Is there any harm to universal low-dose daily aspirin (81 mg) in pregnancies for preeclampsia prevention?
My practice cares for underserved populations. Almost all of our patients qualify for low-dose ASA in pregnancy. What are the harms of using ASA if someone does not meet the criteria for high risk?
2 Answers
Mednet MemberInvited Expert
Family Medicine · Ohio State University Wexner Medical Center
Answered on
The ACOG risk stratification tool is very inclusive about the criteria for aspirin, and depending on the population you serve, a significant number of patients may meet criteria for low-dose aspirin. The only potential harm is a medication allergy. Low-dose aspirin does not increase the risk of hemo...
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Mednet MemberInvited Expert
Family Medicine · Ohio State University Wexner Medical Center
Answered on
There is a theoretical risk of placental abruption and fetal intracranial hemorrhage with daily aspirin use that has not been identified in clinical studies. Currently, aspirin is not a recommended option for low-risk pregnancies.
For high-risk patients, the benefits seem to outweigh any risks, and ...
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