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:860 women undergoing cesarean section between 37 and 40 weekswere divided into 2 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: There were 12 and 14, 15 and 12, 8 and 9 and 5 and 5 in group I and group II based on gestation age was 37 weeks, 38 weeks, 39 weeks and 40 weeks respectively. The difference was non- significant (P> 0.05). The mean blood loss from placental delivery till the end of LSCS was 112 ml in group I and 135 ml in group II and from end of LSCS to 2 hours postpartum was 75 ml in group I and 125 ml in group II. Blood loss <500 ml was seen in 22 in group I and 15 in group II and >500 ml in 18 in group I and 25 in group II. The difference was significant (P< 0.05). Conclusion: It was discovered that tranexamic acid worked well to reduce bleeding during cesarean sections. It can therefore be used in these situations.