Background: India is world’s 2nd largest populated country. It is first to introduce family planning services. IUCD is most effective, safe, long acting and do not interfere with coitus. Immediately or within 72 hours after delivery of placenta in a health care facility is convenient for those who are in outreach area, where family planning facilities are less available. Aim & Objective: To determine choice of contraception preferred by multiparous women following vaginal birth in a tertiary hospital in Andhra Pradesh, India