ArticleObstetrics and gynecology2021
Postpartum-Specific Vital Sign Reference Ranges.
Article in Obstetrics and gynecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Randomized Trial of Group Postpartum Care Model Improves Knowledge and Clinical Outcomes.Nursing researchTrial
- Bradycardia in the setting of postpartum preeclampsia and influenza A: A case report.Case reports in women's health · 2026Article
- Application of the Surgical APGAR Score to Predict Intensive Care Unit Admission and Post-Operative Outcomes in Cesarean Hysterectomy for Placenta Accreta Spectrum.Medicina (Kaunas, Lithuania) · 2025Article
- Reducing post-cesarean sepsis: Current best practice in prevention and treatment.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Characterizing longitudinal blood pressure trajectories in patients at high risk for de novo postpartum hypertension: A randomized controlled trial secondary analysis.Pregnancy (Hoboken, N.J.) · 2025Article
- Asymptomatic Postpartum Bradycardia: A Case of Spontaneous Resolution in a 34-Year-Old Woman.The American journal of case reports · 2025Article
- Cardiac automaticity is modulated by IKACh in sinoatrial node during pregnancy.Cardiovascular research · 2024Article
- Characteristics of the Basel Postpartum Hypertension Cohort (Basel-PPHT Cohort): An Interim Analysis.Diagnostics (Basel, Switzerland) · 2024Article
- Post-partum maternal bradycardia: A case series and literature review.Obstetric medicine · 2024Article
- Development of a national maternity early warning score: centile based score development and Delphi informed escalation pathways.BMJ medicine · 2024Article
- Changes in maternal heart rate in delayed post-partum preeclampsia.BMC women's health · 2023Article
- Dengue in Pregnancy: A Southeast Asian Perspective.Tropical medicine and infectious disease · 2023Review
- How should we interpret lactate in labour? A reference study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Heart rate as an early predictor of severe cardiomyopathy and increased mortality in peripartum cardiomyopathy.Clinical cardiology · 2022Article
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Authors and funding
16 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo estimate normal ranges for postpartum maternal vital signs.
methodsWe conducted a multicenter prospective longitudinal cohort study in the United Kingdom. We recruited women before 20 weeks of gestation without significant comorbidities and with accurately dated singleton pregnancies. Women recorded their own blood pressure, heart rate, oxygen saturation and temperature daily for 2 weeks postpartum. Trained midwives measured participants' vital signs including respiratory rate around postpartum days 1, 7, and 14.
resultsFrom August 2012 to September 2016, we screened 4,279 pregnant women; 1,054 met eligibility criteria and chose to take part. Postpartum vital sign data were available for 909 women (86.2%). Median, or 50th centile (3rd-97th centile), systolic and diastolic blood pressures increased from the day of birth: 116 mm Hg (88-147) and 74 mm Hg (59-93) to a maximum median of 121 mm Hg (102-143) and 79 mm Hg (63-94) on days 5 and 6 postpartum, respectively, an increase of 5 mm Hg (95% CI 3-7) and 5 mm Hg (95% CI 4-6), respectively. Median (3rd-97th centile) systolic and diastolic blood pressure returned to 116 mm Hg (98-137) and 75 mm Hg (61-91) by day 14 postpartum. The median (3rd-97th centile) heart rate was highest on the day of birth, 84 beats per minute (bpm) (59-110) decreasing to a minimum of 75 bpm (55-101) 14 days postpartum. Oxygen saturation, respiratory rate, and temperature did not change in the 2 weeks postbirth. Median (3rd-97th centile) day-of-birth oxygen saturation was 96% (93-98). Median (3rd-97th centile) day-of-birth respiratory rate was 15 breaths per minute (10-22). Median (3rd-97th centile) day-of-birth temperature was 36.7°C (35.6-37.6).
conclusionWe present widely relevant, postpartum, day-specific reference ranges which may facilitate early detection of abnormal blood pressure, heart rate, respiratory rate, oxygen saturation and temperature during the puerperium. Our findings could inform construction of an evidence-based modified obstetric early warning system to better identify unwell postpartum women. CLINICAL
trial registrationISRCTN, 10838017.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.