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Intravenous tranexamic acid use in elective caesarean section: Does it reduce blood loss?

Completed
Conditions
Elective caesarean section
Pregnancy and Childbirth
Caesarean section
Registration Number
ISRCTN42314355
Lead Sponsor
Istanbul Bakirkoy Women and Children Hospital (Turkey)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
660
Inclusion Criteria

1. Subjects older than 38 weeks estimated gestational age
2. Requiring elective caesarean section
3. Females aged 20 - 40 years

Exclusion Criteria

Any risk factor associated with an increased risk of postpartum haemorrhage:
1. Anaemia (Hb less than 7 g%)
2. Multiple gestation
3. Antepartum haemorrhage
4. Uterine fibroids
5. Polyhydramnios
6. Emergency caesarean section
7. A history of uterine atony and postpartum bleeding
8. Current or previous history of significant disease including heart disease, liver, renal disorders or known coagulopathy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Quantity of blood postpartum, measured from one day before the caesarean section and two days after the caesarean section
Secondary Outcome Measures
NameTimeMethod
Measured from one day before the caesarean section and two days after the caesarean section:<br>1. Excessive bleeding rate<br>2. Blood transfusion<br>3. The use of additional uterotonic agents reflecting atony (such as an oxytocin infusion or Prostaglandin F2a)<br>4. Incidence of tranexamic acid side effects<br>5. Post-natal length of stay for the mother<br>6. Neonatal outcomes
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