Introduction: The priority of the Postpartum Family Planning service program at Hospital Surabaya is Postplacental Family Planning of the IUD and MOW types. The target for the use of Postpartum Family Planning at RSPAL refers to the Regulation of the Head of BKKBN Number 24 of 2017 concerning Postpartum and Post Miscarriage of Family Planning Services, which is 70%. Preliminary study data from 2022 and 2023 showed a decrease in achievement compared to the previous year, and is still far below the desired target. The purpose of the study was to determine the factors that influence the selection of postplacental Intrauterine Contraceptive Devices (IUD) at Hospital Surabaya. Method: Quantitative research type with observational analytical design, cross-sectional study The population in this study were all postpartum mothers who gave birth at Hospital Surabaya. Sampling technique with a total sampling of 62 people. Research instrument with a questionnaire. Data analysis using the Chi-Square test. Results: The most age is 20-35 years (81%), the most parity is 1-2 people (71%), the most education level is Middle (63%), the most employment status is not working (66%) , the most income <UMR (63%), the most knowledge is less category (43.5%), the most support from husband is supportive (56.5%), the most counseling ever (63%), the most information received is good ( 58%). There is no significant relationship between age (p = 0.160), parity (p = 0.117), education level (p = 0.911), employment status (p = 961), and income (p = 0.794) with the selection of Postplacental IUD. While knowledge (p < 0.001), husband support (p < 0.001), counseling (p = 0.001) and receipt of information (p = 0.001) have a relationship with the selection of Postplacental IUD. Conclusion: Age, parity, education level, employment status, and income are not associated with the choice of Postplacental IUD. While knowledge, husband's support, counseling and receipt of information are significantly associated with the choice of Postplacental IUD at Hospital Surabaya.
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