Why the study?
Does ambulatory blood pressure monitoring using pregnancy-specific reference thresholds improve diagnostic sensitivity for hypertension in pregnant women compared to conventional clinic measurements?
Population
403 pregnant women (235 normotensive and 168 hypertensive)
Comparison
48-hour ambulatory blood pressure monitoring… vs Conventional clinic blood pressure measurements
Design
Cohort
Follow-up
From first obstetric visit until delivery
Authors
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ABPM may enhance hypertension detection sensitivity in pregnancy versus clinic readings; leaves open whether pregnancy-specific thresholds warrant prospective validation before adoption.
Does ambulatory blood pressure monitoring using pregnancy-specific reference thresholds improve diagnostic sensitivity for hypertension in pregnant women compared to conventional clinic measurements?
Ambulatory blood pressure monitoring provides significantly higher sensitivity for diagnosing hypertension in pregnancy than conventional clinic measurements, suggesting that diagnostic thresholds should be lower than currently used.
Hermida et al. (2005) studied this question.
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