Authors : K Mathumitha, Ushadevi Gopalan
DOI : 10.18231/j.ijogr.2023.029
Volume : 10
Issue : 2
Year : 2023
Page No : 126-130
Background: Postpartum Haemorrhage (PPH) is an important cause of maternal death and severe maternal morbidity. Compared to vaginal delivery, women undergoing caesarean delivery incur the highest risk of PPH and haemorrhage related morbidity. Furthermore, evidence suggests that PPH during caesarean delivery is occurring more frequently.
Objective: To study the effect of low dose intravenous tranexamic acid in reducing blood loss during Caesarean section.
Materials and Methods: This randomized control trial among 50 antenatal women aged >18 years undergoing Lower segment caesarean section in tertiary care centre. They were divided into Study group and control group. Study group received 1gm iv tranexamic acid and the Control group did not receive tranexamic acid. Data was entered in Microsoft Excel data sheet (MS-Excel) and analysed using commercially available SPSS 23 software package. MS Excel and MS word was used to obtain various types of graphs such as bar diagram.
Results: Among the study population who underwent Lower section caesarean section in our study, we found that the requirement of additional oxytocin was nil with tranexamic acid group (p value<0>
Conclusion: Tranexamic acid significantly reduces the amount of blood loss during and after lower segment caesarean section. It was not associated with any significant side effects and complications. It can be used effectively in all women undergoing caesarean section to reduce the postpartum Haemorrhage thereby reducing the maternal morbidity and mortality.
Keywords: Lower segment caesarean section, Postpartum haemorrhage, Blood loss, Tranexamic acid.