#466: Update On The Use Of TXA (Tranexamic Acid)

What happens when a medication designed to stop hemorrhage quietly starts creeping into routine birth care?This week, Dr. Stu and Midwife Blyss take on TXA (tranexamic acid), what it is, when it actually makes sense, and why they’re increasingly concerned about how it’s being used in modern maternity care.From postpartum hemorrhage protocols to the growing push for prophylactic use during cesareans and even BEFORE birth, this conversation digs into the science, the politics, and the unintended consequences nobody seems willing to talk about.Along the way, they tackle the bigger issue underneath it all: Who gets to define “safe” birth care? Hospital systems? Bureaucrats? International organizations? Or the people actually attending births?References:Evidence Based Birth Podcast Episode 396 - Inequities in VBAC Access with Dr. Nicholas Rubashkin, MD, PhDhttps://podcasts.apple.com/us/podcast/ebb-396-inequities-in-vbac-access-with-dr-nicholas/id1334808138?i=1000764260687Mom who sued the State of Nebraska in home birth case delivers babyhttps://nebraskapublicmedia.org/en/news/news-articles/mom-who-sued-the-state-of-nebraska-in-home-birth-case-delivers-baby/Home births to resume after safety concernshttps://www.yahoo.com/news/articles/home-births-resumed-safety-concerns-183648374.htmlPractice Bulletin No. 183: Postpartum Hemorrhage: https://journals.lww.com/greenjournal/abstract/2017/10000/practice_bulletin_no__183__postpartum_hemorrhage.56.aspxEffect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum hemorrhage (WOMAN): an international, randomized, double-blind, placebo-controlled trial:https://pubmed.ncbi.nlm.nih.gov/28456509/Efficacy of prophylactic tranexamic acid among parturient at increased risk for postpartum hemorrhage undergoing cesarean delivery: A systematic review and meta-analyses of randomized controlled trialshttps://pubmed.ncbi.nlm.nih.gov/41066405/Discussed in This EpisodeThe Momnibus Act & the Future of MidwiferyTXA Enters the Midwifery WorldWhat TXA Actually Does in the BodyThe Evidence Behind TXA for HemorrhageWhy Routine Prophylactic TXA Raises ConcernsDoes TXA Cross the Placenta?Four Ts of Postpartum HemorrhageWhy Timing Matters in Hemorrhage CareDefining “High Risk” in BirthUse of Oral and Intermuscular TXAPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to lmnt.com/birthinginstincts to get a free sample pack with any orderChristian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offCaraway Home | Go to Carawayhome.com/instincts for an additional 10% off, or use code INSTINCTS at checkout!Connect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @bi