AI Article Synopsis
- Aspirin is known to lower the risk of recurrent hypertensive disorders and fetal growth restrictions in high-risk pregnancies, prompting a study on adherence rates.
- The study surveyed women between 24 and 36 weeks gestation using validated questionnaires, revealing non-adherence rates of 46.3% and 21.4% based on different measures.
- No significant differences in demographics or pregnancy backgrounds were found between women who adhered to aspirin and those who did not, indicating that adherence cannot be assumed in this group.
Article Abstract
Objective: Aspirin reduces the risk of recurrent hypertensive disorders of pregnancy (HD) and fetal growth restriction (FGR). This study examined the non-adherence rates of aspirin in women with high-risk pregnancies.
Study Design: All consecutive women between 24 and 36weeks gestation with an indication for aspirin use during pregnancy were invited for this study. A survey was used which included two validated questionnaires, the simplified medication adherence questionnaire (SMAQ) and the Beliefs and Behaviour Questionnaire (BBQ).
Main Outcome Measures: To determine the non-adherence rates of aspirin, and to identify the beliefs and behavior concerning aspirin.
Results: Indications for aspirin use during pregnancy were previous HD, FGR, intrauterine fetal death or current maternal disease. Non-adherence rates according to the SMAQ and BBQ were 46.3% and 21.4% respectively. No differences in demographic background or obstetrical characteristics between adherent and non-adherent women could be demonstrated.
Conclusions: Adherence for aspirin in this high-risk population cannot be taken for granted. The non-adherence rates in pregnant women are comparable with the non-adherence rates for aspirin in the non-pregnant population.
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Source |
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| http://dx.doi.org/10.1016/j.preghy.2016.08.232 | DOI Listing |
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