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July 10, 1991JAMA

A Meta-analysis of Low-Dose Aspirin for the Prevention of Pregnancy-Induced Hypertensive Disease

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Why the study?

Does low-dose aspirin prevent pregnancy-induced hypertension in pregnant women?

Population

394 pregnant women from 6 controlled trials

Comparison

Low-dose aspirin during the second and third… vs Control group

Design

Meta-analysis

Key result

Low-dose aspirin reduced the risk of pregnancy-induced hypertension (RR 0.35; 95% CI 0.22-0.55) and severe low birth weight (RR 0.56; 95% CI 0.36-0.88) among high-risk pregnant women.

Authors

TIThomas F. Imperiale

Discussion

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Overview

Supports low-dose aspirin in high-risk pregnancies; confirms benefit across aggregated trials.

Study Design

Type

Meta-Analysis (n=394)

Structured PICO

Does low-dose aspirin prevent pregnancy-induced hypertension in pregnant women?

P
Population
394 pregnant women from 6 controlled trials
I
Intervention
Low-dose aspirin (60 to 150 mg/d) during the second and third trimesters
C
Comparator
Control group
O
Outcome
Pregnancy-induced hypertension (PIH)hard clinical

Main Result

Effect estimate: RR 0.35 (95% CI 0.22 to 0.55)

Low-dose aspirin during the second and third trimesters significantly reduces the risk of pregnancy-induced hypertension and severe low birth weight.

Limitations

  • Specific indications for cesarean section were generally not described

Cite This Study

Thomas F. Imperiale (1991) conducted a meta-analysis in Pregnancy-induced hypertension (n=394). Aspirin vs. Control was evaluated on Pregnancy-induced hypertension (PIH) (RR 0.35, 95% CI 0.22 to 0.55). Low-dose aspirin reduced the risk of pregnancy-induced hypertension (RR 0.35; 95% CI 0.22-0.55) and severe low birth weight (RR 0.56; 95% CI 0.36-0.88) among high-risk pregnant women.

synapsesocial.com/papers/6a0d93c81e1a6dfdb4baa701https://doi.org/10.1001/jama.1991.03470020086038
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