Background: With increasing rate of institutional deliveries, PPIUCD serves as an effective method of contraception that can be easily availed to the parturient at the health care facility. Objective: The present study evaluates the awareness and acceptance rates of PPIUCD among parturient at the time of delivery in both vaginal delivery and caesarean section. The continuation rate was also assessed at the first postpartum visit that is at 6 weeks. Method: This prospective interventional study was conducted in the Department of Obstetrics and Gynecology, Kamla Raja Hospital, Gwalior for a period of one year from Nov 2014 to Nov 2015. 100 cases of normal vaginal delivery and 100 cases of lower segment caesarean section were randomly selected and CuT 380A was inserted after obtaining their written consent. Result: Mean age of the study sample was 27.5 years ± 3.5years. The acceptance rate was higher when the counselling was done in early labor (61.5%). It was higher in primigravida (53%) than multigravida (47%). Its long term effect is the commonest reason for accepting this method. Most common complication that resulted in removal of PPIUCD was excessive bleeding per vaginum in vaginal delivery and pain in lower abdomen in caesarean section. Spontaneous expulsion of the device was noted in 3% of vaginal insertions and none in the cesarean insertion. Conclusion: PPIUCD is an excellent long term contraceptive method to limit or space child births offered to a woman in a setting when she is highly motivated and genuinely needs it.