Diagnostic Methods for Pregnancy Hypertension: Significance of Standardized Conditions

Author(s):  
Anders Åberg

AbstractStandardized conditions for blood pressure measurements and strict definitions of systolic and diastolic blood pressure are essential for a consequent management of hypertension during pregnancy. In Sweden, it has been agreed to measure blood pressure with the pregnant women sitting in upright position. Home-monitoring of blood pressure is recommended in women at risk of preeclampsia.

Author(s):  
Miftah Nurlaily El Akhlaq ◽  
Suharyo Hadisaputro ◽  
Suhartono . ◽  
Sri Sumarni ◽  
M. Choiroel Anwar

Bay leaf (Syzygiumpolyanthum) or Daun Salam is one of the plants that has many benefits, one of them is to reduce blood pressure. The aim of this study is to prove the effect of adding nanoparticles supplementation of bay leaf (Syzygiumpolyanthum) to systolic and diastolic blood pressure in pregnancy hypertension.The study was quasi-experiment. 39 respondents were divided into 19 pregnant women in intervention group and 20 pregnant women in the control group. The intervention was given for 14 days by consumingnifedipine 10mg plus 80mg bay leaf nanoparticle capsules to the intervention group.The results of data analysis showed a decrease in systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.004) when compared with the control group, which means that there were differences in the mean systolic and diastolic blood pressure between the two groups after treatment. The addition of bay leaf nanoparticle supplementation 1x80 mg for 14 days affected the decrease in systolic and diastolic blood pressure in pregnancy hypertension. So that the supplementation of bay leaf nanoparticles can be used as adjunctive therapy in pregnancy hypertension


2021 ◽  
Vol 10 (1) ◽  
pp. 89-98
Author(s):  
Aanisah Zahran ◽  
Irma Nurbaeti

Background: Preeclampsia is one of three causes of death for pregnant women, contributed to about 27% of maternal mortality in Indonesia. One of intervention that can be made for pregnant women to handling preeclampsia is diet for preeclampsia. Objectives: The purpose this study was to investigate the effectiveness of diets program for preeclampsia on decreasing blood pressure in pregnant women. Methods: A pre-experimental design with one group pretest – posttest was carried out. Population was all pregnant women who experience preeclampsia in Public Health Center in Ciputat South Tangerang. Twenty pregnant women who met criteria and completed the intervention were included in this study by using purposive sampling. Researcher explained the program diet and participants received program diets for preeclampsia in the form of a food list table, and fill in a table of food they consumed every day. Sphygmomanometer to measure blood pressure was used. Data collection with measure blood pressure was performed three times, before intervention, two weeks after diet program and one month after diet program. Repeated Measures ANOVA was applied to analysis with α = 0.05. Results: The mean scores of Systolic blood pressure was 147.06; 143.81; 140.38 in first, second and third collection, respectively. Systolic blood pressure in pregnant women with preeclampsia significantly decreased within two weeks after intervention (F = 31.30; p-value = 0.0001; Eta Squared= 0.676). The mean score of diastolic blood pressure was 102.31, 99.00 and 91.56 respectively. Diastolic blood pressure within two weeks after intervention decreased (F= 19.05; p-value= 0.0001; Eta Squared= 0.560). Conclusion: Diets Programs for Preeclampsia could decrease both systole and diastole blood pressure. The recommendation for pregnant women who have Preeclampsia is to manage preeclampsia diets regularly.   Keywords: Blood pressure, diets program, preeclampsia, pregnant.


2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 162-169
Author(s):  
Estefanie Siqueira Vigato ◽  
José Luiz Tatagiba Lamas

ABSTRACT Objective: to compare blood pressure values obtained by auscultatory and oscillometric methods in different gestational periods, considering cuff width. Method: it is a cross-sectional and quasi-experimental study approved by the Research Ethics Committee. The sample consisted of 108 low-risk pregnant women. Blood pressure measurements were performed in gestational periods of 10-14, 19-22 and 27-30 weeks. Results: The oscillometric device presented values similar to the auscultatory method in systolic blood pressure, but overestimated diastolic blood pressure. Underestimation of blood pressure occurred when using the standard width cuff rather than the correct width cuff in both measuring methods. Conclusion: Verification of brachial circumference and use of adequate cuffs in both methods are indispensable to obtain reliable blood pressure values in pregnant women. We recommend performance of additional studies to evaluate diastolic blood pressure overestimation by the Microlife 3BTO-A.


2018 ◽  
Vol 4 (2) ◽  
pp. 84-90
Author(s):  
Gavin Devereux ◽  
Daniel Gibney ◽  
Fiqry Fadhlillah ◽  
Paul Brown ◽  
Neil Macey ◽  
...  

BackgroundKey benefits of home-based blood pressure measurements are the potential to reduce the risk of ‘white coat hypertension’, encouraging patients to take ownership of their condition and be more actively involved in their long-term condition care, and to move work out of the doctor’s office.AimTo assess whether performing 20 resting blood pressure measurements over a 2-day period would provide a reliable, stable representation of patients’ resting systolic and diastolic blood pressure. Following clinician recommendation, each participant completed the Stowhealth home blood pressure monitoring procedure.MethodOne thousand and forty-five participants (mean age 66±13 years, 531 women and 514 men) completed the procedure, of 10 resting measurements per day, for 2 days (20 resting systolic and diastolic blood pressure readings in total). All measurements were made using automated oscillometric monitors.ResultsWithin-patient coefficient of variation for the entire participant cohort was 8% for systolic blood pressure (cohort mean 141±11 mm Hg), and 8% for diastolic blood pressure (cohort mean 79±6 mm Hg). There were no significant differences between the first and second day, for either systolic (142±1vs 141±1 mm Hg, respectively, p>0.05) or diastolic blood pressures (79±1vs 78±1 mm Hg, respectively, p>0.05 in both cases).ConclusionThe overall duration of home blood pressure monitoring may be able to be reduced to just 48 hours. This method would offer meaningful time saving for patients, and financial and time benefits for doctors and their surgery administration.


2005 ◽  
Vol 7 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Rosanne E. Jepson ◽  
Vivien Hartley ◽  
Michael Mendl ◽  
Sarah ME Caney ◽  
David J Gould

Indirect blood pressure measurements were compared in 28 conscious cats using Doppler and oscillometric blood pressure-measuring devices. Ten cats were used to compare Doppler measurements between two examiners and 18 cats were used to compare Doppler and oscillometric measurements. The Doppler machine obtained systolic and diastolic blood pressure readings in 100% and 51% of attempts, respectively. With the oscillometric machine, systolic and diastolic blood pressure readings were obtained in 52% of the attempts. With the Doppler, measures of mean systolic blood pressure between two examiners were positively correlated, but there was no correlation for diastolic blood pressure measures. When comparing the results obtained by Doppler and oscillometric machines there was no significant difference between mean systolic blood pressure readings, but the oscillometric machine produced significantly higher estimates of diastolic blood pressure. In both cases, the standard deviations for the oscillometric machine were considerably larger than those for the Doppler machine. The first reading of systolic blood pressure obtained with the Doppler machine was an excellent predictor of the mean of five readings, but this was not so for the oscillometric machine. It took less than 5 min to obtain five readings in 37.5% of cases with the Doppler machine but this was true for only 5% of cases with the oscillometric machine. Two cats with ophthalmological lesions consistent with systemic hypertension were identified. In these two patients, systolic blood pressure measurements were between 200 and 225 mmHg when measured by Doppler, and between 140 and 150 mmHg when measured by the oscillometric machine. This suggests that a lower reference range for normal systolic blood pressure values should be used for the oscillometric device.


2019 ◽  
Vol 27 (1) ◽  
pp. 114-125 ◽  
Author(s):  
Esther J. Varney ◽  
Ashley M. Van Drunen ◽  
Emily F. Moore ◽  
Kristen Carlin ◽  
Karen Thomas

Background and PurposeBlood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.MethodsBlood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.ResultsA total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.ConclusionsAlthough our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.


2021 ◽  
Vol 8 (1) ◽  
pp. 24-31
Author(s):  
Maslahatul Inayah ◽  
Tri Anonim

Maternal Mortality Rate (MMR) can be a measuring tool to determine the quality of health services both during pregnancy and postpartum. Pregnant women with preeclampsia can cause complications that lead to increased maternal mortality and perinatal mortality. There are several attempts to control high blood pressure. This method can use pharmacological or non pharmacological.  The purpose of this study was to determine the effectiveness of warm water foot soak therapy on changes in blood pressure reduction of preeclamptic pregnant women. This type of research is a quantitative study with aresearch quasi-experimentaldesign, with adesign approach pre and post test in the intervention group and the conMtrol group. The sample for each group is 10 people, so that the total number of samples is 20 respondents.Bivariate analysis was performed using the Wilxocon test because the data distribution was not normal and the Mann-Whitney Test to determine the difference before and after the intervention was given.The results of the bivariate analysis showed that there was an effect of giving warm water foot soaking therapy to changes in the decrease in systolic and diastolic blood pressure of preeclamptic pregnant women with a value of p = 0.004 and p = 0.011 and there were differences in changes in the decrease in systolic and diastolic blood pressure between the intervention group and the control group. p = 0.001 and p = 0.007.


2018 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Fitriana Ikhtiarinawati Fajrin

ABSTRAKKehamilan adalah masa dimulai dari hasil konsepsi sampai lahirnya janin dengan lama kehamilan 280 hari (40 minggu atau 9 bulan 7 hari) dihitung dari hari pertama haid terakhir. Hipertensi pada kehamilan adalah hipertensi yang timbul sebelum usia kehamilan 20 minggu tanpa disertai proteinuria. Hipertensi merupakan komplikasi yang disebabkan oleh kondisi lingkungan seperti faktor keturunan, emosi dan pola hidup yang tidak seimbang. Metode yang digunakan dalam penyusunan laporan penelitian ini adalah deskriptif yaitu metode yang dilakukandengan tujuan memberi gambaran tentang suatu keadaan secara obyektif dengan menggunakan studi kasus yaitu perbandingan antara teori dan kasus nyata. Berdasarkan data yang di peroleh dari Dinas Kesehatan Jawa Timur bulan Januari – Juni Tahun 2015 di dapatkan ibu hamil dengan hipertensi 11.056 orang, data dari Dinas Kesehatan Kabupaten Lamongan sebanyak 143 orang. Data yang diperoleh dari register kunjungan pemeriksaan Antenatal Care (ANC) di PuskesmasSukodadi bulan Januari – Juli Tahun 2015 terdapat 389 orang ibu hamil, di dapatkan 6 orang (1,5%) dengan hipertensi. di BPS Luluk Pusparini, AMd. Keb, didapatkan 2 orang (7,7%) dengan kehamilan hipertensi.Berdasarkan dari hasil pengkajian maka dapat ditegakkan diagnosa yaitu Asuhan Kebidanan pada Ny. “S” Trimester II dengan hipertensi gestasional. Dan dari hasil penelitian ini tidak terdapat kesenjangan antara tinjauan teori dan tinjauan kasus. Diharapkan bagi petugas kesehatan hendaknya dapat mengenali tanda dan gejala hipertensi sehingga dapat melakukan penatalaksanaan dengan baik dan sesuai standart kompetensi.Kata Kunci : Kehamilan, Hipertensi, GestasionalABSTRACTPregnancy is a period started from the conception to the birth in 280 days (40 weeks or 9 months and 7 days) counted from the first day of the last women’s period. Hypertention is a complication caused by many factors like genetics, emotional condition, and unhealthy lifestyle. Hypertension in pregnancy usually occure before 20 weeks of gestational age without any proteinuria. The prevalence of gestational hypertension is quite high in East Java and Kabupaten Lamongan. According to Dinas Kesehatan Jawa Timur, there were 11.056 pregnant women in East Java with hypertension in January-June 2015 while according to Dinas Kesehatan Kabupaten Lamongan, there were 143 case of gestational hypertension in Lamongan. In addition, at a primary care Puskesmas Sukodadi Lamongan, there were 6 of 389 women (1,5%) observed with gestational hypertension and at a midwifery practise, 2 pregnant women (7,7%) were reported had a high blood pressure. The recent studywas a case study of a pregnant woman with high blood pressure using descriptive analysis method.The results showed that there was no discrepancy between theorethical and practical midwifery care for the patient. Health care providers should be able to recognize the symtomps of gestational hypertention so that it could be treatproperly.Keywords : Pregnancy, Hypertension, Gestational.


2020 ◽  
Vol 22 (11) ◽  
pp. 2004-2013 ◽  
Author(s):  
Takuma Usuzaki ◽  
Mami Ishikuro ◽  
Hirohito Metoki ◽  
Keiko Murakami ◽  
Aoi Noda ◽  
...  

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