PPH is one of the major cause of maternal mortality and morbidity by altering hemodynamic stability. Primary PPH is excessive blood loss within 24 hours, Secondary PPH is excessive bleeding in the period from 24 hours after delivery till puerperium. Among 100 primigravida, 50 were taken as study group i.e., Group A which involves intervention by administrating IV Tranexamic acid 1 gm and 50 as control group i.e., Group B without intervention. In our study group most common indication was fetal distress i.e., 68% in cases and 76% in controls and p value is 0.126 (> 0.05), which means both groups were comparable. Nausea among 10 cases, Head ache among 12 cases and vomiting among 7 cases had occurred. There were no evidence of complications like thromboembolism