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Blood pressure monitoring during pregnancy
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.
Abstract:
Hypertensive disease in pregnancy represents a significant health problem in the world, and ranks second only to thromboembolism as a cause of maternal mortality in the USA. In addition, hypertension is associated with both perinatal morbidity and mortality secondary to direct effects on the fetus as well as the iatrogenic preterm deliveries performed for maternal indications. Conventional (office, mercury column or aneroid manometry) blood pressure measurement is the most common screening test performed during prenatal visits. During the past several years, investigators have focused on the use of 24-h ambulatory and automated self (or home) blood pressure monitoring during pregnancy. This review article summarizes the current literature on both ambulatory and home blood pressure monitoring in pregnancy and how they relate to various clinical aspects of hypertension in pregnancy.
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Measurement of Blood Pressure

