Introduction: Postpartum haemorrhage (PPH) is a preventable cause of maternal mortality and Active management of the third stage of laborious considered a gold standard for the management and prevention of PPH. Oxytocics like Oxytocin, Carbetocin, Methergin and Misoprostol are the mainstays of the management of PPH. When medical methods fail intrauterine balloon, tamponade has been suggested as an effective uterine conserving procedure, minimally invasive and requires less skill. The purpose of this study was to determine the indications, complications and effectiveness of Bakri balloon insertion performed at the tertiary care teaching hospital.