Actively Recruiting

FEMALE
NCT07278037

Trends in the Administration of Tranexamic Acid for Postpartum Hemorrhage

Led by Mahidol University · Updated on 2025-12-22

648

Participants Needed

1

Research Sites

43 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Postpartum hemorrhage (PPH) is the global leading cause of maternal death, with 20-30% of maternal deaths in Thailand linked to hemorrhage. The WOMAN Trial (2017) provided strong evidence that administering tranexamic acid (TXA)within three hours of bleeding onset lowered PPH-related mortality by 31%. Consequently, the World Health Organization (WHO) updated its guidelines, recommending TXA as part of the standard treatment package for all PPH cases. Following this, the use of TXA has been widely adopted globally and increased in Thailand. A recent study at a major Thai university hospital observed a significant increase in TXA administration after 2017. The current study aims to further analyze the recent growth rate of TXA use and its impact on obstetric and perinatal outcomes during cesarean deliveries with PPH.

CONDITIONS

Official Title

Trends in the Administration of Tranexamic Acid for Postpartum Hemorrhage

Who Can Participate

FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients underwent cesarean delivery with primary postpartum hemorrhage
Not Eligible

You will not qualify if you...

  • Gestational age less than 24 weeks
  • No anesthetic record available
  • Received tranexamic acid during the antepartum period
  • Blood loss less than 1,000 ml

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Siriraj Hospital

Bangkoknoi, Bangkok, Thailand, 10700

Actively Recruiting

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Research Team

P

Patchareya Nivatpumin, M.D.

CONTACT

P

Premyuda Matangkarat, M.D.

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Trends in the Administration of Tranexamic Acid for Postpartum Hemorrhage | DecenTrialz