Blood Pressure In Pregnant Women Research Articles

The Effects of Vitamin D Supplementation on Glycemic Indices, Lipid Profile and Blood Pressure of Pregnant Women with Vitamin D Deficiency: A Single Arm Clinical Trial

Introduction: Vitamin D Deficiency (VDD) is a global problem among pregnant women in many populations. There is an association between VDD and some pregnancy outcomes, as well as gestational diabetes mellitus (GDM) and pre-eclampsia. We aimed to evaluate the effect of vitamin D supplementation on metabolic status (Fasting Blood Sugar (FBS), insulin, Homeostasis model of assessment-insulin resistance (HOMA-IR) and lipid profile) and blood pressure (BP) among pregnant women with VDD. Methods: A clinical trial was carried out on 30 pregnant women with VDD referring to the Gynecology & Obstetrics Clinic of Baqiyatallah Hospital, Tehran, Iran. The present study had two phases of vitamin D3 supplementation (50000 IU / week for 12 weeks and then 50000 IU / month for three months). Serum total cholesterol, triglyceride, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), 25-hydroxyvitamin D (25(OH) D) level, insulin, Fasting Blood Sugar (FBS) and both systolic and diastolic blood pressure were measured. Homeostasis model of assessment-insulin resistance (HOMA-IR) was also determined. Results: The results showed that mean levels of Insulin (p=0.010), HOMA-IR (p=0.020), 25(OH) D level (p=0.001), cholesterol (p=0.001), triglyceride (p=0.001) and LDL (p=0.001) significantly increases during study period. However, Diastolic and systolic blood pressure, FBS, and HDL levels did not change significantly over time. Conclusion: The results of this investigation showed that weekly and monthly vitamin D3 supplementation in pregnant women with VDD had beneficial effects on glycemic status, lipid profile and blood pressure.

Effect of hypnosis on anxiety and blood pressure of pregnant women with preeclampsia: A double-blind controlled clinical trial study

Effect of hypnosis on anxiety and blood pressure of pregnant women with preeclampsia: A double-blind controlled clinical trial study

Effectiveness of Red Ginger (Zingiber officinale var. Rubrum) Foot Hydrotherapy in Lowering Blood Pressure among Pregnant Women with Hypertension

Pregnancy hypertension is one of the complications of pregnancy. One nonpharmacological treatment to reduce hypertension is the foot hydrotherapy method with red ginger (Zingiber officinale var. rubrum). The essential oil content of red ginger provides a warm effect and spicy aroma so that blood vessels widen and blood flow becomes smooth. The research aims to determine the effectiveness of red ginger foot hydrotherapy in lowering blood pressure among pregnant women with hypertension. This one-group pretest-posttest pre-experimental study design was conducted at the Talaga Community Health Centre, West Java, from May 2023 to July 2023. The sample was 32 pregnant women with hypertension. Bivariate analysis test using paired t-test. The average systolic blood pressure measurement results for pregnant women before the intervention were 154.09 mmHg, and after the intervention was given 140.22 mmHg, there was a decrease of 13.87 mmHg. The average diastole for pregnant women before the intervention was 100.22; after the intervention, it was 91.62, resulting in a reduction of around 8.6 mmHg. The paired t-test with a p-value <0.001 shows the effectiveness of foot hydrotherapy with red ginger in reducing blood pressure in pregnant women with hypertension. Red ginger using the foot hydrotherapy method has been proven effective in lowering blood pressure in pregnant women. To reduce the risk factors for pregnancy with hypertension, pharmacological and nonpharmacological therapy is a solution that needs to be considered. This research can become a reference for evidence-based midwifery practice in providing midwifery care.

Home Blood Pressure Monitoring dan Health Education pada Manajemen Hipertensi Kehamilan

The incidence of hypertension in pregnancy occurs in 5 – 10 out of 100 pregnant women. Home blood pressure monitoring (HBPM) is a method of screening blood pressure at home. Pregnant women with hypertension also need health education as an effort to live a healthier life. This research aims to determine the effectiveness of HBPM and Health Education in reducing blood pressure in pregnant women. Quasi-experimental research design with nonrandomized pretest-post test group design method. Sample of 30 pregnant women with hypertension. The statistical test used the Paired Samples t-Test. The research results of Home blood pressure monitoring and Health Education were significantly effective in reducing the blood pressure of pregnant women, both systolic and diastolic values ​​with a p value of 0.000 (p < 0.05). Meanwhile, in the comparison group, the systolic p value was 0.000 (p<0.05), the diastolic value was 0.001 (p<0.05). The combination of HBPM and Health Education can help improve hypertension management and minimize complications due to recurrent hypertension in pregnant women.

PlGF Levels and Blood Pressure in Pregnant Women with Hypertension

Hypertension in pregnancy is one of the causes of morbidity and mortality in mothers and babies. PlGF has been shown to be associated with the diagnosis of hypertensive disorders in pregnancy. Pregnant women with hypertension are characterized by reduced circulating PlGF levels, even before clinical signs and symptoms. A decrease in the amount of PlGF is positively correlated with the severity of disease progression This study aimed to analyze the relationship between PlGF levels and blood pressure in pregnant women with hypertension. Observational analytic with cross sectional study design. Sampling was total sampling. The number of subject were 34 peoples. The results showed that there was no significant correlation between PlGF levels and blood pressure in pregnant women with hypertension. PlGF levels have no relationship with blood pressure.

Analysis of Risk Factors for Gestational Hypertension in Pregnant Women of the II And III Trimesters in the Coastal Area East Flores District

Introduction: Gestational hypertension is a condition in which blood pressure in pregnant women increases up to 140/90 mmHg or more for the first time at the 20 weeks of gestation, without a history of hypertension before pregnancy and no proteinuria. This study aimed to analyze the risk factors for gestational hypertension in pregnant women during the second and third trimesters who lived in the coastal areas of East Flores Regency.Method: Case-control studies were used in this study. Total the case group in this study was 16 mothers, while the control group was 16 mothers. Data were analyzed using a Chi-Square test.Results: The results of the analysis showed there are significant relationships between the age of mothers (p=0.000), parity (0.000), and the history of long-use of contraception (p=0.000 with the incidence of gestational hypertension in pregnant women in the second and third trimesters in the coastal area of East Flores Regency). The most dominant and significant variable causing gestational hypertension in pregnant women during the second and third trimesters was parity (OR=22.075; 95% CI: 0.712-684.613). However, the study also found there is no relationship of gestation hypertension with consumption of foods containing saturated fat, consumption of salty foods, fruit consumption and vegetables, coffee drinking habits, ANC visits, family support, and obesity.Recommendation: It is important for the health workers to increase mother’s knowledge and communities’ awareness about age at risk and parity at risk. Thus, health providers should carry out more routine monitoring and provide counseling about 4 important factors in planning pregnancy.

The Combination of Pakcoy Juice (Brassica Rapa L.) and Antihypertensive Medication in Reducing Blood Pressure in Pregnant Women with Hypertension

Hypertension in pregnant women ranks as the second highest cause of Chronic Kidney Disease (CKD). Hypertension is defined as a minimum diastolic blood pressure of 90 mmHg and a minimum systolic blood pressure of 140 mmHg, with an increase in diastolic and systolic pressure of at least 15 mmHg and 30 mmHg, respectively. This study aims to evaluate the impact of a combination of Pakcoy juice (Brassica rapa L) and antihypertensive medication on blood pressure in pregnant women with hypertension.Using a quasi-experimental design with a One Group Pre-Test – Post-Test without a control group, the study involved 14 pregnant women with hypertension at the Gunung Sugih Community Health Center from January to June 2023 as the population. The results of data analysis indicate a significant influence (p value 0.000 < α: 0.05) on the reduction of blood pressure after the administration of antihypertensive medication and Pakcoy juice.The discussion emphasizes that Pakcoy juice is effective as a supplement to antihypertensive medication due to its natural content of potassium, calcium, and magnesium, which can reduce blood pressure. Consuming 4,700 milligrams of potassium per day is known to lower blood pressure caused by high sodium intake. In conclusion, the combination of Pakcoy juice and antihypertensive medication has a positive effect of 19% on reducing blood pressure in pregnant women with hypertension at the Gunung Sugih Community Health Center, with a recommendation for health education outreach to prevent hypertension cases in pregnant women.

Differences In Lowering Blood Pressure Between Giving Infusa Of Salam Leaf (Syzyguim Polynatum) And Infusa Of Herba Celery (Apium Graviolens L) In Hypertension Patients To Pregnant Women At Puskesmas Balaraja

Elevated blood pressure is a major factor for coronary and ischemic heart disease and hemorrhagic stroke, in addition to peripheral vascular disease, kidney disorders, retinal hemorrhages and visual disturbances. The aim of this study was to compare the level of effectiveness in reducing blood pressure in pregnant women who experience hypertension at the Balaraja Health Center by giving infusions of bay leaves (Syzygium polyanthum) and infusions of celery herb (Apium graveolens). This type of research is a quantitative research with the type of experimental method in this study is to compare the effectiveness of the infusion of bay leaves and celery leaves to lower blood pressure in pregnant women with hypertension. The results of this study indicate that there is a significant effect between giving bay leaf infusion to pregnant women with hypertension at Balaraja Health Center with an odds ratio of 0.667. and there is a significant effect between giving celery leaf infusion to pregnant women with hypertension at the Balaraja Health Center with an odds ratio of 1,500.

Differences In The Effectiveness Of Giving Tomato Juice And Cucumber Juice In Lowering Blood Pressure In Hypertension In The Review Of Pregnancy

Background the content of tomato and cucumber juice both contain potassium which functions as a catalyst so that potassium can play a role in lowering a person's blood pressure. The purpose of writing: to determine the difference in the effectiveness of giving tomato juice and cucumber juice in reducing blood pressure in those who experience hypertension in terms of gestational age. Research Methods: Pre-experimental research with the type of one group pre test – post test design by means of a causal relationship by involving one group of subjects. the subject group was observed before the intervention was carried out and then observed after the intervention was carried out. The sampling technique is non-probability sampling with a purposive method. The study was divided into 2 variables, namely the independent variables, namely the consumption of tomato juice and cucumber juice. Research Results: The results of statistical tests are known Asymp. Sig (2 – Talled) has a value of 0.263, because 0.263 > 0.05, it can be concluded that the hypothesis is rejected. This means that there is no difference in giving tomato juice and cucumber juice in reducing blood pressure in those with hypertension. This means that tomato juice and cucumber juice both have the same efficacy in reducing blood pressure in pregnant women. However, from the Mann –Whitney mean rank between giving tomato juice and cucumber juice, it was found that cucumber juice was more effective than tomato juice in reducing blood pressure. Conclusions and Suggestions: The results of this study are expected to provide information that giving date palm juice and beetroot juice is a type of natural food that can increase Hb levels.

The Effect of Giving Ambon Banana (Musa Paradisiaca Var Sapientum Linn) on Blood Pressure among Pregnant Mothers with Hypertension

The incidence of hypertension in pregnant women constitutes 33.07% of pregnancy complications which is one of the factors causing maternal death. Pakuhaji Regional Hospital found that the incidence of hypertension was around 40%. One good diet method is to reduce salt intake and increase potassium intake. Giving Ambon bananas is high in potassium which can lower blood pressure. This study aimed to determine the effect of giving Ambon banana (musa paradisiaca var sapientum linn) on blood pressure in pregnant women with hypertension at Pakuhaji Regional Hospital in 2023. Pre-experimental research with a one group pretest and post test design. The sample in this study consisted of 35 respondents using a purposive sampling technique. Data were analyzed using a paired sample t-test which was previously tested for normality. The results of univariate analysis before giving Ambon bananas averaged systole 159.54 mmHg and diastole 102.89 mmHg, after giving Ambon bananas it decreased with an average systole of 141.57 mmHg and diastole 86.80 mmHg. The results of bivariate analysis with paired sample t-test giving Ambon bananas a value of 0.000. There is an effect of giving Ambon bananas (Musa paradisiaca var sapientum Linn) on blood pressure in pregnant women with hypertension. It is hoped that pregnant women can increase the knowledge of pregnant women with hypertension that apart from using medicines from doctors, they can also use Ambon bananas.

Fetal Outcome in Women of Pre-Eclampsia

Background: Pre-eclampsia, a serious condition characterized by high blood pressure in pregnant women, presents significant health risks for both the mother and fetus. This study aimed to assess the impact of pre-eclampsia on fetal outcomes in the Pakistani population, recognizing the condition's high prevalence and its role in maternal and neonatal morbidity and mortality. Objective: To evaluate the fetal outcome in women with pre-eclampsia in the Pakistani population. Methods: This descriptive case series was conducted at the Department of Obstetrics and Gynaecology, University College of Medicine and Dentistry Lahore, from January to June 2023. A total of 93 patients were enrolled to study the effects of pre-eclampsia on mothers and fetuses. Results: Among the 93 patients, the mean age was 37.59±6.37 years. The age distribution predominantly included women aged 31-35 years, followed by those in the 36-40 and 41-45 age groups. Severe pre-eclampsia was observed in 69.9% of patients, while 30.1% had mild pre-eclampsia. The fetal outcomes were as follows: 65.5% good, 12.9% stillbirth, and 21.5% neonatal death, with an insignificant P-value. Conclusion: The study concluded that the high prevalence of pre-eclampsia in the community is alarming, significantly increasing the risk of adverse outcomes for infant health and well-being. There is a critical need to educate women about the signs and symptoms of pre-eclampsia.

Anaemia at mid-pregnancy is associated with prehypertension in late pregnancy among urban women.

Antenatal iron deficiency and anaemia are associated with gestational hypertension and diabetes mellitus, but so are elevated iron stores and haemoglobin. In South Africa, pregnant women receive routine iron supplementation regardless of iron status. This study aimed to assess associations of antenatal iron status and anaemia with blood pressure in pregnant women in urban South Africa. Secondary to this, associations with heart rate, fasting glucose and glucose tolerance were also investigated. Johannesburg, South Africa. A total of 250 pregnant women, aged 27 (24-32) years, were recruited using consecutive sampling. The authors measured biomarkers of iron status and anaemia at < 18 and ± 22 weeks', blood pressure and heart rate at ± 36 weeks', and fasting glucose and glucose tolerance between 24 and 28 weeks' gestation. Associations were determined using multivariable regression models adjusted for confounders. The odds of prehypertension in late pregnancy among women with anaemia at ± 22 weeks' gestation were three times higher than among women without anaemia (odds ratio [OR]: 3.01, 95% confidence interval [CI]: 1.22, 7.42). Participants with anaemia at ± 22 weeks' gestation had 2.15 times higher odds of having elevated mean arterial pressure than women without anaemia (OR: 2.15, 95% CI: 1.01, 4.60). Anaemia at mid-pregnancy could be a predictor of hypertensive disorders in pregnancy. The cause of antenatal anaemia may need further investigation apart from iron deficiency. The effective management of anaemia in pregnant women living in urban South Africa remains a challenge. This study provides evidence about the health impact of pregnant women regarding antenatal supplementation practices in South Africa.

A Comparative Study of Oral Nifedipine and Intravenous Labetalol for Acute Hypertensive Management in Pregnancy: Assessing Feto-Maternal Outcomes in a Hospital-based Randomized Control Trial.

Hypertension is one of the most common medical complications during pregnancy and a leading cause of maternal mortality and morbidity. Severe preeclampsia is defined as blood pressure (BP) >160/110 mmHg with warning signs such as headache, blurring of vision, and epigastric pain. Nifedipine (C17H18N2O6), labetalol (C19H24N2O3), and hydralazine (C8H8N4) are commonly used drugs, and all are recommended as first-line agents. Hydralazine is associated with a higher incidence of adverse outcomes, so oral nifedipine has been proposed as a first-line alternative to intravenous labetalol. Consequently, this study aims to compare the efficacy and safety of oral nifedipine with that of intravenous labetalol. The objective is to compare the ability/effectiveness of oral nifedipine and intravenous labetalol to normalize acute hypertension in severe preeclampsia and to assess the birth outcome. Relations between different factors were established by appropriate statistical tests. The p-value <0.05 was considered statistically significant. The study was conducted on 120 antenatal women with blood pressure ≥160/110 mmHg admitted to our hospital, a tertiary care center, from January 1st, 2020 to June 30th, 2021. Patients were randomized by a single blinding method to receive intravenous labetalol and oral nifedipine. The primary outcome measures were the time taken to control the blood pressure and the number of doses of drugs required. The secondary outcome measures were the birth outcome like a method of delivery, side effect profile, and the number of admissions in the neonatal intensive care unit. A total of 120 patients were included with 60 patients in each group. The labetalol group took 48.67 ± 17.80 minutes and the nifedipine group took 64.33 ± 9.81 minutes to achieve a target BP of <=140/90 mmHg (p< 0.05). No side effects were seen in 70% of patients in the labetalol group and 71.67% in the nifedipine group (p > 0.05). Intravenous labetalol is faster in restoring blood pressure in pregnant women with preeclampsia than oral nifedipine and may be used as a first-line drug in the acute control of blood pressure in a hypertensive emergency during pregnancy. More studies are needed in order to evaluate the findings from this pilot study in a large sample of patients.

Prevalence of High Blood Pressure in Pregnant Women in Aljouf, Saudi Arabia

Raised blood pressure during pregnancy may result in the death of the mother and the fetus. In frontline healthcare settings, there aren't enough studies on its prevalence and associated factors. Our goal was to assess the prevalence of HBP and its risk factors among pregnant women in the Aljouf area. A cross-sectional study conducted in the obstetrics department of Maternity and Children Hospital (MCH) Sakaka, Aljouf, Saudi Arabia, included a pregnant woman with high blood pressure (HBP). A multivariable logistic regression analysis was used to determine the causes of HBP. A bout 451 pregnant women with high blood pressure were included among 3750 other pregnant women. In general, the prevalence of HBP was 12% (95% confidence interval [CI] 0.7-2.3); among women, it was 0.7% (95% CI 0.3-1.1), 1.6% (95% CI 0.8-2.1), and 3% (95% CI 1.2-8.6) in the first, second, and third trimesters, respectively. Trimester of pregnancy, age, income, occupation, and parity, were not linked to HBP during pregnancy in the multivariable analysis. HBP was present in 12% of pregnant women in the Aljouf region, which is considered to be of moderate-high prevalence. High blood pressure during pregnancy can harm both the mother and the fetus. As a result, the prevalence research has the benefit of encouraging medical professionals to conduct early screening, which helps with prevention, treatment, and also decreases the burden of negative pregnancy outcomes

The Effect Of Giving Calcium As An Effort To Prevent Preeclampsia: A Literature Review

Preeclampsia is a pregnancy disorder accompanied by hypertension and proteinuria. Efforts to prevent preeclampsia can be made with medical prevention, namely, meeting the calcium needs of pregnant women. This research aims to determine the effect of givingcalcium to prevent preeclampsia. The method used in the literature review is a systematic mapping study obtained from 3 databases, namely Pubmed, Garuda, and Google Scholar, using inclusion and exclusion criteria. Key term used in searching literature: "Calcium for prevention of preeclampsia." from 10 journals, it was found that the correct dose of calcium and timing of giving calcium to pregnant women was found and that calcium had an effect on preventing preeclampsia. Data analysis techniques use Synthesize or compare. Conclusion: Mothers are advised to consume calcium because it can lower blood pressure. By reducing blood pressure in pregnant women, calcium can prevent the occurrence of preeclampsia, especially in pregnant women who have hypertension or a history of preeclampsia.

A high protein low glycemic index diet has no adverse effect on blood pressure in pregnant women with overweight or obesity: a secondary data analysis of a randomized clinical trial

A high protein low glycemic index diet has no adverse effect on blood pressure in pregnant women with overweight or obesity: a secondary data analysis of a randomized clinical trial

PENGARUH TERAPI REBUSAN AIR DAUN SALAM TERHADAP PENURUNAN TEKANAN DARAH PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS MURUNG PUDAK

Hypertension is a dangerous disease, especially if it occurs in women who are pregnant. Management of hypertension in pregnancy one with nonpharmacology, namely bay leaves can also be used for traditional medicine for the treatment of blood pressure. The purpose of the study was to determine the effect of bay leaf water decoction therapy on reducing blood pressure in pregnant women in the Murung Pudak Health Center Work Area. The research method used pseudo-experiments (Quasi Experimental Design) with a pretest-posttest design with control group design using two types of treatment, with a total sample of 34 people with porpusive sampling side techniques. The results of the study found that blood pressure in the treatment group decreased in systolic and diastolic pressure, blood pressure in the control group did not decrease in systolic and diastolic, blood pressure in the treatment group was obtained 20.74 while in the control group a mean rank of 14.26 was obtained and there was an effect of bay leaf water decoction therapy on reducing blood pressure in pregnant women in the work area of the Murung Pudak Health Center, with p-value = 0.048 (p-value &lt; 0.05).

The Effect of Ciplukan Fruit Consumption on Hypertension in Pregnancy

Pregnancy hypertension is one of the largest contributors to maternal mortality and needs to be alerted and treated immediately, so that it becomes the center of great attention in improving public health. The next problem is that if this condition is not treated immediately, it can progress to more severe conditions, namely preeclampsia and eclampsia, thereby endangering the mother and unborn baby. The risk to the mother can result in permanent and severe brain damage, heart, kidney and liver damage. Meanwhile, babies are at risk of stillbirth, asphyxia, reduced blood flow to the placenta so that the baby can be born prematurely, nutrition to the fetus is disrupted, resulting in the baby being born with a low weight. The aim of the research was to determine the effect of consuming ciplukan fruit on hypertension in pregnancy. This method uses a "quasy experiment" research design with a "pretest-posttest with control group" design. The population in this study were all pregnant women in Lau Rakit Village, STM Hilir District, Deli Serdang Regency, North Sumatra Province. Sampling was carried out by random sampling using the Cluster sampling technique. Time: The research was carried out in July – August 2023. The results of the study showed changes in the systolic and diastolic blood pressure of hypertensive pregnant women after consuming ciplukan fruit. This is shown in the p value results of 0.000 and 0.000 (&lt;0.05). So it can be seen that there is a significant effect of consuming ciplukan fruit on reducing blood pressure in pregnant women who experience hypertension. On the other hand, in the control group, the systolic and diastolic blood pressure of hypertensive pregnant women showed that the p value was 0.095 and 0.133 (&gt;0.05), so it can be concluded that there was no effect before and after measuring the blood pressure of hypertensive pregnant women who did not consume ciplukan fruit. Therefore, pregnancy hypertension can be immediately prevented and treated through traditional or non-pharmacological methods, namely by giving ciplukan (Physialis peruviana) fruit drinks to pregnant women with hypertension.

Terapi Mindfulness pada Ibu Hamil Hipertensi di Wilayah Puskesmas Pajarakan Probolinggo

High blood pressure during pregnancy is a disease that often threatens pregnancy. This condition causes several factors for the fetus such as (fetal growth is also hampered in the womb, stillbirth in the womb, premature birth). Hypertension is a dangerous disease, especially if it occurs in pregnant women, so it needs special treatment because it can reduce blood flow to the placenta, which will affect the supply of oxygen and nutrients to the baby. The aim of this community service is to help lower the blood pressure of pregnant women with hypertension through the application of Mindfulness therapy. The methods used are health education and demonstrations of mindfulness based on breathing exercises. The results of this community service activity were that pregnant women's knowledge about mindfulness therapy increased from 14% to 88%, participants were able to demonstrate mindfulness therapy well by 91% and pregnant women's blood pressure decreased by 86.38%.

Benson's relaxation on anxiety and blood pressure in pregnant women with hypertension in pregnancy

Pregnant women with hypertension in pregnancy will experience physical and psychological discomfort, so complementary therapy is needed through self-suggestion techniques and spiritual therapy. This study aimed to determine the effect of Benson relaxation on anxiety and blood pressure of pregnant women with hypertension in pregnancy. This study used a Quasi-Experimental study with a randomized pretest-posttest control group design. The research sample was 46 respondents divided into two groups: the treatment and control groups. The study was conducted in 2 weeks. The results showed that there were 13 respondents whose anxiety scores were better. Statistical test results showed differences in the pre-test and post-test values with the Wilcoxon P-test value 0.002. The Mann-Whitney test showed a p-value of 0.046. Chi-square test results showed a p-value 0.011. Variable blood pressure: the average systolic pressure before being given the intervention was 141.39 mmHg to 133.65 mmHg after the intervention was given. Diastolic blood pressure from 91.30 mmHg to 86.70 mmHg. Statistics test results with paired t-tests showed a p-value 0.000, meaning that there were differences before and after the intervention. Benson relaxation influenced the decrease in anxiety, and declined blood pressure of pregnant women.