الفهرس | يوجد فقط 14 صفحة متاحة للعرض العام |
المستخلص Summary The underwent study is a double blinded, randomized, controlled trial that was carried out on 200 women attending the labor ward in Ain Shams University Maternity hospital for delivery by cesarean section or vaginal delivery who were ar risk of PPH . One hundred women received 1 gm tranexamic acid in addition to oxytocin after delivery of the baby; the other 100 women received oxytocin only. The women were monitored for the occurrence of postpartum hemorrhage in the form of intra-operative blood loss, intra-operative or post-operative need for surgical measures to stop bleeding, post-operative vaginal bleeding, also DROP in hemoglobin and hematocrit 24 hours postoperative beside the need for blood transfusion. In the current study, no significant difference between study and control groups as regards demographic data .The total blood loss was significantly lower in study group than control group, Postoperative Hemoglobin was significantly higher in study group than control group , Reduction in Hemoglobin was significantly less in study group than control group , Postoperative Hematocrit was significantly higher in study group than control group , Reduction in Hematocrite was significantly less in study group than control group , Estimated blood loss was significantly lower among Tranexamic group than among Placebo group . PPH, Uterotonics, blood transfusion and hysterectomy were less frequent among Tranexamic group than among Placebo group, the differences were statistically significant except in transfusion , No significant difference between the studied groups regarding maternal side effects and neonatal condition. |