Objective: To determine the frequency to expulsion of post placental intrauterine contraceptive device in women delivering in a tertiary care hospital.

Study Design: Cross sectional study

Place and Duration of Study: Department of Obstetrics and Gynecology, Patel Hospital, Karachi from 1^st July 2018 to 31^st December 2018.

Methodology: Two hundred and eighty one women with intrauterine contraceptive device placed at the time of delivery were included in this study. Brief history was taken about intrauterine contraceptive device status at the end of 6 weeks. If there was any history of expulsion then ultrasound was done and absence of intrauterine contraceptive device on ultrasound was labeled as expulsion positive.

Results: Rate of expulsion of post placental intra uterine contraceptive device in women was 15.3 percent.

Conclusion: The evidence from this study suggests that immediate post placental intrauterine contraceptive device is an effective, useful, safe, convenient and low-cost procedure for the purpose of family planning.