Blood Pressure Measurement in Pregnancy
Conditions
Brief summary
The aim of the study is to examine the variation in blood pressure between an optimal measurement (according to established guidelines in the literature - per guidelines) and a 'common' measurement (used by nursing teams - per common practice) among women of reproductive age with and without hyperte
Detailed description
Accurate blood pressure measurement is a cornerstone of the diagnosis and management of hypertension. The latest Clinical Practice Guidelines (AHA2020- International Society of Hypertension Global) emphasize several important steps for accurate blood pressure measurement, including choosing the correct cuff size, resting for five minutes, sitting with support for the back, feet flat on the floor, and legs uncrossed, and proper arm positioning (i.e., positioning the midpoint of the cuff at heart level with the arm supported on a table or work surface). Sitting measurements are preferred because of the large amount of data linking blood pressure measurements in this position to health outcomes.
Interventions
PROCEDUREblood pressure measurement
examine the variation in blood pressure between an optimal measurement (according to established guidelines in the literature - per guidelines) and a 'common' measurement (used by nursing teams - per common practice) among women of reproductive age with and without hypertention
Sponsors
Hillel Yaffe Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Women aged 18-40 * Informed consent to participate.
Exclusion criteria
* Inability to cooperate with BP measurement under optimal conditions * Women with complex underlying disease that may bias the data (e.g. significant vasculopathy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean difference in systolic blood pressure (mmHg) between guideline-based and routine clinical measurement | 1 year | Mean difference in systolic blood pressure (mmHg) between guideline-based and routine clinical measurement Description: Systolic blood pressure (SBP) will be measured in each participant using two methods: 1. guideline-based blood pressure measurement performed according to international hypertension guidelines (seated position, appropriate cuff size, arm supported at heart level after ≥5 minutes of rest), and 2. routine clinical blood pressure measurement as performed by nursing staff under usual clinical conditions. The primary outcome will be the within-participant mean difference in SBP (mmHg) between the two measurement methods. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean difference in mean arterial pressure (mmHg) between guideline-based and routine clinical measurement | 1 yaer | Mean arterial pressure (MAP) will be calculated as MAP = (SBP + 2×DBP) / 3 for each measurement method. The outcome will be the within-participant difference between methods |
| Mean difference in diastolic blood pressure (mmHg) between guideline-based and routine clinical measurement | 1 year | As above, for diastolic blood pressure (DBP). |
Countries
Israel
Contacts
Primary ContactIkhlas IM Ammash, M.D
Outcome results
None listed