Understanding Aspirin Use in Pregnancy
Pregnancy comes with many dos and don’ts, and one common concern for moms-to-be is whether it’s safe to take aspirin. While aspirin is widely used for pain relief, inflammation, and heart health, its safety during pregnancy depends on the dosage and the reason for use. Let’s break it down so you can make the best decision for you and your baby.When Is Aspirin Considered Safe in Pregnancy?
Low-dose aspirin (typically 81 mg per day, often called "baby aspirin") is sometimes recommended by doctors in specific cases, such as:- Preventing preeclampsia – A condition that causes high blood pressure and can be dangerous for both mom and baby. Women at high risk (such as those with a history of preeclampsia, high blood pressure, or multiple pregnancies) may be advised to take low-dose aspirin to reduce their risk.
- Preventing blood clots – For women with clotting disorders like antiphospholipid syndrome, low-dose aspirin can help prevent complications.
- Improving pregnancy outcomes – Some research suggests that low-dose aspirin may reduce the risk of miscarriage in women with certain risk factors.
When Should Aspirin Be Avoided?
High-dose aspirin (typically more than 325 mg per dose) is not recommended during pregnancy unless specifically prescribed for a medical condition. Taking high doses, especially in the third trimester, may lead to:- Premature closure of a baby’s heart vessel – The ductus arteriosus, an important fetal blood vessel, may close too soon, leading to heart and lung problems.
- Bleeding complications – Aspirin can thin the blood, increasing the risk of excessive bleeding during delivery.
- Delayed labor or complications – High doses can interfere with labor timing and cause complications.
What About Occasional Aspirin Use?
If you took aspirin before knowing you were pregnant or used it occasionally for a headache or pain relief, don’t panic. One-time use is unlikely to cause harm. However, it’s always best to talk to your doctor before taking any medication during pregnancy.Safe Alternatives for Pain Relief
If you're dealing with pain or discomfort, consider these safer options:- Acetaminophen (Tylenol) – Generally considered safe for pain relief during pregnancy.
- Rest and hydration – Sometimes, headaches or minor aches can be relieved by drinking water and resting.
- Cold or warm compresses – Can help with headaches or muscle pain.
- Prenatal massage or stretching – Useful for body aches and discomfort.
The Bottom Line
Low-dose aspirin is sometimes recommended for specific medical conditions in pregnancy, but high doses should generally be avoided. Always consult your healthcare provider before taking aspirin or any medication during pregnancy. Your doctor can guide you based on your personal health history and needs.

Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.
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