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Search / Trial NCT03475342

World Maternal Antifibrinolytic Trial_2

Launched by LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE · Mar 16, 2018

Trial Information

Current as of May 20, 2025

Completed

Keywords

Prevention, Postpartum Haemorrhage Moderate Anaemia Severe Anaemia Antifibrinolytic Tranexamic Acid Pregnancy Pain Episiotomy

ClinConnect Summary

Anaemia is a cause and consequence of PPH. A cohort study in Assam, India found that women with moderate or severe anaemia had a greatly increased risk of PPH. Women with moderate anaemia had a 50% increased risk, whereas those with severe anaemia had a ten-fold increased risk of PPH. Anaemic women may be more susceptible to uterine atony due to impaired oxygen transport to the uterus. Anaemic women experience worse outcomes after PPH. An international survey of 275,000 women found that severe maternal outcomes after PPH were nearly three times more common in anaemic than in non-anaemic wom...

Gender

FEMALE

Eligibility criteria

  • Inclusion Criteria:
  • Women with moderate or severe anaemia (haemoglobin level \<100 g/L or packed cell volume \<30%) after giving birth vaginally where the responsible clinician is substantially uncertain whether to use TXA
  • Exclusion Criteria:
  • Women who are not legally adult (\<18 years) and not accompanied by a guardian
  • Women with a known allergy to tranexamic acid or its excipients
  • Women who experience postpartum haemorrhage before the umbilical cord is cut or clamped.

About London School Of Hygiene And Tropical Medicine

The London School of Hygiene and Tropical Medicine (LSHTM) is a prestigious research institution renowned for its leadership in global health and infectious disease research. Committed to advancing public health through innovative research and education, LSHTM conducts a wide array of clinical trials aimed at improving health outcomes in diverse populations. With a multidisciplinary team of experts, LSHTM leverages cutting-edge methodologies and collaborative partnerships to address pressing health challenges, particularly in low- and middle-income countries. The institution's dedication to evidence-based solutions underscores its pivotal role in shaping health policies and practices worldwide.

Locations

Ibadan, , Nigeria

Karachi, , Pakistan

Dar Es Salaam, , Tanzania

Abbottabad, , Pakistan

Bahawalpur, , Pakistan

Gujrat, , Pakistan

Islamabad, , Pakistan

Islamabad, , Pakistan

Karachi, , Pakistan

Lahore, , Pakistan

Lahore, , Pakistan

Lahore, , Pakistan

Larkana, , Pakistan

Multan, , Pakistan

Quetta, , Pakistan

Rawalpindi, , Pakistan

Rawalpindi, , Pakistan

Rawalpindi, , Pakistan

Lusaka, , Zambia

Dar Es Salaam, , Tanzania

Mbeya, , Tanzania

Abuja, , Nigeria

Akure, , Nigeria

Akure, , Nigeria

Ilorin, , Nigeria

Kano, , Nigeria

Ogbomoso, , Nigeria

Oyo, , Nigeria

Abbottabad, , Pakistan

Abbottabad, , Pakistan

Arusha, , Tanzania

Dar Es Salaam, , Tanzania

Dodoma, , Tanzania

Dodoma, , Tanzania

Kibaha, , Tanzania

Kinondoni, , Tanzania

Abbottabad, , Pakistan

Karachi, , Pakistan

Lahore, , Pakistan

Lahore, , Pakistan

Lahore, , Pakistan

Lahore, , Pakistan

Larkana, , Pakistan

Lārkāna, , Pakistan

Multan, , Pakistan

Multān, , Pakistan

Multān, , Pakistan

Patients applied

0 patients applied

Trial Officials

Ian Roberts

Study Chair

Clinical Trials Unit, London School of Hygiene and Tropical Medicine

Haleema Shakur-Still

Study Chair

Clinical Trials Unit, London School of Hygiene and Tropical Medicine

Rizwana Chaudhri

Principal Investigator

National Coordinating Investigator, Shifa Tameer-e-Millat University, Pakistan

Folasade A Bello

Principal Investigator

National Coordinating Investigator, College of Medicine, University of Ibadan, Nigeria

Bellington Vwalika

Principal Investigator

National Coordinating Investigator, University of Zambia School of Medicine, Zambia

Projestine Muganyizi

Principal Investigator

National Coordinating Investigator, Muhimbili University of Health and Allied Sciences, Tanzania

Oladapo Olayemi

Principal Investigator

National Coordinating Investigator, College of Medicine, University of Ibadan, Nigeria

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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