What is the clinical evidence from this study?

Study design: Cohort. Population: Pregnancy (n=133). Intervention: Home blood pressure monitoring. Primary outcome: Mean daily adherence with home BP monitoring.

What does this research mean for the field?

Pregnant women in Ghana achieve high daily adherence to home blood pressure monitoring (mean 73.7%), with higher adherence observed among women with prior stillbirth or elevated hypertensive risk. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate longitudinal trends and patterns of adherence to a home blood pressure monitoring program among pregnant women receiving antenatal care.

August 20, 2026International Journal of Gynecology & ObstetricsOpen Access

Trends in adherence with a home blood pressure monitoring intervention among pregnant women in Ghana: A prospective cohort study

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Key result

Home BP monitoring achieves ~74% mean daily adherence among pregnant women in Ghana.

n=133

Why the study?

This study was conducted to evaluate trends in adherence with home blood pressure monitoring in a cohort of Ghanaian pregnant women.

What are the trends in adherence with a home blood pressure monitoring intervention among pregnant women in Ghana?

Key Points

To evaluate longitudinal trends and patterns of adherence to a home blood pressure monitoring program among pregnant women receiving antenatal care.
Prospective cohort study of pregnant women (n = 133) receiving antenatal care at a tertiary hospital in Ghana.
Participants were trained on automated blood pressure monitors, instructed to log daily readings until delivery (mean follow-up: 11.7 weeks), and advised to call a study nurse for elevated values.
Overall mean daily adherence was 73.7% (range 0% to 100%), with participants logging all 7 days in 48.5% of weeks and at least 1 day in 87.3% of weeks.
Engagement declined slowly over gestation, yet over 50% of participants logged at least weekly readings through delivery.
Significantly higher adherence rates occurred among women with a history of stillbirth and those at elevated risk for hypertensive disorders in the current pregnancy.

Study Design

Type

Cohort (n=133)

Multicenter

Structured PICO

What are the trends in adherence with a home blood pressure monitoring intervention among pregnant women in Ghana?

Population

133 pregnant women receiving antenatal care in Ghana, followed for a mean of 11.7 weeks until delivery.

Exposure

Home blood pressure monitoring (daily checking, recording values, and calling a study nurse for clinical advice for elevated BPs) until delivery.

Outcome

Trends in adherence with home blood pressure monitoring over time.

Home blood pressure monitoring demonstrates high adherence among pregnant women in Ghana, particularly in those with high-risk obstetric histories.

Discussion

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Implication

High adherence supports feasibility of home BP monitoring in Ghanaian antenatal care; leaves open effects on outcomes and need for trials.

Cite This Study

Lawrence et al. (2026) conducted a cohort in Pregnancy (n=133). Home blood pressure monitoring was evaluated on Mean daily adherence with home BP monitoring. Home blood pressure monitoring among pregnant women in Ghana achieved a mean daily adherence of 73.7% from enrollment to delivery.

synapsesocial.com/papers/6a86b5978a91293e6a1ccfb4 https://doi.org/10.1002/ijgo.71279

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Implication

High adherence supports feasibility of home BP monitoring in Ghanaian antenatal care; leaves open effects on outcomes and need for trials.

Trends in adherence with a home blood pressure monitoring intervention among pregnant women in Ghana: A prospective cohort study

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Trends in adherence with a home blood pressure monitoring intervention among pregnant women in Ghana: A prospective cohort study

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

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