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Volume 14 Issue 5 (May) 2025

Original Articles

Evaluation of role of tranexamic acid in controlling bleeding during cesarean section
Dr. Arti Gupta, Dr. Priyanka Khare

Background:Due to the incision and the procedure's nature, some bleeding is anticipated during a C-section. To minimize bleeding during the operation, the surgeons use cauterization on blood vessels. The present study was conducted to assess the role of tranexamic acid in controlling bleeding in cesarean section. Materials & Methods:90 women undergoing cesarean section between 37 and 40 weekswere divided into 2 groups of 45 each. 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 recorded. Results: Gestation age 37 weeks comprised of 13 patients in group I and 15 in group II, 38 weeks had 16 in group I and 13 in group II, 39 weeks had 9 in group I and 12 in group II and 40 weeks had 7 in group I and 5 in group II. The difference was non- significant (P> 0.05). Blood loss <500 ml was seen in 25 in group I and 23 in group II and >500 ml in 20 in group I and 22 in group II. The mean blood loss from placental delivery till the end of LSCS was 118 ml in group I and 136 ml in group II and from end of LSCS to 2 hours postpartum was 74 ml in group I and 120 ml in group II. The difference was significant (P< 0.05). Conclusion: Tranexamic acid was found to be effective in minimizing bleeding during cesarean sections. It can thus be utilized in these circumstances.

 
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