Out of Office Blood Pressure Measurement in Pregnancy and the Postpartum Period

Curr Hypertens Rep. 2018 Oct 25;20(12):101. doi: 10.1007/s11906-018-0901-z.

Abstract

Purpose: Hypertensive disorders of pregnancy are increasing in prevalence and associated with significant maternal and perinatal morbidity and mortality.

Recent findings: Increased emphasis has been placed recently on the use of out-of-office (i.e., home and ambulatory) blood pressure (BP) monitoring to diagnose and manage hypertension in the general population. Current guidelines offer limited recommendations on the use of out-of-office BP monitoring during pregnancy and postpartum. This review will discuss the recent literature on BP measurement outside of the office and its use for screening, diagnosis, and treatment in pregnancy and postpartum, and will illuminate areas for future research.

Keywords: Ambulatory blood pressure; Home blood pressure; Hypertensive disorder of pregnancy; Post-partum hypertension; Preeclampsia.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Blood Pressure Monitoring, Ambulatory / methods*
  • Disease Management
  • Female
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / physiopathology
  • Postpartum Period / physiology*
  • Pre-Eclampsia* / diagnosis
  • Pre-Eclampsia* / etiology
  • Pre-Eclampsia* / prevention & control
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / diagnosis
  • Pregnancy Complications, Cardiovascular* / physiopathology