The intrauterine device (IUD) is an effective and reversible form of birth control. The term "postpartum family planning" (PPFP) refers to measures taken during the first year after giving birth to reduce the likelihood of unwanted pregnancies and those with very close spacing. To evaluate the safety profile and efficacy of intrapartum and post puerperium IUCD so that It's a viable option for those seeking a healthy family planning strategy. This prospective cohort study was conducted at the tertiary care hospital at the Gynecology and Obstetrics department at Al-Azhar University Hospital of new Damietta and family planning department of Damanhur National Medical Institute (DMNI) from March 2023 till November 2023 and performed on a total of 304 patients who recruited from outpatient clinic and needed to use the copper IUD for post puerperium contraception. Post-placental IUD insertion as an alternative to delayed IUD insertion is strongly recommended in patients with long-term reversible contraception. Applications of an intrapartum IUD is a safe, effective, and convenient contraceptive method.