Tranexamic acid for postpartum hemorrhage prevention in vaginal delivery: A meta-analysis

Abstract

Background:Tranexamic acid (TA) has been demonstrated to reduce blood loss and the incidences of postpartum hemorrhage (PPH) during caesarean sections. We compared the clinical efficacy of TA administration on vaginal deliveries with recently published papers.Methods:Electronic databases of PubMed, Cochrane Library, Embase and Chinese CNKI (Chinese database) and Wanfang were searched through November 2019.The randomized controlled trials were selected between TA and control groups. The relevant studies included four trials with a total of 4579 patients.Results:Patients treated with TA had a reduction in total blood loss (P=.009), lower postoperative blood loss (P