Automatic blood pressure monitoring during pregnancy

Abstract

Objective: To study the haemodynamics parameters using 24-hours blood pressure monitoring during pregnancy.

Full Text

Methods: We used 24-hours blood pressure monitoring in 109 pregnant women. Measurement of AP was fulfilled with the device “ABPM-02” (Hungary). The main group: 65 women with pregnancy complications (miscarriages and fetal hypoxya or hypotrophya), 44 women with normal pregnancy (control group).

Results: In the main group the frequency of arterial hypotension were half and twice higher than in control group (68%) and 38% consequently). Day hypotension were noted in 10 (22,7%) patients of the main group and in 5 (29,4%) patients of control group; night hypotension - in II (25%) and 8 (47,1%); mixed hypotension in 23 (52,3%) and in 4 (23,5%) consequently. Normotension diagnosed in 12 (29%) and 25 (57%) patients consequently. The differences between two groups in frequency of hypertension conditions during pregnancy 7 have been found.

Conclusions: Arterial hypotension is met in 2/3 of patients with miscarriages or fetal hypoxya in history and indicates the compensatory mechanisms of utero-placental complex disturbance. Early diagnostics of haemodinamics disturbances before clinical manifestation using 24-hours blood pressure monitoring will help to prevent the placental insufficiency and to form normal utero-placental complex.