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Dec 2023
10m 54s

Baby Aspirin In Pregnancy - Should You B...

Dr. Nicole C. Rankins
About this episode

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


Learn how to make a birth plan the right way in my FREE class - drnicolerankins.com/birth-plan



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