Key result
Ambulatory or home blood pressure monitoring improves dynamic assessment in mild gestational hypertension.
Why the study?
Self-monitored or ambulatory blood pressure monitoring may provide a more accurate assessment of borderline or mild hypertension during pregnancy than office measurements alone.
Ambulatory monitoring may refine BP assessment in pregnant women with mild hypertension; leaves open effects on maternal-fetal outcomes.
Several advantages are apparent in the use of self-monitored or automatic ambulatory blood pressure monitoring by pregnant patients who appear to have borderline or mild hypertension. Home recordings, combined with conventional office measurements, can give a more accurate picture of the patient's dynamic blood pressure. Blood pressures are often lower outside the physician's office, probably because of the patient's increased awareness and decreased anxiety in other settings. When blood pressures are normal at home, the patient may be able to avoid antihypertensive therapy, antepartum hospitalization, and intervention during her pregnancy. Monitoring at home or work also provides a more thorough screening for preeclampsia, especially with patients who have chronic hypertension or other predisposing conditions.
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Rayburn et al. (1992) conducted a review in Borderline or mild hypertension during pregnancy. Self-monitored or automatic ambulatory blood pressure monitoring vs. Conventional office measurements was evaluated. Self-monitored or automatic ambulatory blood pressure monitoring provides a more accurate picture of dynamic blood pressure in pregnant patients with borderline or mild hypertension.
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