Calcuim vs Tranexemic Acid to Decrease Postpartum Haemorrhage in Ceaserian Section | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 226-230 PDF (300.3 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446492 | ||||
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| Authors | ||||
Ahmed Abd El-Hameed Ahmed; Mohamed Abd El-Samie Mohamed ; Mayar AbdElla Mohamed AbdElla*
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| Department of Obstetrics and Gynecology, Faculty of Medicine , Al-Azhar University, Assuit, Egypt. | ||||
| Abstract | ||||
| Background: Post-partum hemorrhage (PPH) is one of the most frequent complications following vaginal & cesarean deliveries. Aim: To assess the efficiency of calcium versus tranexamic acid in decreasing postpartum blood loss in the elective cesarean section. Patient and Methods: This randomized control research conducted on 135 cases allocated randomly into 3 groups: Group I: 45 females who taken tranexamic acid in the form of injectable ampoules (1 Ampoule by IV drip method on 0.9% normal saline) 1 hour before the procedure, Group II: 45 women who received one ampoule (10 ml 10% Ca Gluconate on 0.9% normal saline by slow IV drip method) with incision of the uterus & Group III (Control Group): 45 females taken oxytocin 5 units only at Al-Azhar University (Assiut) hospital & Akhmim hospital from April 2022 till October 2022. Results: There wasn’t statistically significant variance among the studied groups in the indication of cesarean section (CS) and pre-operative vital signs, statistically significant variance within the examined groups in post-operative vital signs, Hb post-operative, and change in Hb, and highly statistically significant variance among the studied groups according to total blood loss. We concluded that calcium has a better probability of preventing atonic postpartum hemorrhage & is more efficient at regulating the volume of blood lost during delivery. Conclusion: Tranexamic acid is an affordable, safe medication that has no immediate adverse effects on either the mother or the fetus, so it can be used safely and effectively when calcium is contraindicated. | ||||
| Keywords | ||||
| Calcium; Tranexemic acid; Ceaserian section | ||||
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