Universal Aspirin in High-Risk Pregnancies?

Direct dispensation at first prenatal visit delays onset, reduces rates in high-risk population without increasing hemorrhage.

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Universal aspirin dispensation at the first prenatal visit reduced preeclampsia with severe features by 29% in high-risk pregnancies.
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The study involved 18,457 patients before and after aspirin implementation, showing a decrease in severe preeclampsia rates from 7% to 5%.
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Aspirin administration also led to a decline in gestational hypertension rates from 21% to 19% and reduced preterm delivery before 37 weeks.
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Postpartum hemorrhage rates decreased from 9.5% to 8.9%, and placental abruption rates remained stable at less than 1%.
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The findings suggest aspirin may delay or prevent severe preeclampsia, but results may not generalize to other populations.

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