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Implementation of a home blood pressure monitoring program for the management of hypertensive disorders of pregnancy, an observational study in British Columbia, Canada.
- Source :
-
Obstetric Medicine (1753-495X) . Mar2024, Vol. 17 Issue 1, p22-27. 6p. - Publication Year :
- 2024
-
Abstract
- Background: COVID-19 pandemic has influenced health care delivery. We conducted an observational study to understand how obstetric medicine (ObM) physicians utilized home blood pressure monitoring (HBPM) to manage hypertension in pregnancy. Methods: Pregnant participants with risk factors or diagnosis of hypertensive disorders of pregnancy (HDP) were enrolled, May 2020–December 2021, and provided with validated home blood pressure (BP) monitor. ObM physicians completed questionnaires to elicit how home BP readings were interpreted to manage HDP. Results: We enrolled 103 people: 44 antepartum patients (33.5 ± 5 years, gestational age of 24 ± 5 weeks); 59 postpartum patients (35 ± 6 years, enrolled 6 ± 4 days post-partum). ObM physicians used range of home BP readings (70%) for management of HDP. Conclusions: HBPM to manage HDP is acceptable and can be used to manage hypertension during pregnancy. Further studies are needed to assess the generalizability of our findings and the safety of HBPM reliance alone in management of HDP. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HUMAN services programs
*MATERNAL health services
*PATIENT safety
*CARDIOVASCULAR diseases
*HYPERTENSION
*DISEASE management
*SCIENTIFIC observation
*MEDICAL care
*QUESTIONNAIRES
*DESCRIPTIVE statistics
*HYPERTENSION in pregnancy
*HOME diagnostic tests
*GESTATIONAL age
*PREECLAMPSIA
*BLOOD pressure testing machines
*BLOOD pressure measurement
*COVID-19 pandemic
*PREGNANCY
Subjects
Details
- Language :
- English
- ISSN :
- 1753495X
- Volume :
- 17
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Obstetric Medicine (1753-495X)
- Publication Type :
- Academic Journal
- Accession number :
- 176783865
- Full Text :
- https://doi.org/10.1177/1753495X231172050