Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

194 questions · 201 findings · 18 reviews · Headline outcomes only

No studies found 21 · 10.4%GRADE not reported 19 · 9.5%Very low 43 · 21.4%Low 77 · 38.3%Moderate 39 · 19.4%High 2 · 1%

Tranexamic acid vs placebo/no treatment

Blood loss > 1000 mL · pregnant women undergoing vaginal or caesarean birth who received TA for the prevention of postpartum haemorrhage

Tranexamic acid probably leads to lower blood loss > 1000 mL compared with placebo/no treatment (moderate certainty).

1 finding from 1 review

Tranexamic acid vs placebo/no treatment

Use of additional medical interventions to control PPH · pregnant women undergoing vaginal or caesarean birth who received TA for the prevention of postpartum haemorrhage

Tranexamic acid probably leads to lower use of additional medical interventions to control PPH compared with placebo/no treatment (moderate certainty).

1 finding from 1 review

Tranexamic acid vs placebo/no treatment

Thromboembolic events · pregnant women undergoing vaginal or caesarean birth who received TA for the prevention of postpartum haemorrhage

Tranexamic acid showed no clear difference in thromboembolic events compared with placebo/no treatment (low certainty).

1 finding from 1 review

Tranexamic acid vs placebo

Thromboembolic events · patients with upper gastrointestinal bleeding

Tranexamic acid probably leads to higher any thromboembolic event Clinical and radiological assessment compared with placebo (moderate certainty).

1 finding from 1 review

Tranexamic acid vs placebo

Surgery Number of participants who underwent surgery · patients with upper gastrointestinal bleeding

Tranexamic acid probably leads to lower surgery Number of participants who underwent surgery compared with placebo (moderate certainty).

1 finding from 1 review

Tranexamic acid vs placebo

Blood transfusion · patients with upper gastrointestinal bleeding

It is very uncertain whether tranexamic acid changes transfusion Number needing blood transfusion compared with placebo (very low certainty).

1 finding from 1 review

Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)

Menstrual blood loss: mean loss

Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) showed no clear difference in menstrual blood loss (alkaline hematin method) compared with placebo or active comparators (paracetamol, tranexamic acid); GRADE not reported.

2 findings from 1 review

Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)

Duration of bleeding (menstrual diary)

Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) showed no clear difference in duration of bleeding (menstrual diary) compared with placebo or active comparators (paracetamol, tranexamic acid); GRADE not reported.

1 finding from 1 review