Cuff width influence on blood pressure measurement during the pregnant‐puerperal cycle

Oliveira, Sonia Maria Junqueira Vasconcellos de; Arcuri, Edna Apparecida Moura; Santos, Jair Lício Ferreira

doi:10.1046/j.1365-2648.2002.02162.x

Cited by 20 publications

(30 citation statements)

References 39 publications

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“…BP was measured by our medical staff with a manual mercury sphygmomanometer and an appropriate-sized cuff (length of 1.5 times the circumference of the arm) was used. It is well known that the use of a standard cuff width 50 or of automated oscillometric devices 51 underestimate BP of pregnant women and may affect the correct evaluation of BP during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Additive value of standard ECG for the risk prediction of hypertensive disorders during pregnancy

Angeli

Verdecchia²,

Narducci

et al. 2011

Hypertens Res

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Prediction of hypertensive complications during pregnancy remains limited, especially in healthy and initially normotensive women. We conducted a prospective screening study for hypertensive complications in pregnant women. We studied 221 nulliparous healthy and normotensive women with singleton pregnancies whose first routine visit was carried out before the twelfth week of gestation. We tested several demographic, clinical and laboratory variables as predictors of a composite pool of prespecified events, including gestational hypertension, preeclampsia or eclampsia. We analyzed the potential additive role of ECG in the identification of women at increased risk of hypertensive disorders. Mean age at entry was 30 years. During pregnancy, there were 28 prespecified events (22 women with gestational hypertension, 5 with preeclampsia and 1 with eclampsia). In univariate analyses, blood pressure (BP), weight, body mass index (BMI) and left atrial (LA) abnormality detected by ECG in lead V 1 showed an association with the risk of hypertensive disorders (all Po0.05). In a multivariable analysis, only mean BP (OR: 3.08, 95% confidence interval (CI): 1.61-5.92; P¼0.001 for each 10 mm Hg increase) and LA abnormality in lead V 1 (OR: 4.35, 95% CI: 1.84-10.31; P¼0.001) were independent predictors of hypertensive disorders. The final model discriminated well between women who developed hypertensive disorders and women who remained normotensive (AUC¼0.75; 95% CI: 0.67-0.84; Po0.0001). This study suggests that standard ECG is valuable to refine risk stratification for hypertensive disorders in initially normotensive pregnant women. LA abnormality, easily detected by simple visual inspection of the traditional ECG, and mean arterial pressure (MAP), allows a rapid and effective risk stratification for hypertensive disorders.

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Section: Discussionmentioning

confidence: 99%

Additive value of standard ECG for the risk prediction of hypertensive disorders during pregnancy

Angeli

Verdecchia²,

Narducci

et al. 2011

Hypertens Res

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“…In lean women, it was underestimated, on average, 23 mmHg SBP and 20 mmHg DBP. The results indicated BP underestimation when measured with conventional cuff, with greater underestimation in lean women (13) . In the second study, two BP readings were obtained, one quickly and the other with suitable lowering of mercury.…”

Section: Resultsmentioning

confidence: 87%

“…The primary studies included in this review suggest as recommendations: BP measurement with appropriate cuff for AC (13) ; slow speed deflation of the mercury column (≤2 mmHg) to obtain more reliable and more precise results in the diagnosis (14) , early identification and drug treatment of hypertensive crisis through institutional protocols (15) . The Association of Women's Health, Obstetric and Neonatal Nurses in the United States and Canada -AWHONN released a clinical protocol focused on the diagnosis of hypertensive disorders.…”

Section: Discussionmentioning

confidence: 99%

Nursing care for women with pre-eclampsia and/or eclampsia: integrative review

Ferreira

Silveira²,

Silva

et al. 2016

Rev. esc. enferm. USP

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Objective: To analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia. Methods: Integrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO. Results: The sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals. We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes. Conclusion: Women with pre-eclampsia and/or eclampsia require specific nursing care, which must be guided by care protocols based on scientific evidence.

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“…Outros pesquisadores (22) relataram que 80,5% das gestantes abordadas em seus estudos utilizaram manguitos menores que o padrão.…”

Section: Resultsunclassified

“…As diferenças encontradas entre nossos resultados e os de outros autores (16)(17)(18)(19)(20)(21)(22) , podem estar relacionadas às peculiaridades de cada população. Além disso, no atual estudo foram usados manguitos de largura 8, 9, 12 e 15 cm, enquanto os autores citados utilizaram manguitos com largura variando de 1 em 1 cm, a partir de 8 cm.…”

Section: Resultsunclassified

Fatores associados à hipertensão arterial e níveis pressóricos encontrados entre adolescentes trabalhadores

Spinella

Lamas

2007

Rev. esc. enferm. USP

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O objetivo deste trabalho foi identificar fatores associados (FA) à hipertensão arterial e verificar níveis pressóricos de adolescentes trabalhadores. Foram entrevistados 193 adolescentes, sendo 135 homens e 58 mulheres, entre 16 e 18 anos. Após cinco minutos sentados, mediu-se a circunferência braquial e determinou-se a pressão arterial (PA), usando manguito de largura correta (MLC) e padrão (MLP). Os valores obtidos foram relacionados aos FA encontrados. As médias pressóricas, considerando todos os adolescentes, foram 105,2/60,9 mmHg (MLC) e 101,0/57,9 (MLP-p<0,05). Dentre os FA encontrados, apenas a cor e a ingestão de bebidas alcoólicas foram associadas ao aumento da PA. O uso do MLC permitiu a detecção de maior número de hipertensos e limítrofes que o uso do MLP. Todos apresentaram FA. Pode-se concluir que há vários FA com hipertensão arterial nessa população, alguns deles já causando elevação da PA. Estudos como este deveriam ser realizados freqüentemente entre adolescentes, pois seus níveis pressóricos podem pre-dizer hipertensão na fase adulta.

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Cuff width influence on blood pressure measurement during the pregnant‐puerperal cycle

Abstract: Our findings showed that the SCW underestimates BP of pregnant women. Our hypothesis is that such underestimation may lead to the misdiagnosis of pre-eclampsia, particularly in lean pregnant women.

Cited by 20 publications

References 39 publications

Additive value of standard ECG for the risk prediction of hypertensive disorders during pregnancy

Additive value of standard ECG for the risk prediction of hypertensive disorders during pregnancy

Nursing care for women with pre-eclampsia and/or eclampsia: integrative review

Fatores associados à hipertensão arterial e níveis pressóricos encontrados entre adolescentes trabalhadores

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