Abstract
Primary postpartum haemorrhage (PPH) complicates the postpartum up to 11% of deliveries
with different incidences based on geographical regions and is the first cause of maternal
deaths, accounting for 25% of cases. Tranexamic acid may play a role in the delicate postpartum
balance in case of PPH, inhibiting the conversion of plasminogen to plasmin and reducing the
degradation of fibrin. We analyze literature evidence and the possible role of tranexamic acid in
clinical practice and future scenarios.
Keywords:
Tranexamic acid, vaginal delivery, caesarean section, primary postpartum haemorrhage, obstetric care, uterine atony
[54]
Anuradha Ghosha Bikas Muhuri PC. Efficacy of intravenous tranexamic acid before cesarean section in preventing post partum hemorrhage- a prospective randomised double blind placebo controlled study, 2014
[55]
Ramani B, Nayak L. Intravenous 1 gram tranexamic acid for prevention of blood loss and blood transfusion during caesarean section: A randomized case control study. Int J Reprod Contracept Obstet Gynecol 2014; 3: 366.
[58]
Nergis Taj Nadeem Akhtar AF. Muhammad Hamid Chaudhary, Sarah, Zunaira Bajwa, Ehsan Ullah, Efficacy of tranexamic acid in reducing blood loss during and after cesarean section. Rawal Med J 2014; 39(3): 311-3.