Journal article

BLOOD-PRESSURE AND HEART-RATE AT REST AND DURING STANDING IN PREGNANCY


Authors listHOHMANN, M; HEIMANN, C; KAMALI, P; KUNZEL, W

Publication year1993

Pages250-256

JournalZeitschrift für Geburtshilfe und Perinatologie

Volume number197

Issue number6

ISSN0300-967X

PublisherEnke


Abstract
This study was designed to answer three questiones: 1. Is there a change in systolic blood pressure, diastolic blood pressure and heart rate during pregnancy? 2. Are there alterationes of these parameters during standing? 3. Is there a relationship between mean arterial blood pressure and heart rate at rest and during standing? In a randomized study 161 clinically healthy pregnant women between 8th and 41st week of pregnancy were tested with a modified orthostatic test over defined time periods during pregnancy. Systolic and diastolic blood pressure and heart rate were registered in one minute intervals over a 30 minute period with an automatic Dinamap measuring device. This period was subdivided in a 10 minutes lying period, 10 minutes standing period followed by a 10 minutes lying period. There was a marked increase in systolic and diastolic blood pressure at rest with the beginning of the 34th week of gestation (p < 0.05 and p < 0.01). Despite this, maternal heart rate continued to rise over the whole course of pregnancy (p < 0.01). Furthermore, women with a fall in heart rate on standing were only seen in late pregnancy. Finally, pregnant women with a low mean arterial blood pressure (less-than-or-equal-to 85 mmHg) did not experience a fall in blood pressure on standing more frequently than normal controls (>85 mmHg). We conclude that a fall in blood pressure on standing is not dependent on blood pressure at rest during pregnancy.


Citation Styles

Harvard Citation styleHOHMANN, M., HEIMANN, C., KAMALI, P. and KUNZEL, W. (1993) BLOOD-PRESSURE AND HEART-RATE AT REST AND DURING STANDING IN PREGNANCY, ZEITSCHRIFT FUR GEBURTSHILFE UND PERINATOLOGIE, 197(6), pp. 250-256

APA Citation styleHOHMANN, M., HEIMANN, C., KAMALI, P., & KUNZEL, W. (1993). BLOOD-PRESSURE AND HEART-RATE AT REST AND DURING STANDING IN PREGNANCY. ZEITSCHRIFT FUR GEBURTSHILFE UND PERINATOLOGIE. 197(6), 250-256.



Keywords


BIRTHHYPOTENSION

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