This study was aimed to evaluate the effectiveness of uterine balloon tamponade with condom catheter in the management of postpartum haemorrhage (PPH) not responding to standard therapy. This prospective study was done over a period of three years in 301 patients and condom balloon tamponade was found highly effective in the management of postpartum hemorrhage approaching to success rate of 95.6%. Mean age of 301 women was 25.2 years and average gestation age was 37.12±3.31 weeks. Most common cause of PPH was uterine atony (80.7%) and average blood loss was 1450 ml. Mean volume of fluid required to inflate balloon was 379.93 ml. Average time taken to arrest bleeding was 7.2 minutes and catheter removal was done with mean duration of 25.37 hours and no further complication was observed. To conclude, it is a simple, low cost, easily available alternative to manage PPH especially in resource poor developing countries.