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https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/948
Title: | Changes to management of hypertension in pregnancy, and attitudes to self-management: An online survey of obstetricians, before and following the first wave of the COVID-19 pandemic |
Authors: | External author(s) only |
Keywords: | Hypertension Pregnancy Self-monitoring |
Issue Date: | Dec-2021 |
Citation: | B. Fletcher, L.C. Chappell, L. Lavallee, H.M. Wilson, R. Stevens, L. Mackillop, R.J. McManus, K.L. Tucker, Changes to management of hypertension in pregnancy, and attitudes to self-management: An online survey of obstetricians, before and following the first wave of the COVID-19 pandemic, Pregnancy Hypertension, Volume 26, 2021, Pages 54-61 |
Abstract: | Objective This study aimed to understand the views and practice of obstetricians regarding self-monitoring for hypertensive disorders of pregnancy (blood pressure (BP) and proteinuria), the potential for self-management (including actions taken on self-monitored parameters) and to understand the impact of the COVID-19 pandemic on such views. Design Cross-sectional online survey pre- and post- the first wave of the COVID-19 pandemic. Setting and Sample UK obstetricians recruited via an online portal. Methods A survey undertaken in two rounds: December 2019-January 2020 (pre-pandemic), and September-November 2020 (during pandemic) Results 251 responses were received across rounds one (1 5 0) and two (1 0 1). Most obstetricians considered that self-monitoring of BP and home urinalysis had a role in guiding clinical decisions and this increased significantly following the first wave of the COVID-19 pandemic (88%, (132/150) 95%CI: 83–93% first round vs 96% (95%CI: 92–94%), (97/101), second round; p = 0.039). Following the pandemic, nearly half were agreeable to women self-managing their hypertension by using their own readings to make a pre-agreed medication change themselves (47%, 47/101 (95%CI: 37–57%)). Conclusions A substantial majority of UK obstetricians considered that self-monitoring had a role in the management of pregnancy hypertension and this increased following the pandemic. Around half are now supportive of women having a wider role in self-management of hypertensive treatment. Maximising the potential of such changes in pregnancy hypertension management requires further work to understand how to fully integrate women’s own measurements into clinical care. |
Description: | Supported by the NIHR |
URI: | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/948 |
Appears in Collections: | Pregnancy and Child Birth |
Files in This Item:
File | Description | Size | Format | |
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1-s2.0-S2210778921005122-main.pdf | Main article | 1.02 MB | Adobe PDF | View/Open |
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