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. 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