Automated blood pressure measurement as a predictor of proteinuric pre-eclampsia


Correspondence: Mr A. W. F. Halligan, University of Leicester, Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LX, UK.


Objectives To investigate the relation between antenatal clinic, obstetric day unit and 24-hour ambulatory blood pressure measurements and 24-hour proteinuria levels in hypertensive pregnancies.

Design An observational study.

Participants Forty-eight women presenting with new hypertension after 20 weeks of gestation.

Results The closest relation was found between ambulatory blood pressure measurements and 24-hour proteinuria levels. No significant relation was found between the conventional diastolic blood pressure threshold of 90 mmHg and 24-hour proteinuria levels.

Conclusions Ambulatory blood pressure measurement gives better information about disease status in pre-eclampsia as assessed by proteinuria than does conventional sphygmomanometry.