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se of tranexamic acid for the prevention of blood loss in cesarean delivery: the EPTAC trial

Phase 2
Completed
Conditions
Obstetric haemorrhage
Pregnancy and Childbirth
Registration Number
ISRCTN11204890
Lead Sponsor
Irrua Specialist Teaching Hospital
Brief Summary

2021 Results article in https://drive.google.com/file/d/1DmGJskKwH1g2TF6N6w5BgFf_tem-ONpg/view?usp=sharing (added 28/12/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
208
Inclusion Criteria

1. All pregnant women scheduled for a primary Caesarean section
2. Singleton pregnancy

Exclusion Criteria

1. Multiple gestation
2. Any other additional risk of bleeding apart from the Caesarean section such as previous caesarean section, antepartum haemorrhage, polyhydramnios and bleeding disorders.
3. Liver or Renal pathologies
4. Patients who chose not to participate in the study.
5. Allergy to Tranexamic acid
6. Women unfit to give an informed consent e.g. the eclamptic, unconscious or those with mental impairment.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood loss at Caesarean section and within 24 hours after surgery using galvametric and volumetric approach of estimation.
Secondary Outcome Measures
NameTimeMethod
<br> 1. The difference in 1hr preoperative packed cell volume and 48hrs postoperative packed cell volume.<br> 2. Additional oxytocic requirement, blood transfusion, caesarean hysterectomy or maternal death as a result of primary Post Partum Haemorrhage.<br> 3. APGAR scores in first and fifth minutes and Neonatal Intensive care unit admissions/outcome.<br> 4. Maternal satisfaction prior to discharge measured using a scale of 0-10; Where 0- extreme dissatisfaction and 10-ultimate satisfaction<br>
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