Reliability of home blood pressure monitoring devices in pregnancy

Home blood‐pressure monitoring in a hypertensive pregnant population

“…Therefore, our findings cannot be applied to a PE population and the role of HBPM in PE remains unclear. Concerns over differences in home and clinic blood‐pressure readings of PE patients using an automated device and mercury sphygmomanometry have been reported, and, although validation studies for devices used in pregnancy often include PE patients, readings in this group may be less accurate. Our study was not designed to compare the ability of HBPM with that of traditional monitoring to detect PE and this is an important question to be addressed in future research.…”

“…It requires fewer visits to hospital, which can save both time and money for patients. Already, many patients self‐monitor their blood pressure in pregnancy without the advice of a healthcare professional and using a large variety of devices. It is therefore important to develop evidence‐based protocols to ensure that this practice is performed safely.…”

“…HBPM is recommended in the general population for diagnosing hypertension, but there is a paucity of data on the use of HBPM in pregnancy. It has also been noted that 30% of pregnant women monitor their own blood pressure without informing their healthcare provider and using a wide range of devices, not all of which have been validated in pregnancy. This highlights the need for evidence‐based patient education to establish and maintain safety of this practice.…”

Toward personalized management of chronic hypertension in pregnancy

“…BP measurements from up to 25% of devices differ from those taken using standard sphygmomanometry 50 ; regularly updated lists of acceptable devices are available. 51,52 However, as even a grade A device will be accurate within 5 mm Hg of true BP only 60% of the time, it is wise to check a woman's home BP device against a calibrated sphygmomanometer or validated automated device.…”

Blood pressure measurement in pregnancy and in hypertensive disorders of pregnancy: devices, techniques and challenges

“…97 Home blood pressure monitor: this has a role in the management of hypertension as long as the device has been checked for accuracy. 98 It has great value in the diagnosis of white-coat and masked hypertension when the use of an ambulatory blood pressure monitor is not practicable. The Table 1…”