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Introduction Uterine tamponade is a recognised measure in the management of Post Partum Haemorrhage (PPH) when medical management fails. We studied the effectiveness of multiple intrauterine Foley?s catheter as tamponade. Aims & Objectives To determine efficacy of intrauterine foley?s catheter tamponade to arrest bleeding in atonic PPH unresponsive to uterotonics in terms of success rate (need for further surgical intervention), PPH to tamponade interval, time needed to stop bleeding and complications. Materials & Methods In this prospective interventional study in Department of Obstetrics and Gynaecology, RGKMCH, 140 mothers with atonic PPH following vaginal delivery unresponsive to suitable uterotonics, uterine massage and/or bimanual compression for 30 minutes excluding coagulopathy, traumatic PPH, retained products, fibroid, uterine anomaly or chorioamnionitis were recruited. ?3-4? 16Fr foley?s catheter were inserted trans-vaginally, balloon inflated with normal saline (60 ml each), kept for 24-28 hours. If bleeding continued after 30 minutes surgical intervention was sought. Observations were recorded and analysed. Results Success of the procedure was 89.28% (115/ 140). Mean duration of PPH to tamponade interval was 34.42 ? 23.76minutes. 6.42 ? 1.96 minutes was needed to stop bleeding. Volume of tamponade output was 1.78 ml/hr to 1200ml/hr. 7/140 (5%) had stepwise devascularization and 8/140(5.71%) underwent obstetric hysterectomy. The average drop in blood haemoglobin level was 1.22 ? 0.76 gm/dl. 47.14% (68/140) did not undergo blood transfusion. Sepsis developed in 5.71% (8/140) cases. 1 maternal death was reported. Conclusions Foley?s catheter balloon tamponade, a low-cost, safe and easy to introduce device is an effective means of controlling severe PPH not responsive to pharmacologic measures. It is an emergency lifesaving uterus conserving procedure especially in low-resource settings. It can be useful to reduce blood loss during referral to higher centre. With more training and awareness this procedure can be popularized at all levels of health care delivery system.