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Can Tranexamic Acid Reduce Bleeding After Post Partum Hemorrhage in Cesarean Section Delivery

This study has been completed.
Information provided by (Responsible Party):
mohamed ayedi, Hédi Chaker Hospital Identifier:
First received: May 14, 2012
Last updated: May 21, 2012
Last verified: May 2012

The purpose of this study was to evaluate the effect of early administration of tranexamic acid (TXA) on post partum hemorrhage caused by uterine atony after cesarean section delivery.

This was a randomised, placebo controlled trial including 74 patients. The investigators included ASA1 parturients with correct haemostatic status undergoing cesarean section under spinal anesthesia. The randomization begins after the inefficacy of oxytocin injections and starting up sulprostone perfusion at the request of the surgeon. TXA Group received 10 mg/kg of tranexamic acid as induction dose within 12 minutes and 1mg/Kg/h as maintenance within the 2 following hours. Placebo Group received same volumes of normal saline. The investigators compared blood loss and transfusions in both groups.

Condition Intervention Phase
Post Partum Hemorrhage Drug: Tranexamic Acid Drug: saline serum Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effects of Tranexamic Acid on Post Partum Hemorrhage by Uterine Atony After Cesarean Section Delivery: a Randomized, Placebo Controlled Trial.

Resource links provided by NLM:

Further study details as provided by mohamed ayedi, Hédi Chaker Hospital:

Primary Outcome Measures:
  • volume blood loss [ Time Frame: within 5 days after delivery ]

Secondary Outcome Measures:
  • transfusion rates. [ Time Frame: within 5 days after delivery ]

Enrollment: 74
Study Start Date: July 2011
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: tranexamic acid, post partum hemorrhage Drug: Tranexamic Acid
10 mg/kg of tranexamic acid as induction dose within 12 minutes and 1mg/Kg/h as maintenance within the 2 following hours
Other Name: exacyl
Placebo Comparator: placebo Drug: saline serum
The Placebo group received normal saline with the same volumes
Other Name: normal saline; NaCl 0.9%


Ages Eligible for Study:   20 Years to 40 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • ASA1 parturients
  • aged from 20 to 40
  • correct preoperative haemostatic status (prothrombine ratio > 60 % and platelet rate > 100 000),
  • cesarean section under spinal anesthesia complicated by uterine atony needing the introduction of Sulprostone

Exclusion Criteria:

  • abnormal placentation
  • severe pre-eclampsia
  • coagulopathy and uterine rupture
  • the contra indications of TXA : past history of vascular occlusive event, convulsion, and allergy.
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Please refer to this study by its identifier: NCT01599468

Hedi Chaker University Hospital of Sfax, Department of Anesthesiology and Intensive Care
Sfax, Tunisia, 3029
Sponsors and Collaborators
Hédi Chaker Hospital
Principal Investigator: mohamed ayedi hedi chaker university hospital of sfax, tunisia
  More Information

Responsible Party: mohamed ayedi, Principal Investigator, Hédi Chaker Hospital Identifier: NCT01599468     History of Changes
Other Study ID Numbers: TXA-1
Study First Received: May 14, 2012
Last Updated: May 21, 2012

Keywords provided by mohamed ayedi, Hédi Chaker Hospital:
post partum hemorrhage
tranexamic acid

Additional relevant MeSH terms:
Postpartum Hemorrhage
Pathologic Processes
Obstetric Labor Complications
Pregnancy Complications
Puerperal Disorders
Uterine Hemorrhage
Tranexamic Acid
Antifibrinolytic Agents
Fibrin Modulating Agents
Molecular Mechanisms of Pharmacological Action
Coagulants processed this record on September 21, 2017