Low Dose Aspirin for Prevention of Early Pregnancy Loss (NCT06261203) | Clinical Trial Compass
UnknownNot Applicable
Low Dose Aspirin for Prevention of Early Pregnancy Loss
Egypt250 participantsStarted 2023-07-01
Plain-language summary
Preeclampsia is a pregnancy-specific, multisystem disorder affecting 3% to 8% of pregnancies and remains a significant cause of maternal and neonatal morbidity and mortality worldwide.
The World Health Organization estimates that approximately 76,000 maternal deaths annually are attributed to preeclampsia, accounting for 16% of global maternal mortality, with the majority occurring in low- and middle-income countries
Who can participate
Age range18 Years – 40 Years
SexFEMALE
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Inclusion Criteria:
* Singleton pregnancy
* Before 8 weeks gestation
* Women at high risk of preeclampsia according to Royal College of Obstetricians and Gynecologists (RCOG) (Robson et al., 2013):
* Maternal age ≥ 35 years.
* Nulliparity.
* BMI ≥ 30 kg/m2.
* Smoking of r ≥ 10 cigarettes per day.
* Previous history of small for gestational age (SGA) baby.
* Previous history of stillbirth.
* Pregnancy interval \< 6 months or ≥ 60months.
* Chronic hypertension.
* Diabetes with vascular disease.
* Willingness to participate in the study and provide informed written consent.
Exclusion Criteria:
* Known allergy or hypersensitivity to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs)
* Use of any anticoagulant medication (e.g., heparin, warfarin, clopidogrel)
* Use of low-dose aspirin for any indication prior to the current pregnancy
* Chronic use of NSAIDs or corticosteroids
* History of bleeding disorder or active bleeding
* Any medical condition that may contraindicate the use of low-dose aspirin (e.g., peptic ulcer disease, asthma, liver, or kidney disease)
* Multiple gestation
* Inability to provide informed consent or comply with the study requirements.