The use of various Balloon tamponade technologies has steadily increased over the last five years in the management of postpartum haemorrhage. New methodologies and applications have been included beyond the original descriptions. Furthermore, novel approaches and mechanisms of action have also been suggested.No comparative trials involving “uterine/fertility sparing” approaches such as Balloon Tamponade Technology have been performed comparing the safety, efficiency and long term effects on endometrial and myometrial functions. However, balloon tamponade technology is rapidly becoming accepted as a preferred second line approach following failed first line uterotonics in many obstetric units.This paper reviews the current use of various balloon tamponade technologies in the management of postpartum haemorrhage.