Blood pressure monitoring during pregnancy

D M Feldman1

  • 1Division of Maternal Fetal Medicine, University of Conneticut School of Medicine, Farmington, Conneticut 06030, USA.

Insights

Hypertension in pregnancy is a major global health concern. This review explores ambulatory and home blood pressure monitoring for managing hypertensive disorders during pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Cardiovascular Medicine
  • Perinatal Health

Background:

  • Hypertensive disorders in pregnancy are a leading cause of maternal mortality and perinatal morbidity worldwide.
  • Conventional blood pressure measurement in clinical settings is the standard screening method.
  • There is a growing interest in advanced monitoring techniques for better management.

Purpose of the Study:

  • To review the current literature on ambulatory blood pressure monitoring (ABPM) in pregnancy.
  • To summarize the evidence for home blood pressure monitoring (HBPM) in pregnancy.
  • To correlate these monitoring methods with clinical aspects of hypertensive disorders in pregnancy.

Main Methods:

  • Comprehensive literature search of studies on ABPM and HBPM in pregnancy.
  • Analysis of existing research on the application and efficacy of these monitoring techniques.
  • Synthesis of findings related to maternal and fetal outcomes.

Main Results:

  • ABPM and HBPM offer valuable insights beyond traditional office measurements.
  • These methods can aid in the diagnosis and management of gestational hypertension and preeclampsia.
  • Evidence suggests improved prediction of adverse outcomes with continuous monitoring.

Conclusions:

  • Ambulatory and home blood pressure monitoring are increasingly important tools in managing hypertension during pregnancy.
  • These techniques enhance the understanding and clinical care of hypertensive disorders in pregnancy.
  • Further research may solidify their role in routine prenatal care for improved maternal and fetal health outcomes.

Related Concept Videos

Equipments Used To Measure Blood Pressure01:30

Equipments Used To Measure Blood Pressure

Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...