Language:

Association of three different techniques to measure blood pressure in the first trimester with the development of hypertensive disorders of pregnancy

Acta obstetricia et gynecologica Scandinavica, 2013-01, Vol.92 (1), p.53-60 [Peer Reviewed Journal]

2013 The Authors © 2013 Nordic Federation of Societies of Obstetrics and Gynecology ;2014 INIST-CNRS ;2013 The Authors © 2013 Nordic Federation of Societies of Obstetrics and Gynecology. ;ISSN: 0001-6349 ;EISSN: 1600-0412 ;DOI: 10.1111/j.1600-0412.2012.01510.x ;PMID: 22881432 ;CODEN: AOGSAE

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Association of three different techniques to measure blood pressure in the first trimester with the development of hypertensive disorders of pregnancy
Author: VOLLEBREGT, KARLIJN CORIEN ; BOER, KEES ; VAN DER POST, JORIS A. M. ; WOLF, HANS
Subjects: Adult ; Ambulatory blood pressure monitoring ; Analysis of Variance ; Arterial hypertension. Arterial hypotension ; Automation ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Blood Pressure Determination - methods ; Blood Pressure Monitoring, Ambulatory - methods ; Cardiology. Vascular system ; Chi-Square Distribution ; Confidence intervals ; continuous finger arterial pressure waveform registration ; Diseases of mother, fetus and pregnancy ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Hypertension ; Hypertension, Pregnancy-Induced - diagnosis ; Medical sciences ; Netherlands ; Pre-Eclampsia - diagnosis ; Preeclampsia ; Pregnancy ; Pregnancy Outcome ; Pregnancy Trimester, First ; Pregnancy. Fetus. Placenta ; Prospective Studies ; ROC Curve ; Sphygmomanometers
Is Part Of: Acta obstetricia et gynecologica Scandinavica, 2013-01, Vol.92 (1), p.53-60
Description: Objective It is not known whether automated devices for measuring blood pressure perform better than conventional sphygmomanometry in predicting preeclampsia. This study compares two different automated devices with conventional sphygmomanometry for their association with development of preeclampsia or gestational hypertension. Design Prospective observational cohort study. Setting University hospital, Amsterdam, the Netherlands. Population 289 healthy normotensive women of whom 235 were nulliparous and 44 parous with preeclampsia in a previous pregnancy. Methods At 8–11 weeks of pregnancy, blood pressure was measured with two different automated devices (continuous finger arterial pressure waveform registration and ambulatory blood pressure monitoring) and with conventional sphygmomanometry. Main outcome measures Preeclampsia and gestational hypertension. Results Blood pressure in the first trimester, as measured with all three methods, was significantly higher in women who developed preeclampsia or gestational hypertension. After adjustment for previous preeclampsia, the point estimate of the odds ratios for association with later preeclampsia for both automated devices were comparable and higher than for conventional sphygmomanometry; however, differences were not statistically significant. The odds ratio (95% confidence intervals) for every 1 mmHg pressure increase of mean arterial pressure was 1.08 (1.02–1.15) for sphygmomanometry, 1.17 (1.09–1.27) for finger arterial pressure waveform registration, and 1.17 (1.07–1.27) for ambulatory blood pressure monitoring. Results were comparable if preeclampsia and gestational hypertension were analyzed together. Conclusion Blood pressure in the first trimester was associated with the development of hypertensive disorders of pregnancy. No significant differences were found between measurements by automatic devices compared with conventional sphygmomanometry.
Publisher: Oxford, UK: Blackwell Publishing Ltd
Language: English;French;German
Identifier: ISSN: 0001-6349
EISSN: 1600-0412
DOI: 10.1111/j.1600-0412.2012.01510.x
PMID: 22881432
CODEN: AOGSAE
Source: Journals@Ovid Open Access Journal Collection Rolling
MEDLINE
Alma/SFX Local Collection

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Association of three different techniques to measure blood pressure in the first trimester with the development of hypertensive disorders of pregnancy

2013 The Authors © 2013 Nordic Federation of Societies of Obstetrics and Gynecology ;2014 INIST-CNRS ;2013 The Authors © 2013 Nordic Federation of Societies of Obstetrics and Gynecology. ;ISSN: 0001-6349 ;EISSN: 1600-0412 ;DOI: 10.1111/j.1600-0412.2012.01510.x ;PMID: 22881432 ;CODEN: AOGSAE

Searching Remote Databases, Please Wait