#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, 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 resume after safety concerns

https://www.yahoo.com/news/articles/home-births-resumed-safety-concerns-183648374.html

Practice Bulletin No. 183: Postpartum Hemorrhage: https://journals.lww.com/greenjournal/abstract/2017/10000/practice_bulletin_no__183__postpartum_hemorrhage.56.aspx

Effect 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 trials

https://pubmed.ncbi.nlm.nih.gov/41066405/

Discussed in This Episode

The Momnibus Act & the Future of Midwifery

TXA Enters the Midwifery World

What TXA Actually Does in the Body

The Evidence Behind TXA for Hemorrhage

Why Routine Prophylactic TXA Raises Concerns

Does TXA Cross the Placenta?

Four Ts of Postpartum Hemorrhage

Why Timing Matters in Hemorrhage Care

Defining “High Risk” in Birth

Use of Oral and Intermuscular TXA

Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care

This show is supported by

LMNT | Got to lmnt.com/birthinginstincts to get a free sample pack with any order
Christian 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 off
Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off
Caraway Home | Go to Carawayhome.com/instincts for an additional 10% off, or use code INSTINCTS at checkout!

Connect with Dr. Stu and Blyss

Join our Patreon! patreon.com/birthinginstinctspodcast
Instagram: @birthinginstincts/@wovenmoon_
Website: birthinginstincts.com/birthingblyss.com
Email: birthinginstinctspodcast@gmail.com
Podcast webpage: birthinginstinctspodcast.com

Advertising Inquiries: https://redcircle.com/brands

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(466)

#478: Deception In Documentation Is Pervasive & Pernicious

What happens when the medical record doesn't match the birth experience?This week, Blyss and Stu dive into one of the most uncomfortable, but critically important topics in maternity care: documentati...

12 Aug 1h 21min

#477: False Evidence Appearing Real (FEAR): Our Chat with Doula Dude, Travis Stroud

This week, Blyss and Stu welcome Doula Dude, Travis Stroud, whose perspective has captivated millions of viewers in just a few short months. Travis never imagined he'd become one of the loudest voices...

5 Aug 1h 35min

#476: Questioning the 2 cm Placenta Rule & A Remarkable Breech Twin Birth with Fadwah Halaby

This week, Dr. Stu welcomes Florida midwife Fadwah Halaby for an inspiring conversation about evidence, autonomy, and trusting physiological birth. Before diving into an unforgettable breech twin home...

29 Jul 1h 27min

#475: Birth Story & Body Health with Holistic Aesthetician, Michelle Vaughan

What happens when a traumatic first birth becomes the catalyst for a completely different second experience?This week, Blyss and Stu welcome holistic esthetician Michelle Vaughn to share the story of ...

22 Jul 1h 34min

#474: The Mystery Of Postpartum Preeclampsia

Postpartum preeclampsia is one of the least talked about, but potentially most serious, complications after birth. This week, Dr. Stu and Midwife Blyss explore what we know, what we don't, and why eve...

15 Jul 1h 39min

#473: Pursuing Peace With Courage & Confidence

This week, we're setting aside our usual topic-driven format to share something even more meaningful: real stories from our fellow travelers.Join us in reading one of the most moving letters we've eve...

8 Jul 1h 16min

#472: Lupus in Pregnancy: Understanding the Risks Without the Fear

In this episode of Birthing Instincts, Blyss and Stu take a deep dive into systemic lupus erythematosus (SLE) in pregnancy.Together they explore what lupus is, how it affects pregnancy, and what curre...

1 Jul 1h 14min

#471: How Birth Shapes Mothers, Babies, and The Future, with Suzanne Arms

This week, Blyss and Stu welcome birth pioneer, author, filmmaker, and educator Suzanne Arms, one of the most influential voices in the natural birth movement of the last half-century.Long before conv...

24 Jun 1h 26min