Baby Aspirin In Pregnancy - Should You Be Taking It?

In this episode you'll learn why we prescribe baby aspirin, who should take it and how much.

Low-dose aspirin (81 mg/d a.k.a. baby aspirin) reduces the frequency of preeclampsia, as well as related adverse pregnancy outcomes (preterm birth, growth restriction), by approximately 10-20%. Low-dose aspirin should be started after 12 weeks and ideally before 16 weeks and continued daily until delivery.

Low-dose aspirin is recommended for:Pregnant individuals with one or more of the following risk factors:History of preeclampsiaCarrying more than one baby (twins, triplets, etc)High blood pressure that was present before pregnancy (chronic hypertension)Type 1 or 2 diabetes that was present before pregnancyKidney diseaseAutoimmune disease (ie, systemic lupus erythematous, antiphospholipid syndrome)

Pregnant individuals with 2 or more of the following risk factors:Having your 1st babyObesity (ie, body mass index > 30)Family history of preeclampsia (ie, mother or sister)Black race (as a proxy for underlying racism)Lower incomeAge 35 years or olderPersonal history factors (eg, low birth weight or small for gestational age, previous adverse pregnancy outcome, >10-year pregnancy interval)In vitro fertilization

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