Objective To examine experiences of postnatal contraception (PNC) care in relation to healthcare professional (HCP) engagement during and after pregnancy in an English region. Design Cross-sectional online survey. Setting The North East and North Cumbria Integrated Care System (ICS). Population or Sample Women who had completed a pregnancy in the previous three years. Methods Uptake of PNC by accessed method(s) and availability of preferred method(s) are described, and adjusted odds ratios are reported for group differences in uptake by characteristics of interest. Main Outcome Measures Uptake of medically prescribed/administered contraception and uptake of long-acting reversible contraception (LARC) during the postnatal period, and access to preferred PNC methods. Results Uptake of the most effective PNC methods and access to preferred PNC methods were positively associated with HCP engagement. PNC counselling prior to a planned Caesarean section, providing PNC on the postnatal ward prior to discharge, offering health visitor discussions about PNC, and attending a specialist contraception/sexual health service during the postnatal period were found to be the most significant predictors of these outcomes after adjusting for potential confounders. PNC conversations with multiple HCPs, both antenatally and postnatally, were also found to be of value. Conclusions HCP engagement during and after pregnancy made a significant difference to experiences of PNC care for women in this sample. Expanding the availability of PNC counselling, and the availability of PNC provision in particular, may result in increased uptake of the most effective PNC methods.