Ambulatory Blood Pressure Monitoring in Pregnancy; Does It Influence Our Practice?
| Author | Mohammad Taghi Najafi | en |
| Author | Samira Salehi | en |
| Author | Azam Alamdari | en |
| Author | Neda Naderi | en |
| Orcid | Mohammad Taghi Najafi [0000-0002-2383-9402] | en |
| Orcid | Azam Alamdari [0000-0002-5319-8183] | en |
| Orcid | Neda Naderi [0000-0002-9117-9610] | en |
| Issued Date | 2019-05-19 | en |
| 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. | en |
| DOI | https://doi.org/10.5812/numonthly.93157 | en |
| Keyword | Hypertension | en |
| Keyword | Pregnancy | en |
| Keyword | ABPM | en |
| Keyword | Office Hypertension | en |
| Keyword | Blood Pressure Monitoring | en |
| Keyword | White Coat Hypertension | en |
| Publisher | Brieflands | en |
| Title | Ambulatory Blood Pressure Monitoring in Pregnancy; Does It Influence Our Practice? | en |
| Type | Research Article | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- num-11-2-93157.pdf
- Size:
- 108.36 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF