Evidence map›Paper›PMID 34998224›Full record

SynthesisPregnancy hypertension2022

Effect of positioning on blood pressure measurement in pregnancy.

Monica C Myers, Debra S Brandt, April Prunty, Stephanie Gilbertson-White, Amy Sanborn, Mark K Santillan, Donna A Santillan

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Pregnancy hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. The pathophysiology of pre-eclampsia.Nature reviews. Nephrology · 2026
    Review
  2. Review
  3. Article
  4. How can we reduce maternal mortality due to preeclampsia? The 4P rule.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Monica C MyersDepartment of Obstetrics and Gynecology, University of Iowa, United States.
Debra S BrandtDepartment of Obstetrics and Gynecology, University of Iowa, United States.
April PruntyCollege of Nursing, University of Iowa, United States.
Stephanie Gilbertson-WhiteCollege of Nursing, University of Iowa, United States.
Amy SanbornDepartment of Nursing, Children's & Women's Services, University of Iowa Hospitals & Clinics, United States.
Mark K SantillanDepartment of Obstetrics and Gynecology, University of Iowa, United States. Electronic address: mark-santillan@uiowa.edu.
Donna A SantillanDepartment of Obstetrics and Gynecology, University of Iowa, United States.
University of Iowa · USUniversity of Iowa Hospitals and Clinics · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Vasopressin and Preeclampsia: Early Mechanisms for PreventionR01HD089940 · NICHD · UNIVERSITY OF IOWA · PI SANTILLAN, MARK K · 2019 to 2023
$1.9M
NCATS NIH HHS UL1 TR002537NICHD NIH HHS R01 HD089940
6 · The paper itself

Abstract

Blood pressure is the key vital sign to detecting hypertensive disorders in pregnancy. The importance of taking blood pressure properly was recently underscored by the publication of updated ACC/AHA guidelines for measuring blood pressure in patients. However, the recommended position of seating with arms and back supported is not always feasible to achieve clinically, especially for inpatient women who are pregnant. Therefore, it is clinically important to understand the effects of alternative patient positioning on blood pressure measurements. We conducted a review of studies which considered patient position on the effect of blood pressure in pregnancy. This review demonstrates that clinically significant differences may occur based on patient positioning. Despite the small number of primary studies that include pregnant women, notable reductions in blood pressure measurements have been observed in the left lateral recumbent position, a common position during labor or during monitoring, in comparison to measurements taken in the supported seated position. Ultimately, these differences could affect the clinical management of patients and care should be taken to document and consider the position in which the reading was taken.

Indexed as

Blood PressureBlood Pressure DeterminationFemaleHumansPatient PositioningPregnancyBlood pressure measurementFowler'sLeft lateralPatient positioningPregnancySupine

Identifiers

PMID34998224
PMCPMC8959067
OpenAlexW4206042838

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.