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COMPLETED
NCT07712510
PHASE4

Tranexamic Acid Versus Misoprostol to Reduce Blood Loss During and After Cesarean Section

Sponsor: Medicare Hospital (Pvt) Limited

View on ClinicalTrials.gov

Summary

Brief Summary The goal of this clinical trial is to compare two medicines, intravenous tranexamic acid and rectal misoprostol, for reducing blood loss in women undergoing cesarean section. The study will also compare how much hemoglobin (a measure of blood loss) decreases after surgery with each treatment. The main questions the study aims to answer are: 1. Does intravenous tranexamic acid reduce the drop in hemoglobin more than rectal misoprostol after cesarean section? 2. Does intravenous tranexamic acid reduce blood loss during and within 2 hours after cesarean section more than rectal misoprostol? Researchers will randomly assign 214 women scheduled for cesarean section to receive either intravenous tranexamic acid or rectal misoprostol before surgery. All cesarean sections will be performed according to the hospital's standard procedures by experienced obstetricians. Participants will: i. Be randomly assigned to receive either intravenous tranexamic acid or rectal misoprostol before surgery. ii. Have their hemoglobin level measured before the cesarean section and again 2 hours after surgery. iii. Have blood loss measured during the operation and for 2 hours after surgery. iv. Have the duration of the operation recorded as part of the study. The results will help determine which treatment is more effective in reducing blood loss and preserving hemoglobin levels during and after cesarean section.

Official title: Comparison of the Effect of Tranexamic Acid Versus Misoprostol on Blood Loss During and After Cesarean Section

Key Details

Gender

FEMALE

Age Range

20 Years - 45 Years

Study Type

INTERVENTIONAL

Enrollment

214

Start Date

2025-03-01

Completion Date

2025-08-30

Last Updated

2026-07-17

Healthy Volunteers

No

Interventions

DRUG

Intravenous Tranexamic Acid

1000 mg of intravenous tranexamic acid will be given after spinal anesthesia and before start of cesarean section

DRUG

rectal misoprostol

1000 μg of rectal misoprostol will be given after spinal anesthesia and before start of cesarean section

Locations (1)

Medicare Hospital (Pvt) Limited

Multan, Punjab Province, Pakistan