Comparison Study of Oxytocin Versus Tranexamic Acid and Etamsylaye Versus Placebo(Saline)

Exclusion Criteria

• •Severe medical and surgical disorders as thyroid dysfunction, which was excluded by routine thyroid function test (free T3, free T4, and thyroid stimulating hormone(TSH), all of them should be within normal limits).
• •Bleeding tendency, for example, disseminated intravascular coagulopathy, which was excluded by platelet count, coagulation time, bleeding time, prothrombin time, partial thromboplastin time, and thrombin time (all should be within normal).
• •Acute liver or kidney diseases; blood disorders, such as anaemia.
• •Allergy to Tranexamic acid.
• •Risk factors for PPH, such as polyhydramnios, fetal macrosomia, antepartum haemorrhage.
• •Ante partum Hemorrhage such placental abruption.