Is Aspirin for COVID safe in the seventh month of pregnancy?

Question

Hello doctor,

I am 31-years-old. I am currently in my seventh month of pregnancy. I got a cough, cold, and fever for two and three days last week; afterward, I got better. Post that, my husband also got a cold and fever. He went to the office, so he tested for COVID-19, and the result was positive.

So, I am guessing even I had COVID-19. Now, after my gynecologist heard this, she suggested I take a blood thinner, Ecosporin 75 mg every day until the thirty-fourth week of pregnancy. Should I take this?

Kindly suggest.

Answer 1

Hi,

Welcome to icliniq.com.

I hope you did not develop any severe signs and symptoms of COVID-19. In COVID-19, Aspirin and its analogs do not have any prognostic role. However, oral Rivaroxaban does play a role in preventing and managing low to intermediate grade COVID-19-associated disseminated intravascular coagulation (DIC).

Consult your specialist, discuss with them, and take medicines with their consent. Please get a D-dimer test before taking an anticoagulant. In the absence of any procoagulant condition, blood thinners should be avoided in the last trimester.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

It is good to see that your D-dimer tests are though raised, but not significantly raised. However, take Rivaroxaban 10 mg per day for a week as a prophylaxis. Nothing bad is going to happen. No need for further testing if there are no symptoms.

I hope this helps.

Thank you.