Evidence map›Paper›PMID 35933759›Full record

ArticlePregnancy hypertension2022

Self-monitoring of blood pressure in pregnancy: A mixed methods evaluation of a national roll-out in the context of a pandemic.

Hannah Wilson, Katherine L Tucker, Alison Chisholm, James Hodgkinson, Layla Lavallee, Lucy Mackillop, Alexandra E Cairns, Lisa Hinton, Charlie Podschies, Lucy C Chappell and 1 more

Abstract read
In one paragraph

Article in Pregnancy hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Hannah WilsonSchool of Life Course Sciences, King's College London, London, UK.
Katherine L TuckerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. Electronic address: Katherine.tucker@phc.ox.ac.uk.
Alison ChisholmNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
James HodgkinsonInstitute of Applied Health Research, University of Birmingham, Birmingham.
Layla LavalleeNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Lucy MackillopNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford.
Alexandra E CairnsNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford.
Lisa HintonThe Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK.
Charlie PodschiesMaternity and Women's Health Policy Team, NHS England and NHS Improvement, UK.
Lucy C ChappellSchool of Life Course Sciences, King's College London, London, UK.
Richard J McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate how English maternity units implemented self-monitoring of blood pressure (SMBP) in pregnancy in response to the COVID-19 pandemic.

designMixed methods including surveys, anonymised patient data and in-depth interviews with women.

settingMaternity units across England.

participants45 maternity units completed a survey about the implementation of SMBP (supported by the provision of guidance and blood pressure monitors) during the pandemic, 166 women completed a survey about their experiences of SMBP, and 23 women took part in in-depth interviews. Clinical data from 627 women undertaking SMBP were available from 13 maternity units.

resultsSMBP was predominantly used to provide additional BP monitoring for hypertensive or high-risk pregnant women. Overall maternity units and women were positive about its use in terms of reducing the need for additional face-to-face contacts and giving women more control and insight into their own BP. However, there were challenges in setting up SMBP services rapidly and embedding them within existing care pathways, particularly around interpreting readings and managing the provision of monitors.

conclusionsA considerable proportion of maternity units in England commenced a SMBP service for hypertensive or high-risk women from March 2020. There is a need for further research into appropriate care pathways, including guidance around white coat or masked hypertension and the use of SMBP postnatally.

Indexed as

COVID-19HypertensionPre-EclampsiaBlood PressureBlood Pressure Monitoring, AmbulatoryFemaleHumansPandemicsPregnancyBlood pressureImplementationPregnancySelf-monitoring

Identifiers

PMID35933759
PMCPMC9364829

What OpenQuestion holds

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Registered trials

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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.