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Using self-monitoring to detect and manage raised blood pressure and pre-eclampsia during pregnancy: the BUMP research programme and its impact.

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Tucker, Katherine L 
Hinton, Lisa 
Green, Marcus 
Chappell, Lucy C 
McManus, Richard J 


Raised blood pressure affects around ten percent of pregnancies worldwide, causing maternal and perinatal morbidity and mortality. Self-monitoring of blood pressure during higher-risk or hypertensive pregnancy has been shown to be feasible, acceptable, safe, and no more expensive than usual care alone. Additionally, self-testing for proteinuria has been shown to be just as accurate as healthcare professional testing, creating the potential for monitoring of multiple indicators through pregnancy. The work suggests however, that an organisational shift is needed to properly use and see benefits from self-monitored readings. This paper describes the findings from a large programme of work examining the use of self-monitoring in pregnancy, summarising the findings in the context of the wider literature and current clinical context. The BUMP Research Programme developed and tested self-monitoring and self-testing interventions for pregnancy. The work showed that self-monitoring during pregnancy was feasible, acceptable, safe, and no more expensive, but did not improve the detection or control of hypertension.


Acknowledgements: This paper summarises a programme of work that would not have been possible without the support of participating patients and health care professionals. We thank Lucy Curtin for administrative support.


Blood pressure, Hypertension, Pre-eclampsia, Pregnancy, Self-monitoring, Pregnancy, Female, Humans, Pre-Eclampsia, Blood Pressure, Hypertension, Blood Pressure Monitoring, Ambulatory

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Hypertens Res

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Springer Science and Business Media LLC