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Gyselaers W
Gyselaers W
Belgium
Publications
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Research Article
Optimization of Simple Sphygmomanometric Blood Pressure Measurement in Routine Prenatal Care
Author(s): Vonck S, Oben J, Staelens AS, Lanssens D, Molenberghs G and Gyselaers WVonck S, Oben J, Staelens AS, Lanssens D, Molenberghs G and Gyselaers W
Background: Despite reported early subclinical hypertension of women at risk, blood pressures at threshold 140/90 mm Hg are used today to guide prenatal care. We aim to investigate the most appropriate gestation-specific threshold to measure early gestational blood pressures, allowing for a simple stratification between pregnant women at low/high risk for hypertension. Methods: Singleton pregnancies were selected at Clinic Oost-Limburg, Genk, Belgium. A standard protocol was used to measure systolic (SBP), diastolic (DBP) and mean arterial pressure (MAP) in supine and standing position, by mode of an oscillometric sphygmomanometer around 12 and 20 weeks of gestation. After delivery, outcome was categorized in normotensive or hypertensive pregnancies. In a subgroup, routine blood pressures retrieved from prenatal records were compared to standardized blood pressures. ROC analysis was u.. View More»
DOI: 10.4172/2375-4273.1000185