Tran K C, Potts J, Robertson J, Ly K, Dayan N, Khan N A, Chan W
Department of Medicine, Division of General Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada.
Obstet Med. 2020 Mar;13(1):20-24. doi: 10.1177/1753495X18819338. Epub 2019 Jan 13.
Multiple hypertension guidelines recommend out-of-office measurements for the diagnosis of hypertension in non-pregnant adults, whereas pregnancy guidelines recommend in-office blood pressure measurements. The objective of our study was to determine how Canadian Obstetric Medicine and Maternal Fetal Medicine specialists measure blood pressure in pregnancy.
An email survey was sent to 69 Canadian Obstetric Medicine and Maternal Fetal Medicine specialists in academic centers across Canada to explore the practice patterns of blood pressure measurement in pregnant women.
The response rate was 48%. The majority of respondents (63.6%) preferred office blood pressure measurement for diagnosing hypertension, but relied on home blood pressure readings for ongoing monitoring and management of hypertension during pregnancy (59.4%). The preferred method of out-of-office blood pressure measurement was home monitoring; 24-hour ambulatory blood pressure monitoring was not used due to limited availability and cost.
There is wide practice variation in methods of measuring blood pressure among Canadian specialists managing hypertension in pregnancy.
多项高血压指南推荐在非妊娠成人中进行诊室外测量以诊断高血压，而妊娠指南则推荐诊室内血压测量。我们研究的目的是确定加拿大产科医学和母胎医学专家如何测量妊娠期血压。
向加拿大各地学术中心的69位加拿大产科医学和母胎医学专家发送电子邮件调查，以探讨孕妇血压测量的实践模式。
回复率为48%。大多数受访者（63.6%）更倾向于在诊室测量血压以诊断高血压，但在妊娠期高血压的持续监测和管理中依赖家庭血压读数（59.4%）。诊室外血压测量的首选方法是家庭监测；由于可用性有限和成本问题，未使用24小时动态血压监测。
在加拿大管理妊娠期高血压的专家中，血压测量方法存在广泛的实践差异。
