Evidence map›Paper›PMID 42426676›Full record

SynthesisBMC pregnancy and childbirth2026

The efficacy of tranexamic acid for the prevention of postpartum hemorrhage among women at high risk of postpartum hemorrhage undergoing cesarean section: a meta-analysis.

Qian Gao, Pan Li, Cui Li, Haining Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

4 authors.

Qian Gao *Department of Obstetrics and Gynecology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, China.
Pan Li *Department of Obstetrics and Gynecology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, China.
Cui LiDepartment of Obstetrics and Gynecology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, China. lclicui168@sina.com.ORCID http://orcid.org/0009-0007-7857-2630
Haining WangDepartment of Obstetrics and Gynecology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, China. whn168168@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis meta-analysis investigated the extent to which tranexamic acid reduces the risk of postpartum bleeding among pregnant women at high risk of postpartum hemorrhage undergoing cesarean section.

methodsScopus, the Cochrane Library, PubMed, and Web of Science were searched from their establishment to December 4, 2025, to identify randomized controlled trials comparing tranexamic acid with placebo for preventing postpartum hemorrhage in high-risk women undergoing cesarean section. Because of high heterogeneity, we employed a random-effects model (restricted maximum-likelihood) to pool data.

resultsFinally, 12 articles with 1240 high-risk pregnant women were included in this meta-analysis. Compared to placebo, tranexamic acid significantly reduced blood loss after cesarean delivery in high-risk pregnant women (WMD - 435.44 mL, 95% CI (-581.86, -289.01) I

conclusionOur findings suggest that tranexamic acid may effectively reduce bleeding among women with a high risk of postpartum hemorrhage undergoing cesarean section.

Indexed as

Antifibrinolytic AgentsCesarean SectionPostpartum HemorrhageTranexamic AcidFemaleHumansPregnancyPregnancy, High-RiskRandomized Controlled Trials as TopicAntifibrinolytic AgentsTranexamic AcidCesarean sectionHigh-riskMeta-analysisPostpartum hemorrhageTranexamic acid

Identifiers

PMID42426676
PMCPMC13613764

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.