Efficacy of Topical Tranexamic Acid in Reducing Blood Loss During CS in Patients With Placenta Previa

N/ANot Yet RecruitingNCT06515535

Cairo University56 enrolled

Overview

Objectives: To evaluate the efficacy of topical tranexamic acid applied on the placental bed after placental delivery to reduce blood loss during cesarean delivery in women with placenta previa. Patients will be randomly assigned into two groups: Group (A) - Study group (n=28): The topical tranexamic acid group will receive topical tranexamic acid after placental delivery applied on the placental bed for 5 minutes by using a sterile towel soaked with 2g tranexamic acid (Kapron, Amoun, Cairo, Egypt) (4 ampules 500ug) diluted in 100ml of sodium chloride 0.9%, in addition to the IV infusion of 1g tranexamic acid (2 ampules 500ug) diluted with 20ml of 5% glucose administered just after delivery of the fetus. Group (B) - Control group (n=28): The intravenous tranexamic acid group will receive only an IV infusion of 1g of tranexamic acid (2 ampules 500ug) diluted with 20 ml of 5% glucose administered just after delivery of the fetus.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

Conditions

Placenta Previa

Interventions

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age: 20-40 years old. * BMI less than 30 kg/m2. * Pregnancy of singleton living fetus. * Placenta previa by ultrasound assessment * Gestational age \> 36 weeks. Exclusion Criteria: * Women with a history of any medical disorder with pregnancy, e.g., Gestational diabetes and hypertension. * Women with systemic diseases, e.g., diabetes mellites, systemic immune disorders such as systemic lupus erythematosus * Women with bleeding tendency or coagulopathy. * Women on anticoagulants or hemodynamically unstable women. * Women with uterine abnormalities, such as fibroids or polyps. * Emergency termination of pregnancy. * Intrauterine fetal death. * Pregnancy with obstetric hemorrhage, e.g., antepartum hemorrhage * Cases of placenta accrete spectrum disorder or placental abruption * Women with known allergies to Tranexamic acid

Outcomes

Primary Outcomes

Amount of blood loss

amount of intraoperative blood loss during CS in patients with placenta previa

Time frame: during operation

Secondary Outcomes

operative time

Time frame: during operation