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Universal Aspirin in High-Risk Pregnancies?

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A recent cohort study presented at the Society for Maternal-Fetal Medicine 2026 Pregnancy Meeting suggests that universal aspirin dispensation at the first prenatal visit can reduce the rate of preeclampsia with severe features by 29% in high-risk populations. Following the implementation of daily 162 mg aspirin for patients under 16 weeks' gestation at a Dallas public hospital in August 2022, rates of severe preeclampsia and gestational hypertension decreased. The study noted a decline in postpartum hemorrhage and stable rates for placental abruption. Despite limitations in generalizing findings, researchers noted no harm from aspirin use, indicating a potential for improved prenatal care strategies.

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