Investigating the Efficacy of Tranexamic Acid as a Prophylactic Agent in Reducing Postpartum Hemorrhage Among Patients Undergoing Cesarean Section in SQUH

Inclusion Criteria: Pregnant woman with risk factors for postpartum haemorrhage undergoing elective and emergency caesarean section in SQUH. * Previous Caesarean Section * Multiple pregnancy, * Polyhydramnios, * Fetal macrosomia (BW \>4kg), * Anemia * Booking BMI\>30 * Previous history of postpartum hemorrhage * Fibroids, * Adenomyosis, * Placenta previa (non- accreta), * Chorioamnionitis. Exclusion Criteria: Woman with conditions like * Placenta accreta spectrum, * Contraindications to tranexamic acid (e.g., hypersensitivity to tranexamic acid), -History of seizure disorders, * Kidney disease, * Thromboembolic disease, * Medical conditions or treatments associated with a high risk of thrombosis