Background: Postpartum intrauterine contraceptive device (PPIUCD) is easily applicable and available postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Aim: To analyse the relation of various factors associated with removal of PPIUCD. Method: It is a retrospective observational study. A Cohort of 770 vaginal and caesarean deliveries with PPIUCD insertions, over a three-year period, was studied. Results: Amongst the various reasons abdominal pain is found the most confounding factor for removal at any time. Literacy does not seem to have any concern with continuation rate. In fact, higher the education lower the continuation rates. With increasing number of male child removal rate is higher. Intra caesarean insertions have showed higher continuation rates with preference of removal at NCH. Conclusion: PPIUCD is a promising method for immediate postpartum family planning. Early and frequent follow ups with counseling plays a very important role in acceptance as well as continuation of use.