Efficacy of Prophylactic Intravenous Tranexamic Acid in Preventing Postpartum Haemorrhage in Parturients with Risk Factors: A Randomized Control Trial


Authors : Gbenga Damilola Akinlua; Idowu Pius Ade-Ojo; Jacob Olumuyiwa Awoleke; Tolulope Benedict Adeyanju; Toyin Julius Oluleye; Ekundayo Oluwole Ayegbusi; Samson Gbenga Oluwayomi; Omoyemi Adeoti Akinlua; Margaret Adefiola Oluwayemi; Kehinde Peter Animasahun

Volume/Issue : Volume 9 - 2024, Issue 3 - March

Google Scholar : https://tinyurl.com/bdfe27vm

Scribd : https://tinyurl.com/26vupmd8

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAR1842

Abstract : This study aims to compare the effectiveness of prophylactic intravenous Tranexamic acid (TXA) dosages of 0.5g and 1.0g in the prevention of postpartum haemorrhage (PPH) among parturient with risk factors. The research followed a randomized, double-blind, controlled experimental design, spanning nine months. Simple random sampling was used to select 154 participants to each arm. The research objectives encompassed comparing labour outcomes of the two groups and measuring blood loss via pre and post-delivery packed cell volume. Statistical analysis employed Student's t-test. Result revealed a slight non-significant difference in PCV change between 0.5g and 1.0g TXA group. The study also found that the risk of developing primary PPH when using 0.5g TXA was approximately twice the risk when using 1.0g TXA. These findings suggest that the prophylactic use of 1.0g TXA may be more effective in preventing PPH compared to 0.5g TXA. Further research is warranted to validate these results and refine recommendations for clinical practice.

Keywords : Tranexamic Acid, Blood Loss, High-Risk Factors, Third Stage Of Labour, Parturient.

This study aims to compare the effectiveness of prophylactic intravenous Tranexamic acid (TXA) dosages of 0.5g and 1.0g in the prevention of postpartum haemorrhage (PPH) among parturient with risk factors. The research followed a randomized, double-blind, controlled experimental design, spanning nine months. Simple random sampling was used to select 154 participants to each arm. The research objectives encompassed comparing labour outcomes of the two groups and measuring blood loss via pre and post-delivery packed cell volume. Statistical analysis employed Student's t-test. Result revealed a slight non-significant difference in PCV change between 0.5g and 1.0g TXA group. The study also found that the risk of developing primary PPH when using 0.5g TXA was approximately twice the risk when using 1.0g TXA. These findings suggest that the prophylactic use of 1.0g TXA may be more effective in preventing PPH compared to 0.5g TXA. Further research is warranted to validate these results and refine recommendations for clinical practice.

Keywords : Tranexamic Acid, Blood Loss, High-Risk Factors, Third Stage Of Labour, Parturient.

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