Objectives: Postpartum family planning is a cornerstone of maternal health, but the adoption of reversible contraceptive methods remains low in India. This study evaluates the distribution and predictors of postpartum contraceptive utilization among women at an Urban Health Training Center (UHTC), Bidar, Karnataka, India, with the objectives to determine the distribution and frequency of postpartum contraceptive methods among women delivering at UHTC, Bidar, and to analyze the association between delivery mode and contraceptive choice. Materials and Methods: A prospective cross-sectional study enrolled 159 postpartum women from June to September, 2025. Data were collected on demographics, delivery details, and contraceptive choices within 6 weeks post-delivery. Analyses included descriptive statistics, contingency tables, and Chi-square test to check association using Jamovi 2.6.44 software. Results: Most women (79.2%) opted for implants; 18.9% underwent tubectomy. Very few chose intrauterine devices or oral pills (0.6% each), with only one participant opting for no method. Cesarean delivery predominated (93.7%) and showed a significantly drastic ( P < 0.001) association with implant and tubectomy. Other demographic factors were not significant predictors of contraceptive use. Conclusion: Mode of delivery, particularly cesarean section, and immediate counselling decisively influence postpartum contraceptive choices, while individual sociodemographic factors have limited impact. More focus is required on enhanced counselling to improve the adoption of reversible methods.
Chauhan et al. (Sat,) studied this question.