In what case is the use of aspirin during pregnancy typically avoided?

The use of aspirin during pregnancy is typically avoided for women with a bleeding disorder because aspirin has antiplatelet effects, which can inhibit blood clotting. This characteristic can exacerbate the risk of excessive bleeding, particularly during pregnancy, where the risk of hemorrhage is already a concern during certain stages of labor or in surgical interventions.

Women with bleeding disorders may already have an impaired ability to form clots due to various underlying conditions, making the additional anticoagulant effect of aspirin particularly dangerous. Therefore, using aspirin in these cases poses significant risks not only during labor but also in the management of pregnancy complications.

In other scenarios, such as managing high blood pressure or pain relief during the second trimester, healthcare providers may consider the benefits and risks of aspirin on a case-by-case basis. However, in the context of a bleeding disorder, the risks generally outweigh any potential benefits, which is why its use is avoided.