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

About this episode

Dr. Stu and Midwife Blyss discuss the implications of using tranexamic acid in maternity care and the broader questions of safety in childbirth.

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, PhD https://podcasts.apple.com/us/podcast/ebb-396-inequities-in-vbac-access-with-dr-nicholas/id1334808138?i=1000764260687 Mom who sued the State of Nebraska in home birth case delivers baby https://nebraskapublicmedia.org/en/news/news-articles/mom-who-sued-the-state-of-nebraska-in-home-birth-case-delivers-baby/ Home births to…

People in this episode

Hosts: Dr. Stuart Fischbein, Midwife Blyss Young

Topics covered

• medication in birth care
• tranexamic acid
• postpartum hemorrhage
• maternity care
• safety in childbirth
• healthcare protocols

Keywords

• TXA
• tranexamic acid
• hemorrhage
• maternity care
• postpartum
• cesarean
• birth safety

Mentioned in this episode

Organizations: Evidence Based Birth Podcast, State of Nebraska, Yahoo, Lippincott Williams & Wilkins

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