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Preeclampsia Prevention — DRCOG MCQ

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EasyObstetrics & GynecologyPreeclampsia PreventionDRCOG

A 26-year-old at 24 weeks with chronic hypertension and multiple high-risk factors for preeclampsia asks about prevention. Best evidence-based recommendation?

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Correct answer: A — Start low-dose aspirin 81 mg daily now until delivery

Low-dose aspirin (81 mg/day) initiated between 12-28 weeks (optimally before 16 weeks) and continued until delivery is recommended for those at high risk. Starting late, high-dose aspirin, anticoagulants, or antioxidant vitamins are not recommended for this purpose.

Reference: ACOG Committee Opinion (2018/2021): Low-Dose Aspirin Use During Pregnancy