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Birthing Instincts

Birthing Instincts

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

May 20, 2026 · 1h 27m

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About this episode

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…