Home Blood Pressure Levels in Pregnant Women with Chronic Hypertension

Abstract

In our study population, the concurrence between office and home BPs is good with the exception of systolic BP in normotensive women. Home blood pressure measurement criteria used in nonpregnant individuals are not adequate in pregnancy.

RETIRED: Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy

“…Up to 70% of women with an office BP of P140/90 mmHg have normal BP on subsequent measurements on the same visit, or by ABPM or HBPM [14][15][16][17][18]. The timing of reassessment should consider that elevated office BP may reflect a situational BP rise, 'white coat' effect, or early preeclampsia [19,20].…”

Provisional criteria for the diagnosis of hypertension in pregnancy using home blood pressure measurements

“…13 Actually, in the third trimester, when BP will rise even in normotensive pregnant women, the +2.0 s.d. value of HBP has been reported as 121/80 12 or 126/80 mm Hg 16 ; thus, the true standard value of HBP for pregnant women may be lower than that in non-pregnant subjects.…”

“…8 An almost identical phenomenon has been reported with HBP measurements. 9, 10, 11, 12 Although some studies have proposed that the hypertension criteria for non-pregnant subjects are unsuitable for pregnant women, 13 there are currently few reports detailing the ideal diagnostic criteria for hypertension using HBP measurements for pregnant women. Therefore, in this study, we examined HBP variations during the pregnancy and postpartum (6 months after delivery) periods and evaluated the appropriateness of using the existing criteria for hypertension in pregnant women.…”

Blood Pressure Assessments in Different Subtypes of Hypertensive Pregnant Women: Office Versus Home Patient- or Nurse-Measured Blood Pressure

“…Nurse-determined BP was recorded in the morning, within 48 hours preceding the office visit, by a nurse dedicated to maternal home care program. We included only data on diastolic BP since systolic BP has been shown to be subject to wide variation in our population (7). All the data were obtained after 24 weeks of pregnancy.…”