Women's Acceptability of and Satisfaction With Self‐Monitoring Blood Pressure During Pregnancy

AIM: The aim of this study was to evaluate the acceptability and satisfaction of pregnant women at risk of hypertensive disorders with self-monitoring their blood pressure. DESIGN: A prospective cross-sectional study. METHODS: Women at risk of hypertensive disorders during pregnancy were recommended to self-monitor their blood pressure at the study site to reduce hospital visits. Women who purchased a subsidised blood pressure monitor through the hospital were invited to participate in a survey about acceptability of and satisfaction with self-monitoring their blood pressure between hospital visits. Data were analysed with descriptive statistics and content analysis. RESULTS: Thirty women completed the survey. Most women were highly satisfied with self-monitoring their blood pressure and the support provided from hospital staff for responding to high readings experienced at home. The reassurance of monitoring their health and the convenience of reduced hospital visits were reported benefits of self-monitoring blood pressure. Inaccuracy of readings, anxiety associated with high readings, and cost of purchasing the machine were described as concerns by a small number of women. CONCLUSION: The findings suggest that self-monitoring blood pressure may be a useful addition to antenatal care for women at risk of hypertensive disorders. Ensuring that antenatal care providers adequately test machines for accuracy and educate women about proper use is essential. Promoting equitable access to self-monitoring by providing free or very low-cost machines to women experiencing financial disadvantage is warranted. IMPACT: Self-monitoring blood pressure during pregnancy has the potential to improve the detection of hypertensive disorders and reduce hospital visits and associated healthcare system costs. PUBLIC OR PATIENT CONTRIBUTION: The authors have nothing to report.