Population reference and healthy standard blood pressure range charts in pregnancy: findings from the Born in Bradford cohort study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
11 12 2019
Historique:
received: 13 09 2019
accepted: 25 11 2019
entrez: 13 12 2019
pubmed: 13 12 2019
medline: 2 1 2021
Statut: epublish

Résumé

Women who develop gestational hypertension are at increased risk of adverse perinatal and longer-term outcomes. Reference charts may aid early detection of raised blood pressure (BP) and in doing so reduce adverse outcome risk. We used repeated BP measurements to produce 'reference' (whole population) and 'standard' (healthy pregnancies only) gestational-age-specific BP charts for all pregnant women (irrespective of ethnicity) and for White British (WB) and Pakistani (P) women. We included 9218 women recruited to the Born in Bradford study with 74,770 BPs. 19% of the whole population, 11% and 25% of WB and P women respectively were defined as healthy pregnancies. For reference and standard charts, for all women and each ethnic group, SBP/DBP at 12 and 20 weeks gestation was similar before rising at 37 weeks. DBP/SBP of reference charts for all women and for each ethnic group were higher than those of the corresponding standard charts. Compared to WB, P women had lower SBP/DBP at 12, 20 and 37 weeks gestation. To conclude; maternal population BP reference charts are higher compared to standard charts (healthy pregnancies) and are influenced by ethnicity.

Identifiants

pubmed: 31827184
doi: 10.1038/s41598-019-55324-2
pii: 10.1038/s41598-019-55324-2
pmc: PMC6906473
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

18847

Subventions

Organisme : Department of Health
ID : PDF-2014-07-019
Pays : United Kingdom
Organisme : British Heart Foundation
ID : CS/16/4/32482
Pays : United Kingdom
Organisme : Medical Research Council
ID : G0601712
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00011/6
Pays : United Kingdom
Organisme : NIDDK NIH HHS
ID : R01 DK103246
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT101597MA
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K021656/1
Pays : United Kingdom
Organisme : British Heart Foundation
ID : AA/18/7/34219
Pays : United Kingdom

Commentaires et corrections

Type : ErratumIn

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Auteurs

Gillian Santorelli (G)

Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK.

Debbie A Lawlor (DA)

Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK.
MRC Integrated Epidemiology Unit at the University of Bristol, Room OS11, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.
Population Health Science, Bristol Medical School, University of Bristol, First Floor, Senate House, Tyndall Avenue, Bristol, BS8 1TH, UK.

Jane West (J)

Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK.

Derek Tuffnell (D)

Bradford Women's and Newborn Unit, Bradford Royal Infirmary, Bradford, BD9 6RJ, UK.

Diane Farrar (D)

Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK. diane.farrar@bthft.nhs.uk.

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