Cochrane · systematic review · CD012739
Setting and techniques for monitoring blood pressure during pregnancy
Ashworth, DC, Maule, SP, Stewart, F, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
45
current version
GRADE rated
10
No studies
33
Included studies
NR
No studies 33 · 73.3%Ungraded 2 · 4.4%Very low 0 · 0%Low 10 · 22.2%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Setting of BP measurement: self‐measurement versus conventional clinic measurement
Population: pregnant women with chronic or gestational hypertension
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal outcomes Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Systolic BP ≥ 150 mmHg Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Maternal death Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | 1 study · 154 participants | Ungraded |
Pre‐eclampsia Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.49 [0.87, 2.54] | 1 study · 154 participants | Low Downgraded: imprecision |
Number of antenatal hospital admissions Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Maternal admission to intensive care Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.54 [0.06, 37.25] | 1 study · 154 participants | Low Downgraded: imprecision |
Induction of labour Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.09 [0.82, 1.45] | 1 study · 154 participants | Low Downgraded: imprecision |
Neonatal outcomes Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Stillbirth (death after 24 weeks inutero) Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 2.57 [0.13, 52.63] | 1 study · 154 participants | Low Downgraded: imprecision |
Neonatal death Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.54 [0.06, 37.25] | 1 study · 154 participants | Low Downgraded: imprecision |
Perinatal mortality Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Preterm birth (birth before 34 completed weeks' gestation) Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.15 [0.37, 3.55] | 1 study · 154 participants | Low Downgraded: imprecision |
Neonatal unit admission Setting of BP measurement: self‐measurement vs conventional clinic measurement | RR 1.53 [0.65, 3.62] | 1 study · 154 participants | Low Downgraded: imprecision |
Neonatal unit length of stay Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Neonatal endotracheal intubation and use of mechanical ventilation Setting of BP measurement: self‐measurement vs conventional clinic measurement | no estimate extracted | NR | No studies |
Technique of BP measurement: Korotkoff phase IV versus Korotkoff phase V to represent diastolic BP
Population: pregnant women with diastolic hypertension
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal outcomes Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Systolic BP ≥ 150 mmHg Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Maternal death Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | 1 study · 220 participants | Ungraded |
Pre‐eclampsia Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | RR 1.16 [0.89, 1.49] | 1 study · 220 participants | Low Downgraded: imprecision |
Number of antenatal hospital admissions Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Maternal admission to intensive care Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Induction of labour Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Neonatal outcomes Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Stillbirth Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Neonatal death Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Perinatal mortality Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | RR 1.14 [0.16, 7.92] | 1 study · 220 participants | Low Downgraded: imprecision |
Preterm birth Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Neonatal unit admission Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Neonatal unit length of stay Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Neonatal endotracheal intubation and use of mechanical ventilation Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP | no estimate extracted | NR | No studies |
Technique of BP measurement: CRADLE intervention versus usual care
Population: pregnant women, or those within 42 days of delivery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal outcomes Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Systolic BP ≥ 150 mmHg Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Maternal death Technique of BP measurement: CRADLE intervention vs usual care | RR 0.8 [0.3, 2.11] | 1 study · 536233 participants | Low Downgraded: imprecision, indirectness |
Pre‐eclampsia Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Number of antenatal hospital admissions Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Maternal admission to intensive care Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Induction of labour Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Neonatal outcomes Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Stillbirth Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Neonatal death Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Perinatal mortality Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Preterm birth Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Neonatal unit admission Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Neonatal unit length of stay Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |
Neonatal endotracheal intubation and use of mechanical ventilation Technique of BP measurement: CRADLE intervention vs usual care | no estimate extracted | NR | No studies |