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Efficiency and safety of preoperative Tranexamic acid in reducing perioperative blood loss in elective cesarean sectio

Phase 4
Completed
Conditions
blood loss during and after cesarean section
Reproductive Health and Childbirth - Childbirth and postnatal care
Registration Number
ACTRN12615000312549
Lead Sponsor
Ahmed Maged
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
200
Inclusion Criteria

full-term singleton pregnancies underwent elective lower segment caesarean section

Exclusion Criteria

1.prolonged CS (> 90 min according to anesthetic record), 2.anemic patients (Hb < 9 gm %),
3.presence of maternal medical disorder (e.g. cardiac, renal, hepatic & coagulopathies) or
4.history of thrombo-embolic events.
5.known allergy to TA.
6.Patients with increased risk for obstetric hemorrhage (e.g. antepartum hemorrhage, abnormal placentation, previous history of uterine atony & postpartum hemorrhage, polyhydramnios & uterine fibroids).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
estimated blood loss (EBL) during and after Cesarean section<br>Estimated blood loss was calculated according to the following formula:<br>EBL = EBV × Preop Hematocrit - Postop Hematocrit /Preop Hematocrit <br>EBL: estimated blood loss<br>EBV: estimated blood volume (ml) = weight (kg) x 85<br>[24 hours after Cesarean section]
Secondary Outcome Measures
NameTimeMethod
1. postoperative hemoglobin, serum assay<br>[up to 4 weeks after surgery];postoperative hematocrit, serum assay[4 weeks after CS];platelet count , serum assay [4 weeks after CS];needed postoperative ecbolics. needed drugs administered intramuscular[24 hours after CS]
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