Background: Healthcare providers keep a careful eye out for bleeding during or after a cesarean section (C-section). While some bleeding during surgery is acceptable, excessive bleeding might cause problems.The present study was conducted to assess the role of tranexamic acid in controlling bleeding in cesarean section. Materials & Methods: 70 females undergoing cesarean section between 37 and 40 weekswere divided into two groups. Group I received 1 gm IV of tranexamic acid before 15 min of cesarean and group II didn’t get tranexamic acid. Blood loss in both groups was compared. Results: The age group based on gestation age was 37 weeks in 9 in group I and 13 in group II, 38 weeks in 14 in group I and 9 in group II, 39 weeks in 8 in group I and 7 in group II and 40 weeks in 4 in group I and 6 in group II. The difference was significant (P< 0.05). The mean blood loss from placental delivery till the end of LSCS was 115 ml in group I and 140 ml in group II and from end of LSCS to 2 hours postpartum was 75 ml in group I and 115 ml in group II. The difference was significant (P< 0.05). Blood loss <500 ml was seen in 22 in group I and 15 in group II and >500 ml in 13 in group I and 20 in group II. The difference was significant (P< 0.05). Conclusion: Tranexamic acid was found to be effective in controlling bleeding in cesarean section. Hence, it can be utilized in such cases.