04/03/2026
The heated debate in delivery rooms: Should we hand out Exacyl to every patient like it's a vitamin? 🩸💉🔥 The biggest nightmare that unites the anesthesiologist, the obstetrician, and the midwife is undoubtedly postpartum hemorrhage (HPP). In seconds, joy can turn into tragedy and acute hemorrhagic shock. Fortunately, the famous WOMAN Trial study proved to the world that administering tranexamic acid (Exacyl) saves lives if given immediately upon the onset of bleeding. But... this is where the deviation and fierce scientific debate began! 🔴 The new medical trend (comprehensive prevention): Some hospitals and medical teams have begun adopting an "offensive" practice: routinely administering 1 gram of Exacyl as a prophylactic measure to every woman giving birth (whether vaginal or cesarean) as soon as the umbilical cord is cut or the placenta is delivered, even before she bleeds a single drop! The goal? "Prevention is better than cure." 🔥 Here, operating rooms have split into two camps: The first camp (mostly obstetricians and midwives): strongly supports this practice. They believe that bleeding is treacherous, and that Exacyl is a cheap, relatively safe drug that reduces the need for blood transfusions later. Their motto: "Why wait for a disaster if we can prevent it?" The second camp (mostly anesthesiologists and resuscitation specialists): vehemently rejects this indiscriminate use! They remind us of a terrifying physiological principle: "Pregnant women are in a state of natural hypercoagulability!" Administering an antifibrinolytic drug to a woman whose blood is already prone to clotting is a reckless gamble. While it might protect her from bleeding, it could also kill her with a pulmonary embolism or deep vein thrombosis (DVT) days after she returns home! Now, the floor is open to our colleagues on the front lines (anesthesia, obstetrics, midwives): What protocol is currently in place in your hospitals and clinics? Has Exacyl become a routine injection given