EFFECT OF GARMENT ON THE ARM UNDER THE AUSCULTATOR MANOMETER CUFF AMONG PRIMIGRAVIDAE
Context: Although perinatal guidelines recommend blood pressure (BP) should be measured on bare arms among pregnant women, BP is measured over garments in Primary Health Care settings among prenatal women.
Aim: To identify the discrepancies in BP measurements with garments under the manometer cuff versus bare arm among normotensive primigravidae.
Setting & design: An exploratory study was conducted among n=95 normal low risk normotensive primigravidae at mid trimester attending antenatal clinic at rural Primary Health Center (PHC).
Methods& Materials: With the auscultator sphygmomanometer, BP was measured thrice with garments versus bare arms to rule out differences. Results were compared with Paired t-test. SPSS version 20 was used for analysis.
Results: There were insignificant differences in mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) between the garments covered versus bare arm. The mean garments thickness was less than 5 mm and it was not a significant predictor for mean differences of BP in garments versus bare on arm.
Conclusions: Measuring blood pressure on arms with garments violates long-established perinatal guidelines and the decision to measure accurate BP with sleeves on among pregnant women depends on the discretion of the clients and the professionals.
Keywords:Garment, Bare arm, Blood pressure, Primigravidae
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