Journal article
Current prevalence of self-monitoring of blood pressure during pregnancy: the BUMP Survey
- Abstract:
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OBJECTIVE: To understand the current prevalence of, and attitudes to, self-monitoring of blood pressure (BP) during pregnancy.
METHODS: 5555 pregnant women from antenatal clinics in 16 hospitals in England were invited to complete a survey.
MAIN OUTCOME MEASURES: The primary outcome was the proportion of women currently BP self-monitoring. Secondary outcomes included self-monitoring schedules and women’s interactions with clinicians regarding self-monitoring. Population characteristics including risk factors for pre-eclampsia, ethnicity and deprivation level were considered.
RESULTS: Completed surveys were received and analysed from 5181 pregnant women (93% response rate). Comparison to hospital demographic data suggests that respondents were representative of the UK population. 983/5181 (19%) of women were currently self-monitoring their BP, comprising 189/389 (49%) hypertensive women and 794/4792 (17%) normotensive women. However, only 482/983 (49%) reported ever sharing this information with antenatal care teams. Of those who self-monitored, 68% (668/983) were able to provide a previous BP reading, compared to 1% (67/5181) of those who did not self-monitor.
CONCLUSION: Many women are now choosing to self-monitor their BP during pregnancy and clinicians should enquire about this proactively and consider providing better information on BP monitoring. Those who self-monitor appear to have better knowledge about their blood pressure. If these findings were replicated nationwide, around 125,000 pregnant women would be currently self-monitoring BP in the UK, yet only half of these women may communicate their readings to their antenatal care teams, suggesting a missed opportunity for enhanced care. Current trials will make the place of self-monitoring in pregnancy clearer.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Accepted manuscript, 340.4KB, Terms of use)
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- Publisher copy:
- 10.1097/HJH.0000000000002734
Authors
- Publisher:
- Lippincott, Williams & Wilkins
- Journal:
- Journal of Hypertension More from this journal
- Volume:
- 39
- Issue:
- 5
- Pages:
- 994-1001
- Publication date:
- 2021-04-07
- Acceptance date:
- 2020-11-10
- DOI:
- EISSN:
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1473-5598
- ISSN:
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0263-6352
- Language:
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English
- Keywords:
- Pubs id:
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1141541
- Local pid:
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pubs:1141541
- Deposit date:
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2020-11-10
Terms of use
- Copyright holder:
- Wolters Kluwer Health
- Copyright date:
- 2021
- Rights statement:
- © 2021 Wolters Kluwer Health, Inc. All rights reserved.
- Notes:
- This is the accepted manuscript version of the article. The final version is available online from Lippincott, Williams and Wilkins at: http://dx.doi.org/10.1097/HJH.0000000000002734
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