Blood pressure self-monitoring in pregnancy: examining feasibility in a prospective cohort study

BMC Pregnancy and Childbirth
Katherine L TuckerRichard J McManus

Abstract

Raised blood pressure (BP) affects approximately 10% of pregnancies worldwide, and a high proportion of affected women develop pre-eclampsia. This study aimed to evaluate the feasibility of self-monitoring of BP in pregnancy in women at higher risk of pre-eclampsia. This prospective cohort study of self-monitoring BP in pregnancy was carried out in two hospital trusts in Birmingham and Oxford and thirteen primary care practices in Oxfordshire. Eligible women were those defined by the UK National Institute for Health and Care Excellence (NICE) guidelines as at higher risk of pre-eclampsia. A total of 201 participants were recruited between 12 and 16 weeks of pregnancy and were asked to take two BP readings twice daily three times a week through their pregnancy. Primary outcomes were recruitment, retention and persistence of self-monitoring. Study recruitment and retention were analysed with descriptive statistics. Survival analysis was used to evaluate the persistence of self-monitoring and the performance of self-monitoring in the early detection of gestational hypertension, compared to clinic BP monitoring. Secondary outcomes were the mean clinic and self-monitored BP readings and the performance of self-monitoring in the dete...Continue Reading

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Citations

May 23, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E KalafatA Khalil
Jul 10, 2019·Expert Review of Medical Devices·Asma KhalilWilfried Gyselaers
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May 23, 2019·Blood Pressure Monitoring·Marianne VestgaardElisabeth R Mathiesen
Oct 27, 2018·Current Hypertension Reports·Natalie A BelloAlan T Tita
Mar 3, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nalin PayakachatCurtis Lowery
Oct 9, 2019·Journal of Clinical Medicine·Rachael FoxAdam J Lewandowski
Oct 26, 2018·Hypertension·Katherine L TuckerRichard J McManus
Apr 23, 2019·SAGE Open Medicine·Stephanie Braunthal, Andrei Brateanu
Dec 5, 2020·Zeitschrift für Geburtshilfe und Neonatologie·Werner RathDietmar Schlembach

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