High specificity and low sensitivity of ambulatory blood pressure mean for the early diagnosis of hypertension in pregnancy

Hypertensive disorders in pregnancy are the most common medical complications affecting 5–10% of pregnancies worldwide. This chapter discusses the following topics: diagnosis of hypertension, definition and classification of hypertension in pregnancy, additional laboratory tests, management of hypertension in pregnancy, pharmacological management of hypertension in pregnancy, delivery induction, blood pressure postpartum and lactation, and prognosis after pregnancy.

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Out-of-office blood pressure measurement for the diagnosis of hypertension in pregnancy: Survey of Canadian Obstetric Medicine and Maternal Fetal Medicine specialists

Obstetric Medicine ◽

10.1177/1753495x18819338 ◽

2019 ◽

Vol 13 (1) ◽

pp. 20-24

Author(s):

KC Tran ◽

J Potts ◽

J Robertson ◽

K Ly ◽

N Dayan ◽

...

Keyword(s):

Blood Pressure ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Office Blood Pressure ◽

Maternal Fetal Medicine ◽

Fetal Medicine ◽

Hypertension In Pregnancy ◽

Obstetric Medicine ◽

Diagnosis Of Hypertension ◽

In Pregnancy

Background Multiple hypertension guidelines recommend out-of-office measurements for the diagnosis of hypertension in non-pregnant adults, whereas pregnancy guidelines recommend in-office blood pressure measurements. The objective of our study was to determine how Canadian Obstetric Medicine and Maternal Fetal Medicine specialists measure blood pressure in pregnancy. Methods An email survey was sent to 69 Canadian Obstetric Medicine and Maternal Fetal Medicine specialists in academic centers across Canada to explore the practice patterns of blood pressure measurement in pregnant women. Results The response rate was 48%. The majority of respondents (63.6%) preferred office blood pressure measurement for diagnosing hypertension, but relied on home blood pressure readings for ongoing monitoring and management of hypertension during pregnancy (59.4%). The preferred method of out-of-office blood pressure measurement was home monitoring; 24-hour ambulatory blood pressure monitoring was not used due to limited availability and cost. Conclusions There is wide practice variation in methods of measuring blood pressure among Canadian specialists managing hypertension in pregnancy.

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Provisional criteria for the diagnosis of hypertension in pregnancy using home blood pressure measurements

Hypertension Research ◽

10.1038/hr.2017.6 ◽

2017 ◽

Vol 40 (7) ◽

pp. 679-684 ◽

Cited By ~ 10

Author(s):

Yukiko Mikami ◽

Yasushi Takai ◽

Sumiko Era ◽

Yoshihisa Ono ◽

Masahiro Saitoh ◽

...

Keyword(s):

Blood Pressure ◽

Home Blood Pressure ◽

Pressure Measurements ◽

Hypertension In Pregnancy ◽

Diagnosis Of Hypertension ◽

In Pregnancy

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Hypertensive disorders

ESC CardioMed ◽

10.1093/med/9780198784906.003.0694 ◽

2018 ◽

pp. 2872-2874

Author(s):

Renata Cifkova

Keyword(s):

Blood Pressure ◽

Laboratory Tests ◽

Medical Complications ◽

Pharmacological Management ◽

Hypertension In Pregnancy ◽

Hypertensive Disorders ◽

Hypertensive Disorders In Pregnancy ◽

Diagnosis Of Hypertension ◽

In Pregnancy

Hypertensive disorders in pregnancy are the most common medical complications affecting about 10% of pregnancies worldwide. This chapter discusses the following topics: diagnosis of hypertension, definition and classification of hypertension in pregnancy, additional laboratory tests, management of hypertension in pregnancy, pharmacological management of hypertension in pregnancy, delivery induction, blood pressure postpartum and lactation, and prognosis after pregnancy.

Download Full-text