| Autor: |
David J. Taylor, Aidan Halligan, Michael de Swiet, Andrew H. Sherman |
| Rok vydání: |
1996 |
| Předmět: |
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| Zdroj: |
Current Obstetrics & Gynaecology. 6:24-29 |
| ISSN: |
0957-5847 |
| Popis: |
Hypertensive disorders of pregnancy continue to be an important cause of both maternal and perinatal mortality and morbidity, and are a significant drain on patient and health service resources. Blood pressure measurement is pivotal to the diagnosis and management of hypertensive disorders. However, current conventional methods of blood pressure assessment during pregnancy are associated with a high number of false positive and false negative diagnoses. Errors inherent in conventional sphygmomanometer measurements may lead to unreliable measurements of antenatal blood pressure. Automated ambulatory blood pressure monitoring addresses both the level of blood pressure and its variations and recognises that these can only be described adequately by taking a large number of measurements in the patient's everyday surroundings. Automated blood pressure measurement will be of value in this setting only if it improves current management by focusing resources on truly hypertensive pregnancies, and achieves equivalent outcomes with fewer resources and less disruption for patients. Ambulatory blood pressure monitoring may significantly reduce the total number of in-patient antenatal admissions, with obvious social and economic benefits. It may also provide a tool which will more appropriately direct clinical action to those designated at risk. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect