Diagnosis of White Coat Hypertension in Pregnant Women with Teletransmitted Home Blood Pressure

Denolle, Thierry; Weber, Jean-Luc; Calvez, Christian; Getin, Y.; Daniel, Jean-Claude; Lurton, Olivier; Cheve, Marie-Thérèse; Maréchaud, M; Bessec, P.; Carbonne, Bruno; Razafintsalama, T

doi:10.1080/10641950802000950

Cited by 41 publications

(39 citation statements)

References 19 publications

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“…Limited available data suggests that white coat HTN may affect from 30 to 70% of pregnant women [55, 56]. Compared to women with sustained HTN, defined as elevated office and out-of-office BP, women with white coat HTN had better pregnancy outcomes [57–59].…”

Section: The Role Of Out-of-office Blood Pressure Measurement In Pregmentioning

confidence: 99%

Out of Office Blood Pressure Measurement in Pregnancy and the Postpartum Period

et al. 2018

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Purpose: Hypertensive disorders of pregnancy are increasing in prevalence and associated with significant maternal and perinatal morbidity and mortality. Recent findings: Increased emphasis has been placed recently on the use of out-of-office (i.e., home and ambulatory) blood pressure (BP) monitoring to diagnose and manage hypertension in the general population. Current guidelines offer limited recommendations on the use of out-of office BP monitoring during pregnancy and postpartum. Summary: This review will discuss the recent literature on BP measurement outside of the office and its use for screening, diagnosis, and treatment in pregnancy and postpartum, and will illuminate areas for future research.

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Section: The Role Of Out-of-office Blood Pressure Measurement In Pregmentioning

confidence: 99%

Out of Office Blood Pressure Measurement in Pregnancy and the Postpartum Period

et al. 2018

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“…[8][9][10][11] Self home blood pressure monitoring is more acceptable to pregnant women than more frequent clinic visits, hospital admission, or ambulatory monitoring. [12][13][14][15] Taylor et al found self-monitoringof blood pressure more acceptable than 24 hour ambulatory monitoring; in a study of 78 healthy pregnant women who evaluated both home and ambulatory monitors at 35-37 weeks gestation, as home monitoring caused less discomfort and did not interfere with activities or sleep. 16 In present study, none of the women reported any unwillingness to participate, nor any discomfort, or any difficulty in understanding the procedure or monitoring blood pressure.…”

Section: Will the Women Monitor Blood Pressure At Home?mentioning

confidence: 99%

Self home blood pressure monitoring in pregnancy: how reliable is it?

Hemapriya

Desai

Bhandiwad

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The use of automated blood pressure monitors in pregnancy has become increasingly popular, as more women tend to get involved in their healthcare. Not only does it reduce clinician visits, it also helps to eliminate the white coat hypertension.Methods: We conducted a prospective study in the antenatal department of JSS Medical College and Hospital, Mysuru; over a period of one year, from July 2016 to June 2017. The blood pressures of 50 women were recorded at four different periods of gestation using the conventional ‘Diamond mercury Sphygmomanometer’ versus the automated ‘Omron HEM 7130’ home BP monitor and compared.Results: The recordings of systolic blood pressure at home were consistently less than the office measurements at all periods of gestation. However, the difference was not statistically significant. The comparison of diastolic pressures revealed minimal variations between the mean of the office and home blood pressure recordings. The mean arterial pressure also revealed a similar trend.Conclusions: Self-monitoring of blood pressure is a feasible and acceptable option to pregnant women. It might make antenatal care more effective, but we need further research to establish safety and efficacy, the impact on women and health professionals, and how best to use the results.

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“…Ainsi dans une étude réalisée chez 57 femmes enceintes hypertendues utilisant cette technique, 92 % la trouvaient facile avec des résultats bien supérieurs à ceux retrouvés dans l'HTA de l'adulte puisque 98 % des résultats étaient analysables. Cependant, l'automesure à l'inverse d'une surveillance en hospitalisation ou même sur 24 heures avec la MAPA nécessite de ne revoir la femme enceinte que plusieurs jours plus tard en la laissant mesurer elle même sa pression artérielle à domicile avec le risque de survenue d'une HTA sévère ou compliquée pendant cette surveillance à domicile [12]. Ainsi, il apparaît qu'il est peut être dangereux de laisser un appareil d'automesure à une femme enceinte hypertendue sans une équipe prête à la prendre en charge en cas d'aggravation et une bonne formation préalable.…”

Section: Avoir Des Conditions De Mesure Et D'interprétation Correctesunclassified