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Tranexamic Acid Versus Misoprostol to Reduce Blood Loss During and After Cesarean Section
Sponsor: Medicare Hospital (Pvt) Limited
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
Intravenous Tranexamic Acid
1000 mg of intravenous tranexamic acid will be given after spinal anesthesia and before start of cesarean section
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