Home blood pressure measurement in women with pregnancy-related hypertensive disorders

• Published in: Pregnancy hypertension 2017-10, Vol.10, p.213-219
• Main Authors: Lan, Patrick G., Hyett, Jon, Gillin, Adrian G.
• Format: Article
• Language: English
• Subjects: Adult; Blood Pressure Determination; Female; Home blood pressure; Humans; Middle Aged; New South Wales; Patient Compliance; Peripartum Period; Pre-Eclampsia - physiopathology; Pregnancy; Pregnancy-related hypertension; Prospective Studies; Self Care
• ISSN: 2210-7789; 2210-7797
• DOI: 10.1016/j.preghy.2017.09.005

•Prospective study comparing home blood pressure to clinic blood pressure.•Home blood pressure measurement provides comparable results to clinic measurement.•Home measurement can be used as an adjunct to clinic measurement.•Home measurement is highly acceptable by pregnant and early post-partum women. To determine if home blood pressure measurement (HBPM) provides comparable results to clinic blood pressure (BP) measurement. A prospective, single-centre study of 37 pregnant and early post-partum women with a hypertensive pregnancy or at high-risk of developing a hypertensive pregnancy were asked to perform HBPM for a minimum period of one week. This was subsequently compared to clinic BP measurement both before and after the period of home measurement. The accuracy of HBPM compared to clinic measurement, and the acceptability by patients for HBPM. The HBPM was comparable to clinic measurements [for the systolic blood pressure (SBP), the mean home reading was 123.4mmHg (122.0–124.9mmHg) versus 123.9mmHg (121.3–126.5mmHg) for the clinic reading (p=0.69); for the diastolic blood pressure (DBP) the mean home reading was 81.6mmHg (80.4–82.8mmHg) versus 84.4mmHg (82.6–86.2mmHg) for the clinic (p