Comparison Study of Oxytocin Versus Tranexamic Acid and Etamsylaye Versus Placebo(Saline)

Comparison Study Between Oxytocin Versus Tranexamic Acid and Ethamsylate Versus Placebo to Reduce Blood Loss Intraoperative and Post Operative During Elective Cesarean Section

Comparison Study Between Oxytocin Versus Tranexamic Acid and Ethamsylate Versus Normal Saline as Pre-operative Administration.

Comparison Study Between Oxytocin Versus Tranexamic Acid and Ethamsylate Versus Normal Saline to reduce intra operative bleeding and postoperative bleeding during elective Cesarean Delivery.

Inclusion Criteria:

• Pregnant females admitted for Elective Cesarean Section.
• Gestational age of pregnancy (38 weeks To 40 weeks).
• the average height of 145 to 160 cm,average body weight of 45 to 85 kgs.
• Singleton living fetus.
• No medical disorders.
• Informed Oral Consent From The Patient.

Exclusion Criteria:

• Severe medical and surgical disorders as thyroid dysfunction, which was excluded by routine thyroid function test (free T3, free T4, and thyroid stimulating hormone(TSH), all of them should be within normal limits).
• Bleeding tendency, for example, disseminated intravascular coagulopathy, which was excluded by platelet count, coagulation time, bleeding time, prothrombin time, partial thromboplastin time, and thrombin time (all should be within normal).
• Acute liver or kidney diseases; blood disorders, such as anaemia.
• Allergy to Tranexamic acid.
• Risk factors for PPH, such as polyhydramnios, fetal macrosomia, antepartum haemorrhage.
• Ante partum Hemorrhage such placental abruption.