ObGyn Intelligence: The Evidence of Women’s Health

ObGyn Intelligence: The Evidence of Women’s Health

Special Series : Ob/Gyn Intelligence

When Risk Algorithms Fail in Pregnancy, Simplicity Can Save Lives

Why medicine keeps relearning the same lesson, and why aspirin in pregnancy should be no exception

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Jan 09, 2026
∙ Paid

The problems we keep recreating

Here is a recurring pattern in medicine. We design a well-intentioned, nuanced risk algorithm. It looks elegant on paper. It respects heterogeneity. It promises precision. Then it quietly fails in practice.

The failure is not because clinicians are careless or ignorant. It is because real clinical care happens under time pr…

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