Abstract
Objectives Women who experienced hypertensive pregnancy need life-long follow up of blood pressure, due to the higher risk of later cardiovascular disease. However, routine visit for practitioner is sometimes difficult for postpartum mothers because of her lifestyle or the distance to doctors. In this study, we investigated the usability of mobile sphygmomanometer for follow up of hypertensive pregnancy. Methods One multi-para pregnant subject complicated with systemic lupus erythematosus (#1) and other multi-para who experienced severe preeclampsia and HELLP syndrome at 32 weeks’ gestation in former pregnancy (#2) were recruited to the trial of use web-linked sphygmomanometer (HEM-7251G with MedLINK system, Omron, Japan). Next, two mild hypertensive patients who successfully given birth (#3, who experienced HELLP syndrome in former pregnancy; #4 without medication) who moved to the distant area (100 km and 500 km from our hospital) were recruited for the trial for 6 months with informed consent. Blood pressure data were automatically sent twice a day after their measurement. The data were gathered, analyzed and seen on a secured website. Results All patients completed their measurement twice a day without any technical problem. The patient #1 had a normal spontaneous delivery and #2 is now planned for cesarean section with no complications. Average systolic blood pressure of the patient #3 was 135 ± 11 mmHg at morning and 136 ± 12 at evening, and of #4 was 135 ± 11 and 140 ± 12. No hypertensive emergency was observed in all patients. Conclusions The compliance of the patients for the routine measurement of their blood pressure was notably good and produced good check-up of their health condition, both in pregnancy and on postpartum period in the distant area. A problem to be solved is corroboration with regional emergency care system when the patient experienced the hypertensive emergency. Disclosures S. Onishi: None. K. Nakano: None. K. Iwai: None. Y. Yamada: None. J. Akasaka: None. A. Shigemitsu: None. K. Naruse: None. H. Kobayashi: None.
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