| Резюме: | <p><strong>OBJECTIVE:</strong> To understand the current prevalence of, and attitudes to, self-monitoring of blood pressure (BP) during pregnancy.</p>
<p><strong>METHODS:</strong> 5555 pregnant women from antenatal clinics in 16 hospitals in England were invited to complete a survey.</p>
<p><strong>MAIN OUTCOME MEASURES:</strong> The primary outcome was the proportion of women currently
BP self-monitoring. Secondary outcomes included self-monitoring schedules and women’s interactions with clinicians regarding self-monitoring. Population characteristics including risk factors for pre-eclampsia, ethnicity and deprivation level were considered.</p>
<p><strong>RESULTS:</strong> Completed surveys were received and analysed from 5181 pregnant women
(93% response rate). Comparison to hospital demographic data suggests that respondents were representative of the UK population. 983/5181 (19%) of women were currently self-monitoring their BP, comprising 189/389 (49%) hypertensive women and 794/4792 (17%) normotensive women. However, only 482/983 (49%) reported ever sharing this information
with antenatal care teams. Of those who self-monitored, 68% (668/983) were able to provide a previous BP reading, compared to 1% (67/5181) of those who did not self-monitor.</p>
<p><strong>CONCLUSION:</strong> Many women are now choosing to self-monitor their BP during pregnancy and clinicians should enquire about this proactively and consider providing better information on BP monitoring. Those who self-monitor appear to have better knowledge about their blood pressure. If these findings were replicated nationwide, around 125,000 pregnant women would be currently self-monitoring BP in the UK, yet only half of these women may communicate their readings to their antenatal care teams, suggesting a missed opportunity for enhanced care. Current trials will make the place of self-monitoring in pregnancy clearer.</p>
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