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Type: Journal article
Title: Blood pressure measurement in pregnancy - a survey of methods used in teaching hospitals in South Australia
Author: Duggan, P.
Miller, J.
Citation: Australian and New Zealand Journal of Obstetrics and Gynaecology, 1998; 38(2):197-199
Publisher: WILEY
Issue Date: 1998
ISSN: 0004-8666
Statement of
P.M. Duggan, J. Miller
Abstract: A voluntary, anonymous 10-point multiple choice questionnaire was used to assess variability in methods used to measure blood pressure in pregnancy in 5 South Australian teaching hospitals. Medical and midwifery staff working in maternity units attached to teaching hospitals in South Australia were asked to complete a survey of their current practice related to the measurement of blood pressure in pregnant women; 213 replies were received from 440 surveyed (48% response rate). There was a lack of standardization of practice for: positioning of the patient, use of the 4th or 5th Korotkoff sound for diastolic blood pressure, cuff selection, rounding of the measurement, selection of the left or right arm, and period of premeasurement resting. Systematic errors averaging 10-15 mmHg can be expected in measurement of blood pressure in pregnancy due to failure of standardization of method. There is a need for standardization of method which is not being met by present methods of staff training in teaching hospitals.
Keywords: Humans; Observer Variation; Blood Pressure Determination; Prenatal Care; Sensitivity and Specificity; Pregnancy; Sound; Adult; Infant, Newborn; Hospitals, Teaching; South Australia; Female
RMID: 0030005332
DOI: 10.1111/j.1479-828X.1998.tb03001.x
Appears in Collections:Obstetrics and Gynaecology publications

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