Evidence map›Paper›PMID 36436014›Full record

SynthesisArchives of gynecology and obstetrics2023

Use of tranexamic acid in decreasing blood loss during and after delivery among women in Africa: a systematic review and meta-analysis.

Addis Eyeberu, Tamirat Getachew, Getachew Amare, Elias Yadeta, Megersa Lemi, Habtamu Bekele, Abraham Negash, Meron Degefa, Tegenu Balcha, Bikila Balis and 11 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Global emergency medicine: A scoping review of the literature from 2023.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 1 institution in 1 country.

Addis EyeberuSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. addiseyeberu@gmail.com.ORCID http://orcid.org/0000-0002-3147-3770
Tamirat GetachewSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Getachew AmareSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Elias YadetaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Megersa LemiSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Habtamu BekeleSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Abraham NegashSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Meron DegefaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Tegenu BalchaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Bikila BalisSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Bejirond EshetuSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Sisay HabteSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Mohommed AbdurkeSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Addisu AlemuSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Ahmed MohammedSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Fila AhmedSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Ibsa MusaHarari Regional Health Bureau, Harar, Ethiopia.
Alemshet GetachewSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Abdi AminSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Tigist TeferaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Adera DebellaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Haramaya University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfrica is a developing continent with a high maternal mortality rate. It is beneficial to implement interventions that alleviate the problem. As a result, this systematic review and meta-analysis was carried out to summarize evidence that will assist concerned bodies in proposing strategies to reduce maternal mortality due to post-partum hemorrhage.

methodsThis systematic review and meta-analysis includes randomized control trials (RCT) studies searched from various databases (PubMed, Web of Sciences, SCOPUS, African Journal Online, Clinical trials, and African indexes Medics). Data synthesis and statistical analysis were conducted using a combination of review manager 5.3 and STATA Version 14 software. The effect measure utilized was the standardized mean difference for estimated mean blood loss and mean hemoglobin level.

resultsThis systematic review and meta-analysis includes a total of 3308 women. The pooled standardized mean difference showed that tranexamic acid statistical significantly reduced the estimated amount of blood loss after vaginal delivery (standardized mean difference with 95% CI - 0.93 [- 1.45, - 0.41]) and during and after cesarean delivery (standardized mean difference with 95% CI - 1.93 [- 2.40, - 1.47]).

conclusionTranexamic acid has been found to be a good choice for reducing blood loss during and after delivery in Africa regardless of the mode of delivery. Tranexamic acid had no effect on hemoglobin levels before and after delivery. To reduce maternal mortality due to post-partum hemorrhage, it is critical to implement and strengthen interventions aimed at increasing tranexamic acid uptake in Africa.

Indexed as

Antifibrinolytic AgentsPostpartum HemorrhageTranexamic AcidAfricaFemaleHemoglobinsHumansPregnancyAntifibrinolytic AgentsHemoglobinsTranexamic AcidAfricaMeta-analysisPostpartum blood lossPostpartum hemorrhageSystematic reviewTranexamic acid

Identifiers

PMID36436014
OpenAlexW4310004352

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.