Evidence map›Paper›PMID 39776703›Full record

ArticleCureus2024

Tranexamic Acid in Pregnant Women With Placenta Previa: A Double-Blind, Multicenter Randomized Clinical Trial.

Shahla Alalaf, Ariana K Jawad, Namir G Al-Tawil, Kawa F Dizaye, Sileem A Sileem, Noor Elebiary, Zanwer S Mahmood, Rozhan Y Khalil, Khalida M Amin, Nazdaar R Ali

RetractedAbstract readRetracted Publication
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Shahla AlalafObstetrics and Gynecology, Hawler Medical University, College of Medicine, Erbil, IRQ.
Ariana K JawadObstetrics and Gynecology, Kurdistan Higher Council of Medical Specialties, Erbil, IRQ.
Namir G Al-TawilCommunity Medicine, Hawler Medical University, Erbil, IRQ.
Kawa F DizayePharmacology, Hawler Medical University, College of Medicine, Erbil, IRQ.
Sileem A SileemObstetrics and Gynecology, Al-Azhar University, Faculty of Medicine, Assuit, EGY.
Noor ElebiaryObstetrics and Gynecology, Ninewells Hospital, Dundee, GBR.
Zanwer S MahmoodObstetrics and Gynecology, Ministry of Health, Maternity Teaching Hospital, Erbil, IRQ.
Rozhan Y KhalilObstetrics and Gynecology, College of Medicine, University of Sulaimani, Sulaimaniyah, IRQ.
Khalida M AminObstetrics and Gynecology, University of Kirkuk, Kirkuk Medical College, Kirkuk, IRQ.
Nazdaar R AliObstetrics and Gynecology, Duhok Obstetrics and Gynecology Teaching Hospital, Duhok, IRQ.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the effectiveness of tranexamic acid (TXA) in reducing vaginal bleeding, extending pregnancy duration, and enhancing perinatal outcomes in pregnant women with placenta previa.

methodsA multicenter, randomized, double-blind clinical trial was conducted at three maternity teaching hospitals in Iraq's Kurdistan region, Azadi Hospital in the north of Iraq, and Al-Azhar University Hospital in Egypt on 146 women with placenta previa. Participants were randomly assigned to two interventional groups in a 1:1 ratio to receive either TXA or Dextrose 5% water (D5W). The two groups were compared in terms of the cessation of vaginal bleeding, continuation of pregnancy to term, and the perinatal outcome after repeated use of either method of treatment.

resultsBleeding stopped in 91.8% of the TXA group; however, the placebo group had more admissions for blood transfusion, received more units of packed red blood cells, and almost all their deliveries were preterm compared with the TXA group. Factors significantly associated with 'stopped bleeding' were TXA (OR = 5.2; 95% CI = 1.7-15.5), BMI of < 25 kg/m

conclusionsTreatment with TXA during pregnancy in women with placenta previa significantly outperforms in managing vaginal bleeding, prolonging pregnancy to a favorable gestational age and perinatal outcome. Larger studies are needed to confirm its benefits and guide clinical practice.

Indexed as

intravenous tranexamic acidperinatal mortalityplacenta previapreterm labourstillbirth

Identifiers

PMID39776703
PMCPMC11704449

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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.