Is there a role for ambulatory blood pressure monitoring in pregnancy?

Is there a role for ambulatory blood pressure monitoring in pregnancy?

Ambulatory blood pressure monitoring is a better predictor than conventional BP for the development of pre-eclampsia and fetal growth restriction, but it is not sensitive or specific enough to be recommended for these purposes in routine practice.

At what blood pressure should you go to the hospital when pregnant?

Your blood pressure is high if it is 140/90 mm Hg or higher. Some women with high blood pressure have headaches, vision changes, upper abdominal pain, or swelling in their hands or face. Call your doctor right away if you have any of these symptoms, especially in the second half of your pregnancy or after delivery.

How often should blood pressure be checked during pregnancy?

How often should blood pressure be checked during pregnancy? Your obstetrician–gynecologist (ob-gyn) should check your blood pressure at each prenatal care visit. Blood pressure changes often during the day. If you have one high reading, another reading may be taken later during your office visit.

What is the management of gestational hypertension?

Intravenous (IV) labetalol and hydralazine have long been considered first-line medications for the management of acute-onset, severe hypertension in pregnant women and women in the postpartum period. Available evidence suggests that oral nifedipine also may be considered as a first-line therapy.

What BP is too high in pregnancy?

A blood pressure that is greater than 130/90 mm Hg or that is 15 degrees higher on the top number from where you started before pregnancy may be cause for concern. High blood pressure during pregnancy is defined as 140 mm Hg or higher systolic, with diastolic 90 mm Hg or higher.

How do you monitor blood pressure during pregnancy?

During pregnancy, your provider checks your blood pressure and urine at every prenatal care checkup. She may use ultrasound and fetal heart rate testing to check your baby’s growth and health. Your provider may ask you to check your blood pressure at home and do kick counts to see when and how often your baby moves.

How do you maintain high blood pressure during pregnancy?

Some ways to lower the risk of high blood pressure during pregnancy include:

1. limiting salt intake.
2. staying hydrated.
3. eating a balanced diet that is rich in plant-based foods and low in processed foods.
4. getting regular exercise.
5. getting regular prenatal checkups.
6. avoiding smoking cigarettes and drinking alcohol.

What are the diagnostic criteria for gestational hypertension?

Gestational hypertension is defined as a systolic blood pressure 140 mm Hg or more or a diastolic blood pressure of 90 mm Hg or more, or both, on two occasions at least 4 hours apart after 20 weeks of gestation, in a woman with a previously normal blood pressure (21).

Is there a NICE guideline for antenatal care?

Antenatal care for uncomplicated pregnancies | Guidance | NICE This guideline has been updated and replaced by NICE guideline NG201 Home NICE Guidance Published Guidance Antenatal care for uncomplicated pregnancies Clinical guideline [CG62]Published: 26 March 2008Last updated: 04 February 2019

When to use an ambulatory blood pressure monitor?

People with suspected hypertension (high blood pressure) are offered ambulatory blood pressure monitoring (which involves wearing a blood pressure monitor during their normal waking hours) to confirm whether or not they have hypertension.

What should my blood pressure be in the clinic?

For a clinic blood pressure of 160/100 mmHg or higher, the corresponding ABPM daytime average or HBPM average blood pressure is 150/95 mmHg or higher. [NICE’s guideline on hypertension in adults, terms used in this guideline]

How is ABPM used to diagnose high blood pressure?

Commissioners ensure they commission services that offer ABPM to confirm a diagnosis of hypertension. People with suspected hypertension (high blood pressure) are offered ambulatory blood pressure monitoring (which involves wearing a blood pressure monitor during their normal waking hours) to confirm whether or not they have hypertension.