Suggestion for further research
Further research is desired to investigate the pathways acceptability in
practice and to confirm suitability of aspirin prescription for anemic
women. Towards the end of the study, new evidence emerged to indicate
that anaemia in pregnancy might also be a risk factor for preeclampsia
in LMICs (48, 49). This is directly relevant to
situations in Indonesia where anemia prevalence is high due to
malnutrition, genetics or infections such as malaria and hookworm, that
cause inflammation in the placenta (48-51). The use of
aspirin in anaemic women, however, is not currently supported in any of
the existing international HDP guidelines (12) or
tested in the survey, that therefore the management requires further
careful clinical investigation.