ECOSPIRIN

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ECOSPIRIN

• Contains ASPIRIN—NSAID

• MOA---Antiplatelet action ----inhibiting formation of ThromboxaneA2


via acetylation of platelet cyclooxygenase and prevent clotting

• USES—widely used in stroke and angina

• Obstetrics—Prevention of PRECLAMPSIA---doses 75 mg/81 mg/150 mg/162 mg


at bed time
Recommendations for LDA prophyllaxis
HIGH RISK FACTORS( 1 OR MORE) MODERATE RISK FACTORS(2 OR MORE)

H/O PRE ECLAMPSIA PRIMI

MULTIFETAL GESTATION MATERNAL AGE ≥ 35 YRS

CHRONIC RENAL DISEASE BMI ≥ 30

C/C HTN FAMILY HISTORY OF PRE ECLAMPSIA

AUTO IMMUNE DISORDRES SOCIO DEMOGRAPHIC CHARACTERISTICS

TYPE 1 AND 2 DM
SIDE EFFECTS
• Abdominal pain/nausea/heart burn
• Rashes/bleeding/irregular pulse

• CONTRAINDICATIONS
• Hypersensitivity to aspirin
• Peptic ulcer
• Bleeding disorders
• c/c liver and renal disease
• ACOG recommends single dose of aspirin 150mg at bed time from 12
wks
upto 1 week prior to delivery

• (preferred to start at least before 16 wks)


• ASPRE TRAIL---large prospective randomized placebo controlled trial which
included more than 30000 pregnant women
• ASAPP trail---LDA in the prevention of preeclampsia—prospective randomized
Ongoing trial to compare the dose of aspirin 81mg vs 162 md
2019—2024
• Heparin and LDA has not shown to increase live birth in early pregnancy loss.

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