Background: One of the most delicate times in a woman's life is the postpartum period, when she interacts with medical facilities and both the mother and the newborn require special care. To prevent unwanted pregnancies and promote optimal interpregnancy intervals, effective contraception should be discussed and offered at that time. During the postpartum period, inserting an intrauterine device (IUD) via various methods may raise the risk of problems. Aim and Objective: The present study was aimed to evaluate acceptance and expulsion of IUCD insertion. Methodology: This prospective observational study was carried out at the Santosh Medical College and Hospital in Ghaziabad between September 2015 and August 2017 over a two-year period. IUCD insertions totaling 265 were performed. Out of this, 125 cases (post placental and intra caesarean) and 140 interval insertions were postpartum. Result: The majority of cases that accepted PPIUCD (56.7%) and those in the Interval (41.6%) belonged to the age range of 26 to 30 years. According to the modified Kuppuswami classification, the majority of the study's participants—PPIUCD (66.7%) and Interval (48.8%)—belonged to the lower middle class. IUCD insertions were performed more frequently in multiparous women in both groups. 75% women in PPIUCD group and 80% in Interval group were satisfied with IUCD. So, satisfaction rate was quite good in both groups.Twenty cases in PPIUCD group and 16 cases in Interval group got IUCD removed. Conclusion: Satisfaction rate was quite good in both groups. While twenty cases in PPIUCD group and 16 cases in Interval group got IUCD removed.