Objective: To analyze the current situation of long-term contraceptive measure use and its influencing factors among married couples in Hebei Province in order to find out more safe, appropriate, effective contraceptive technology. A stratified sampling method was used in the survey. Methods: We selected 33 provincial fixed monitoring sites of adverse reactions of family planning devices as the sample points in Hebei Province. Married couples who applied a long-term contraceptive measure from October 2011 to September 2013 were recruited. Results: In 13 082 married couples, 12 775 (97.65%) used intrauterine device (IUD), 287 (2.19%) took ligation of oviduct, 13 (0.1%) took male vasectomy, and 7 (0.05%) used subcutaneous implantation. In this study, urban residents accounted for 10.63 %, while rural residents for 89.37%. Respondents aged 20 to 29 years accounted for 75.11%. About 0.15% family had no child, and one-child. According to the last delivery way, natural labor accounted for 58.46%, while caesarean for 41.55%. Among the long-term contraceptive measure use, IUD insertion was taken up by the largest proportion who accounted for 97.65%, and ligation of oviduct accounted for 2.19%, male vasectomy for 0.1%, subcutaneous implantation for 0.05%. The long-term contraceptive measure use was decreased gradually with the increase in age. Conclusion: In long-term contraceptive measure use, IUD is inserted by the largest people in Hebei Province. Age, the last delivery way and the operation time are correlative with adverse reactions of IUD. The varieties of IUD tend to rationalization, diver sification. We should guide the married couples to select the appropriate contraception by themselves, and should strengthen the scientific and standardized management of long-acting contraception operations in health care sectors.