Repository of Research and Investigative Information

Repository of Research and Investigative Information

Larestan University of Medical Sciences

Ambulatory blood pressure monitoring in pregnancy; does it influence our practice?

(2019) Ambulatory blood pressure monitoring in pregnancy; does it influence our practice? Nephro-Urology Monthly. ISSN 22517006 (ISSN)

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Abstract

Background: Maternal hypertensive disorder is a well-known medical problem during pregnancy and is associated with morbidity and mortality. Out-of-office blood pressure (BP) measurement has been widely used but the importance of detecting white coat hypertension (WCH) is still a topic for debate. Objectives: The aim of this study was to determine the prevalence of WCH in high-risk pregnant women. Methods:We included 56 pregnant women with in-office higher-than-normal BP without previous history of HTN to assess their BP using 24-hour ambulatory blood pressure monitoring (ABPM). Results: The mean age of the participants was 31.61±5.42 years (n = 56) and the majority in the second or third trimesters. Hypertension was detected in 55.4 using 24-hour ABPM. Twenty-five patients (44.6) had WCH, 60 of whom were in the third trimester. There was a significant difference in the incidence of WCH between women younger than 30 and older individuals (P = 0.041). The mean age was 33.13±5.16 years in patients with true HTN and 29.72±5.22 years in WCH patients (P = 0.018). Conclusions: The prevalence of WCH in pregnancy is noteworthy. Regarding its favorable outcome, this might be a heads-up to avoid unnecessary medication during pregnancy and be concise about defining HTN in this population. © 2019, Kowsar Corp. All rights reserved.

Item Type: Article
Keywords: ABPM Blood Pressure Monitoring Hypertension Office Hypertension Pregnancy White Coat Hypertension
Divisions: Education Vice-Chancellor Department > Faculty of Nursing and Midwifery > Department of Nursing
Journal or Publication Title: Nephro-Urology Monthly
Journal Index: Scopus
Volume: 11
Number: 2
Identification Number: https://doi.org/10.5812/numonthly.93157
ISSN: 22517006 (ISSN)
Depositing User: خانم موهبت شیوخی
URI: http://eprints.larums.ac.ir/id/eprint/194

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