Mikami Yukiko, Takai Yasushi, Era Sumiko, Ono Yoshihisa, Saitoh Masahiro, Baba Kazunori, Suzuki Hiromichi, Seki Hiroyuki
1 Department of Obstetrics and Gynaecology, Saitama Medical Centre, Saitama Medical University, Japan.
2 Department of Nephrology, 439998 Musashino Tokushukai Hospital , Japan.
J Int Med Res. 2018 Apr;46(4):1496-1504. doi: 10.1177/0300060517727683. Epub 2018 Jan 19.
Objectives To evaluate home blood pressure (HBP) measurements during pregnancy and postpartum and investigate differences between singleton and twin pregnancies. Methods This prospective study involved normotensive, pregnant women who were planning to give birth at Saitama Medical Centre, Saitama, Japan between September 2013 and March 2017. HBP and pulse rate were measured twice daily and clinical blood pressure values were determined from patient records. Results HBP values were available from 101 participants; 69 women with singleton and 32 women with twin pregnancies. Systolic BP was statistically significantly higher in twin pregnancies from 23 weeks of gestation until 8 weeks after delivery compared with singleton pregnancies. Pulse rate was also statistically significantly higher between 11 and 30 weeks gestation in women with twin pregnancies compared with those with singleton pregnancies. Conclusions BP monitoring is important in the management of twin pregnancies, especially during the later gestational weeks and postpartum period and HBP would facilitate this monitoring.
目的 评估孕期和产后的家庭血压（HBP）测量情况，并调查单胎妊娠和双胎妊娠之间的差异。方法 这项前瞻性研究纳入了2013年9月至2017年3月期间计划在日本埼玉医科中心分娩的血压正常的孕妇。每天测量两次HBP和脉搏率，并从患者记录中确定临床血压值。结果 101名参与者提供了HBP值；69名单胎妊娠女性和32名双胎妊娠女性。与单胎妊娠相比，双胎妊娠从妊娠23周直到产后8周收缩压在统计学上显著更高。与单胎妊娠女性相比，双胎妊娠女性在妊娠11至30周期间脉搏率在统计学上也显著更高。结论 血压监测在双胎妊娠管理中很重要，尤其是在妊娠后期和产后阶段，而家庭血压将有助于这种监测。
