Treatment of Hypertension in Pregnancy by Relaxation and Biofeedback

Little, BetsyC.; Benson, Pauline; Beard, R. W.; Hayworth, Jane; Hall, Fae; Dewhurst, John; Priest, R. G.

doi:10.1016/s0140-6736(84)91337-0

Cited by 41 publications

(23 citation statements)

References 8 publications

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“…This did not seem to be due to underdiagnosis because the two groups had similar numbers of women with undiagnosed hypertension at admission in labour. Reduction in transient hypertension was expected in general practitioner and midwife care because hospital visits may cause “white coat hypertension.”22 23 The mediating effect of psychosocial factors on diastolic blood pressure has been observed in obstetric studies,24 and a significant reduction in diastolic blood pressure was observed in a randomised controlled trial of companionship during labour 25. However, the result in the general practitioner and midwife group of a reduction in pre-eclampsia (hitherto thought to result from biological factors such as placentation26) is difficult to explain.…”

Section: Discussionmentioning

confidence: 99%

Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians

Tucker

Hall

Howie

et al. 1996

BMJ

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Section: Discussionmentioning

confidence: 99%

Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians

Tucker

Hall

Howie

et al. 1996

BMJ

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“…Physical activity in general and fitness training could be especially useful in women with no contraindications since both are significantly associated with a reduced blood pressure, help to control weight gain, and also improve psychological well-being (Warburton et al 2006). Other promising interventions that are recommended for pregnant women to help reduce blood pressure and improve psychological well-being could be relaxation training (Little et al 1984), yoga (Beddoe et al 2009), and mindfulness-based interventions (Dunn et al 2012). Future studies are required to ascertain if such interventions may help these women to reduce their risk of hypertension and to cope with physical and psychological challenges that are associated with pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Associations of anxiety disorders, depressive disorders and body weight with hypertension during pregnancy

Winkel

Einsle

Pieper

et al. 2014

Arch Womens Ment Health

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The purpose of this study was to prospectively examine the relationships between maternal DSM-IV-TR anxiety disorders, depressive disorders, and body mass index (BMI) with arterial hypertension and blood pressure during pregnancy. In the Maternal Anxiety in Relation to Infant Development (MARI) study, N = 306 women were enrolled in early pregnancy and repeatedly assessed during peripartum period. DSM-IV-TR anxiety and depressive disorders prior to pregnancy, lifetime anxiety/depression liability, and BMI during early pregnancy were assessed with the Composite International Diagnostic Interview for Women (CIDI-V). Based on their prepregnancy status, all participants were assigned to one of the following initial diagnostic groups: no anxiety nor depressive disorder (no AD), pure depressive disorder (pure D), pure anxiety disorder (pure A), and comorbid anxiety and depressive disorder (comorbid AD). Blood pressure measurements were derived from medical records. Arterial hypertension during pregnancy was defined by at least two blood pressure values ≥140 mmHg systolic and/or ≥90 mmHg diastolic. N = 283 women with at least four documented blood pressure measurements during pregnancy were included in the analyses. In this sample, N = 47 women (16.6 %) were identified with arterial hypertension during pregnancy. Women with comorbid AD (reference group: no AD) had a significantly higher blood pressure after adjustment for age, parity, smoking, occupation, household income, and education (systolic: linear regression coefficient [β] = 3.0, 95 % confidence interval [CI] = 0.2-5.7; diastolic, β = 2.3, 95 % CI = 0.1-4.4). Anxiety liability was associated with an increased risk of hypertension (odds ratio [OR] = 1.1, 95 % CI = 1.0-1.3) and a higher systolic blood pressure (β = 0.4, 95 % CI = 0.0-0.7). The adjusted interaction model revealed a significant interaction between the diagnostic group pure A and BMI for hypertension (ORIT = 1.5, 95 % CI = 1.1-2.1). Especially, women with a lifetime history of comorbid anxiety and depression and obese pregnant women with a lifetime history of pure anxiety disorder should be informed about their heightened risk of hypertension, monitored with regular blood pressure measurements, and provided with strategies for prevention and early intervention such as changes in diet and physical activity.

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“…Physiological feedback creates an external loop by which a subject can monitor one or more of one's physiological states and then maintain human organism through his behaviors or adjustments [20]. Numerous clinical reports claimed better results applying physiological feedback in the treatment of hypertension [3,18], cardiac arrhythmia [29], migraine headache [4,23], tension headache [5], anxiety Downloaded by [Northeastern University] at 09:20 03 November 2014 Approaches disorders [12,13], peptic ulcer [30], muscle relaxation [6], asthma [14], incontinence, and elimination of subvocal reading [19]. There are grossly acceptances that physiological feedback training is most effective when combined with audio relaxation and visualization techniques [8,15,22,26].…”

Section: Introductionmentioning

confidence: 99%

Quality Enhancement of Finger Surface Temperature Feedback Through Innovative Design Approaches

Lin

Luh

Jang

2007

Journal of the Chinese Institute of Industrial Engineers

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Due to aggravating competition and living pressure in modern societies, stress syndrome worsens, and somatic dysfunctions or pathological changes arise more obviously and frequently than before. For stress management, physiological feedback or muscle relaxation with physiological feedback monitoring is useful in alleviating stress syndrome and improving mental health. Physiological feedback has been recognized as one of the main treatment modes in behavior therapy, and is widely adopted in clinical practices to date. Among all measures, temperature feedback is most employed by therapists. However, devices suitable for mobile use and daily monitoring, which are critical to training of stress management, are absent. To fulfill such need, a portable temperature feedback apparatus is developed, which is in form of a ring and an innovative design. In this paper, the product design process is addressed as an interdisciplinary approach for new product development and a case study for design integration. Signal analysis and usability test are held to verify functionalities of the ring device. As a result, a new treatment approach integrating the ring device and its concerned systems into group therapy is proposed. With the new design, stress management becomes more viable and distant treatment more feasible.

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Treatment of Hypertension in Pregnancy by Relaxation and Biofeedback

Cited by 41 publications

References 8 publications

Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians

Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians

Associations of anxiety disorders, depressive disorders and body weight with hypertension during pregnancy

Quality Enhancement of Finger Surface Temperature Feedback Through Innovative Design Approaches

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