Ngene Nnabuike C, Moodley Jagidesa
Department of Obstetrics and Gynaecology, University of KwaZulu-Natal, Durban, South Africa. Email:
Department of Obstetrics and Gynaecology, University of KwaZulu-Natal, Durban, South Africa.
Cardiovasc J Afr. 2019;30(2):120-129. doi: 10.5830/CVJA-2018-067. Epub 2019 Jan 23.
Measurement of blood pressure is essential for clinical management of patients. To obtain an accurate blood pressure reading, the use of a validated device and an appropriate technique are required. This is of particular importance in pregnancy where the physiological changes affect vessel wall compliance. Moreover, currently it is difficult to predict in early pregnancy (prior to 20 weeks of gestation) which women would develop hypertension or pre-eclampsia. For this reason, blood pressure devices require validation in pregnancy and in hypertensive disorders of pregnancy to ensure that accurate readings are obtained and utilised for clinical decisions, otherwise the safety of the mother or the foetus/neonate or both may be compromised. The authors provide a narrative review on devices and techniques for blood pressure measurement in pregnancy and hypertensive disorders of pregnancy as well as the associated challenges.
血压测量对于患者的临床管理至关重要。为获得准确的血压读数，需要使用经过验证的设备并采用适当的技术。这在妊娠期尤为重要，因为生理变化会影响血管壁顺应性。此外，目前很难在妊娠早期（妊娠20周之前）预测哪些女性会发生高血压或先兆子痫。因此，血压测量设备需要在妊娠期和妊娠高血压疾病中进行验证，以确保获得准确读数并用于临床决策，否则母亲或胎儿/新生儿或两者的安全可能会受到影响。作者对妊娠期和妊娠高血压疾病中血压测量的设备、技术以及相关挑战进行了叙述性综述。
