Population
Pregnant women scheduled for elective caesarean section (n= 200).
Intervention
Intravenous tranexamic acid diluted in dextrose (n=100).
Comparison
Placebo: intravenous distilled water diluted in dextrose (n= 100).
Outcome
Tranexamic acid decreased the mean blood loss by 25.3 %. Mean volume of intra-operative blood loss was 391.1 (±67.4) ml in tranexamic acid group and 523.8 (±153.4) ml in placebo group which was statistically significant lesser with a 132.7 ml difference. Rate of >1000 ml and >500 ml bleeding and need to blood transfusion were also statistically significant lower in tranexamic acid group., mean hemoglobin level was statistically significant lower in placebo group than tranexamic acid group (11.77 ± 0.50 versus 11.31 ± 0.56) 6 h after cesarean section. No adverse reaction was documented.