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| Name | Class |
|---|---|
| Society of Family Planning | OTHER |
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Prophylactic tranexamic acid has shown been shown to reduce maternal mortality from postpartum hemorrhage with no adverse effects, but has not been studied to reduce bleeding complications with dilation and evacuation (D&E). We propose a randomized, double-blinded, placebo-controlled pilot study to determine whether routine use of intravenous (IV) tranexamic acid will decrease the need for interventions to control bleeding at the time of D&E at 16 to 24 weeks gestation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | 100mL saline or lactated ringer without tranexamic acid added given intravenously over 10 minutes at start of procedure |
|
| Active Comparator | Active Comparator | 1g tranexamic acid mixed in 100mL saline or lactated ringer given intravenously over 10 minutes at start of procedure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tranexamic acid | Drug | 1g tranexamic acid mixed in 100mL saline or lactated ringer |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention to control blood loss | Rate at which providers perform interventions to control blood loss during D&E procedures | At time of procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marit Pearlman Shapiro | University of Hawaii | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queens Medical Center | Honolulu | Hawaii | 96814 | United States |
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| ID | Term |
|---|---|
| D004108 | Dilatation, Pathologic |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D014148 | Tranexamic Acid |
| ID | Term |
|---|---|
| D003509 | Cyclohexanecarboxylic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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| Placebo |
| Drug |
100mL saline or lactated ringers |
|