Background: The postpartum period represents a crucial opportunity for initiating contraception to prevent unintended and closely spaced pregnancies, which are associated with adverse maternal and neonatal outcomes. Despite high awareness, contraceptive utilization during this period remains suboptimal, particularly in low- and middle-income countries like India. Objectives: To assess the knowledge, attitude, and practice (KAP) regarding contraceptive methods among postpartum women and to identify factors associated with contraceptive use. Methods: A hospital-based cross-sectional study was conducted from January to July 2025 among 327 postpartum women attending a tertiary care center in Northern India. Participants were selected using consecutive sampling. Data were collected using a pre-tested, semi-structured questionnaire covering socio-demographic details, knowledge, attitude, and contraceptive practices. Data were analyzed using SPSS, and associations were tested using the Chi-square test. A p-value <0.05 was considered statistically significant. Results: The mean age of participants was 25.8 ± 4.2 years. Overall, 88.4% of women were aware of at least one contraceptive method; however, only 62.4% had good knowledge. A positive attitude toward contraception was observed in 66.4% of participants, though concerns such as fear of side effects (42.2%) and lack of partner support (40.1%) were noted. Current contraceptive use was reported by 54.4% of women, with condoms being the most commonly used method. Higher education and multiparity were significantly associated with contraceptive use (p<0.05). Women with good knowledge and positive attitudes were significantly more likely to use contraception (p<0.001). Conclusion: Despite relatively high awareness, contraceptive utilization in the postpartum period remains inadequate. Strengthening counseling services, addressing misconceptions, and promoting partner involvement are essential to improve uptake and reduce unmet need.

Postpartum contraception, Knowledge, Attitude, Practice, Family planning, India