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. 2023 Mar 3;83(5):429–437. doi: 10.1007/s40265-023-01842-3

Table 4.

Adjusted incidence risk ratios (aIRR) of developing pre-eclampsia during the 2nd pregnancy according to aspirin use, in women with early and/or severe pre-eclampsia during the 1st pregnancy

Mild and late PE during the 2nd pregnancy (N = 1143) Severe and late PE during the 2nd pregnancy (N = 632) Mild and early PE during the 2nd pregnancy (N = 209) Severe and early PE during the 2nd pregnancy (N = 463) Total PE during the 2nd pregnancy (N = 2,447)
N aIRR N aIRR N aIRR N aIRR N adjusted IRR
Aspirin purchases
No aspirin 378 Ref 213 Ref 64 Ref 155 Ref 810 Ref
At least one 765 1.06 (0.92–1.22) 419 0.98 (0.82–1.18) 145 0.92 (0.67–1.27) 308 0.77 (0.62–0.95) 1637 0.98 (0.90–1.08)
≤ 16 WG 691 1.04 (0.90–1.20) 365 0.94 (0.78–1.14) 131 0.92 (0.66–1.27) 267 0.71 (0.57–0.89) 1454 0.93 (0.85–1.01)
≤ 16 WG and PDC ≥ 80% 500 1.08 (0.92–1.27) 266 0.96 (0.78–1.19) 91 0.84 (0.59–1.21) 175 0.60 (0.47–0.77) 1032 0.93 (0.86–1.01)
Mean daily dose
No aspirin 378 Ref 213 Ref 64 Ref 155 Ref 810 Ref
0–75 mg/j 213 1.02 (0.86–1.21) 113 0.95 (0.75–1.20) 41 1.04 (0.70–1.55) 108 1.10 (0.85–1.41) 475 1.03 (0.92–1.16)
75–100 mg/j 176 1.05 (0.87–1.26) 98 1.01 (0.79–1.29) 31 0.93 (0.60–1.45) 59 0.77 (0.56–1.04) 364 0.99 (0.87–1.12)
≥ 100 mg/j 376 1.03 (0.88–1.21) 208 0.99 (0.81–1.22) 73 0.86 (0.60–1.23) 141 0.67 (0.53–0.85) 798 0.95 (0.85–1.05)

The IRRs were estimated using Poisson regression models adjusted for the characteristics of the first and second pregnancies. This analysis was performed in women with early and/or severe pre-eclampsia during the 1st pregnancy, as this was the only indication for aspirin treatment in French guidelines

IRR incidence risk ratio, PDC proportion of days covered (by aspirin), PE pre-eclampsia, WG weeks of gestation