Baby Aspirin In Pregnancy - Should You Be Taking It?

Birth With Power

Dr. Nicole C. Rankins

Parenting, Kids & Family

4.9 • 637 Ratings

🗓️ 14 December 2023

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

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 preeclampsia
Carrying 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 pregnancy
Kidney disease
Autoimmune disease (ie, systemic lupus erythematous, antiphospholipid syndrome)

Pregnant individuals with 2 or more of the following risk factors:

Having your 1st baby
Obesity (ie, body mass index > 30)
Family history of preeclampsia (ie, mother or sister)
Black race (as a proxy for underlying racism)
Lower income
Age 35 years or older
Personal 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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Transcript

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0:00.0	In this short episode, you're going to learn about baby aspirin in pregnancy, why we prescribe it and whether or not you should be taking it.
0:13.2	Welcome to the All About Pregnancy and Birth Podcast. I'm Dr. Nicole Calloway Rankins, a board certified OBGYN who's been in practice for nearly
0:22.9	15 years. I've had the privilege of helping over 1,000 babies into this world, and I'm here to help
0:29.8	you be calm, confident, and empowered to have a beautiful pregnancy in birth. Quick note,
0:36.7	this podcast is for educational purposes only and is not a substitute for medical advice.
0:42.3	Check out the full disclaimer at Dr. Nicole Rankins.com forward slash disclaimer.
0:47.0	Now let's get to it.
1:00.3	Hello there. Welcome to another episode of the podcast, whether you are a new listener or you've been here before. I am so grateful you're spending some time with me today. So I want to talk about
1:06.5	baby aspirin in pregnancy because I get asked about this quite a bit. And the short answer to why baby aspirin
1:16.6	is prescribed in pregnancy and is it safe is yes, it's safe and it's prescribed in order to reduce
1:22.9	the risk of preeclampsia. So what exactly is preeclampsia? Preeclampsia is a potentially dangerous
1:29.4	complication in pregnancy that is characterized by high blood pressure. If that top number for the
1:35.3	blood pressure, the systolic blood pressure is above 140 or 140 or above that is concerning. If it's
1:42.5	160 or above, that is very concerning. If the diastolic
1:46.2	blood pressure, the bottom number for the blood pressure is 90 or above or 110 and above, that's
1:52.8	very concerning as well. Preeclampsia usually begins after 20 weeks of pregnancy, and it's in women
1:58.3	whose blood pressure was previously normal. And the issue with
2:01.9	preeclampsia is that it can lead to serious and in rare cases, even fatal complications for both
2:08.1	moms and babies. Now, I talked about how it's characterized by high blood pressure. Again,
2:13.4	that top number being 140 or above, at 160 is very concerning, 90 or above is concerning
2:19.1	110 or above is very concerning for the bottom number.
2:22.3	There can also be protein in the urine.
	...

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