High maternal mortality rate in Indonesia is directly caused by hemorrhage, eclampsia, and infection. Maternal mortalities also happen because ‘too much’. The aim of this research is to develop a concept about contraceptive decision making of grand multiparous women. This qualitative was conducted using a grounded theory method with the feminism approach. Eight participants were recruited by theoretical sampling in Tangerang District. The data were analyzed by content until get saturated. A concept that described the process of grand multiparous women contraceptive decision making was “the desire not to pregnant or giving birth again obligated grand multiparous women to choose and utilize the appropriate contraceptive”. It is recommended that the nurse conduct contraceptive assessment comprehensively, increasing the contraceptive knowledge and negotiating skill, and providing contraceptive counseling for grand multiparous women and their husband adequately.