RESUMO
OBJECTIVES: To assess the diagnosis and prognosis of white coat hypertension (WCH) as detected by home blood pressure (HBP) monitoring measured telemetrically in pregnant women with recently discovered hypertension. METHODS: 57 women evaluated using HBP monitoring. RESULTS: The prevalence of WCH was high (76%). Telemetry was necessary as obstetricians were alerted for 8.8% of women. Birth weight was higher in infants born to women with WCH (3571 g vs. 3045 g, p = 0.05). Ninety-eight percent of HBP results were validated. 92% of the women found HBP monitoring to be very easy. CONCLUSION: In this population, WCH is very common and benign. HBP monitoring is feasible and well accepted. However, teletransmission is necessary for safety.
Assuntos
Monitorização Ambulatorial da Pressão Arterial , Hipertensão Induzida pela Gravidez/diagnóstico , Monitorização Ambulatorial da Pressão Arterial/economia , Redução de Custos , Feminino , França/epidemiologia , Humanos , Hipertensão Induzida pela Gravidez/epidemiologia , Gravidez , Prevalência , Prognóstico , TelemetriaRESUMO
To determine values for home blood pressure (HBP) during pregnancy, nurses taught 45 healthy pregnant women to use a HBP method for 1 week before 15 weeks of gestation, between weeks 15 and 27, and after 28 weeks for the last 3 months of gestation. HBP values were significantly lower during the second trimester and higher during the last trimester (102 +/- 8/59 +/- 7*, 101 +/- 8/57 +/- 8*, 105 +/- 8*/62 +/- 9* mm Hg;*P< 0.05) than during other trimesters. Heart rate increased significantly during the pregnancy. The present study suggests upper limits for HBP: 118/73, 117/73, and 121/80 mm Hg, respectively during the 3-month gestational periods. These findings may be helpful in providing clinicians with comparative values so as begin to establish reference values for HBP during pregnancy.
