Pregnancy and Use of Baby Aspirin
Baby aspirin (or child aspirin) is the general term for 80-100 mg aspirins on the market, which is used by the public to "dilute blood". Normally 500 mg aspirin is used to relieve head, joint or muscle pain, while 80-100 mg doz low-dose aspirin ”is completely different.
What does aspirin contain and what does it do?
Aspirin, which contains the active ingredient ”salicylic acid,, has been used extensively in recent years with the aim of reducing the blood clotting properties with its low dose forms as well as its pain relief properties.
People with high blood pressure, diabetes, excess weight, old age and inactivity, such as stroke (stroke) risk increases. The purpose of aspirin used to dilute blood is to reduce this risk of stroke.
In addition, low-dose aspirin treatment has been used for many years to reduce the risk of angina (heart pain) and infarction (heart attack).
What does aspirin do during pregnancy?
Low-dose aspirin treatment is particularly important in pregnancy; abort (low), intrauterine growth retardation or preeclampsia. The aim here is the continuation of the development of the baby in the womb. Because in cases such as preeclampsia or intrauterine growth (IUGR), a number of clot substances formed in the placenta can decrease the blood flow to the baby and cause the baby to grow or die in the uterus.
Which pregnant women are at risk?
Pregnant women who experience pregnancy losses, IUGR or preeclampsia in their previous pregnancies are especially at risk. In addition, pregnant women with a systemic disorder such as diabetes (diabetes) and hypertension and older pregnant women (over 35 years of age) have the same pregnancy risks.
Pregnant women with a history of intravascular coagulation before pregnancy are also at risk. Pregnant women called ”thrombophilia ve and characterized by the easy formation of intravenous clots (thrombosis) also have risks such as miscarriage, preterm birth and IUGR. In addition to aspirin, these pregnant women may also need to use a number of needles for blood clotting.
In a woman who has a single abortion (90%), the cause of this miscarriage is probably the chromosomal problems of the baby and it is generally not necessary to investigate and families are advised to try a new pregnancy.
However, the causes are different in women with two or more pregnancy losses, and a general investigation before a new pregnancy is essential.
What is antiphospholipid syndrome?
The main problem in antiphospholipid syndrome (aPL), which is one of the leading causes of thrombophilia, is the increase in blood clotting. Especially during pregnancy, micro-clots formed in the vessels within the placenta can disrupt the development of the baby and cause miscarriage or intrauterine growth retardation (IUGR).
Even in preeclampsia, the mechanism is almost identical. The main reason is thought to be a problem (placentation disorder) related to the placement of the placenta during pregnancy.
In the treatment or prophylaxis of thrombophilia, low molecular weight heparin needles have been used with low dose aspirin in recent years and good results have been obtained. In this way, problems such as recurrent miscarriage, intrauterine ex death or intrauterine infant development (IUGR) in pregnant women with thrombophilia could be significantly reduced.
In addition, with this effective treatment, especially in the vein formed in the legs clot formation (Deep Vein Thrombosis) is also significantly reduced. Because the risk of intravascular coagulation in thrombophilic pregnancies is also increased.
One of the most serious complications of an intravenous clot is that the clot breaks out of the vein and reaches the lungs by way of a vein (lung embolism), in which case there is a risk of sudden death.
Can aspirin be given to every pregnant woman?
No. There is no need to use aspirin unless there is a definite indication in pregnancy. Otherwise, the drug is used unnecessarily, ie, “abused..
According to the results of many researches, this type of application has no positive effect on the course of pregnancy.
Moreover, there is insufficient scientific evidence to support the recommendation of pregnant women to use routine aspirin to prevent miscarriage, preeclampsia and intrauterine growth retardation. Again, we do not have sufficient data on the long-term effects of this practice.
Aspirin treatment should be continued until the week of pregnancy?
Aspirin and other non-steroid anti-inflammatory drugs used as painkillers in pregnancy 32-33. should be discontinued after the week. Otherwise, the “ductus arteriosus” in the baby's heart can prevent the closure of the vessel after birth and may pave the way for bebek congenital heart disease te in the baby.
Therefore, superior blind use without physician control can harm the baby.
As a result:
The use of low-dose aspirin in risky pregnancies can provide a number of benefits. The results are contradictory and further studies are needed. Because there is still much speculation about which patient and from what week of gestation should start treatment.
35AXX
Aspirin 81mg Chewable Orange Flavored Tablets Generic for Bayer Children's Aspirin 36 Tabs per Boxe Pack of 12 Toatal 432 Tabs. by Major Pharmaceuticals
