امرأة عمرها ٣٣ سنة حامل في الأسبوع ١١، أصيبت بتسمم حمل شديد في حملها السابق وولدت في الأسبوع ٣٢، وعندها ارتفاع ضغط مزمن مضبوط. ضغطها اليوم ١٢٨/٨٢. أي دواء قد يُوصف لتقليل خطر تكرار تسمم الحمل؟

A 33-year-old at 11 weeks had severe pre-eclampsia in her last pregnancy with delivery at 32 weeks and has well-controlled chronic hypertension. BP today is 128/82. Which drug may be prescribed to reduce the risk of recurrence?

1. Daily ibuprofen throughout pregnancy
2. Low-dose aspirin started before 16 weeks
3. Full-dose heparin for every pregnant woman
4. A daily diuretic from early pregnancy

Answer: B) Low-dose aspirin started before 16 weeks. Low-dose aspirin started at 12–16 weeks in high-risk women reduces pre-eclampsia.