Blood pressure assessments in different subtypes of hypertensive pregnant women: office versus home patient- or nurse-measured blood pressure.
OBJECTIVE
To explore the difference between distinct methods of assessing blood pressure (BP) in pregnant women with different hypertensive disorders.


METHODS
We compared office BP to home patient- and nurse-measured diastolic BP in pregnant women with essential chronic hypertension (CH), preeclampsia (PE) and isolated hypertension (IOH).


RESULTS
Office BP was lower or similar to home patient- and nurse-measured BP in women with CH. Office BP was higher than home patient-measured BP in women with PE and in women with IOH (p < 0.0001). Nurse-measured BP was higher than patient-measured BP in women with PE (p < 0.01).


CONCLUSIONS
BP assessments in women with PE are significantly influenced by the environment, which should be considered in managing these women.
CHU Sainte-Justine, Obstetrics and Gynecology, Montreal, Quebec, Canada. evelyne_rey@ssss.gouv.qc.ca
Evelyne
E
Rey
Francine
F
Morin
Jocelyne
J
Boudreault
Francine
F
Pilon
Dominique
D
Vincent
Doris
D
Ouellet
D000328:Adult; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006771:Hospitals, Maternity; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis* / Q000503:physiopathology; D009773:Obstetric Nursing; D011247:Pregnancy; D011446:Prospective Studies; D012648:Self Care