Short inter-pregnancy interval is associated with increased physical, mental and social challenges for mother and baby but fertility can return quickly after childbirth. Women should be offered effective contraception after birth. Regular contact with women in our department allows discussion and planning about contraceptive choices. I explored staff and women’s motivators and barriers regarding postnatal contraception, and put in place changes to streamline provision and improve uptake. QI methods used included patient feedback on push and pull factors, empathy mapping with staff, multiple PDSA cycles and run charts tracking contraception data from electronic maternity records. Process changes included online and face to face training, new patient information leaflets, “contraception boxes” on wards and electronic prompts prior to discharge. Our outcome was that the proportion of women receiving their choice of contraception before discharge increased from 28% in 2019 to 43% in 2020.