8%), pain abdomen (6.4%),bleeding P/V( 3.9%). PPIUCD was found to be safe as there was no evidence of perforation or failure rate. 10 women insisted for removal of PPIUCD, one of the main reasons was socialfactor. Conclusion: The acceptance of PPIUCD was high in Primipara. PPIUCD was demonstrably safe with low expulsion rate and more retention rate, thus more effective. To improve acceptance and to remove misconceptions regarding PPIUCD, Community should be educated.

Keywords: Cu T 380A; Safety.