EFFECT OF GARMENT ON THE ARM UNDER THE AUSCULTATOR MANOMETER CUFF AMONG PRIMIGRAVIDAE
Abstract
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, PrimigravidaeDownloads
References
Amadasun, F. E. & Isa, J. I. (2005). As comparison of sphygmomanometric and oscillometric methods of blood pressure measurements in adult in-patients. Nigerian Journal of Clinical Practice, 8(2), pp 86-89.
Cantwell, R., Clutton-Brock, T., Cooper, G., Dawson, A., Drife, J., Garrod, D., Harper, A., Hulbert, D., Lucas, S., McClure, J., Millward-Sadler, H., Neilson, J., Nelson-Piercy, C., Norman, J., O’Herlihy, C., Oates, M., Shakespeare, J., de Swiet, M., Williamson, C., Beale, V., Knight, M., Lennox, C., Miller, A., Parmar, D., Rogers, J., Springett, A. Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer: 2006–2008 (2011). The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG, 118(Suppl 1), pp 1-203.
De Gialluly, C., Morange, V., de Gialluly, E., Loulergue, J., van der Mee, N. & Quentin, R. (2006). Blood pressure cuff as a potential vector of pathogenic microorganisms: a prospective study in a teaching hospital. Infection Control & Hospital Epidemiology, 27(9), pp 940-943.
Elliott, W. J., Young, P. E., DeVivo, L., Feldstein, J. & Black, H. R. (2007). A comparison of two sphygmomanometers that may replace the traditional mercury column in the healthcare workplace. Blood Press Monit. 12(1), pp 23-28.
Kahan, E., Yaphe, J., Knaani-Levinz, H. & Weingarten, M. A. (2003). Comparison of blood pressure measurements on the bare arm, below a rolled-up sleeve, or over a sleeve. Family Practice. 20(6), pp 730-732.
Ki, J. H., Oh, M. K. & Lee, S. H. (2013). Differences in blood pressure measurements obtained using an automatic oscillometric sphygmomanometer depending on clothes-wearing status. Korean Journal of Family Medicine. 34(2), pp 145-151.
Liebl, M., Holzgreve, H., Schulz, M., Crispin, A. & Bogner, J. (2004). The effect of clothes on sphygmomanometric and oscillometric blood pressure measurement. Blood Pressure, 13(5), pp 279-82.
Ma, G., Sabin, N. & Dawes, M. (2008). A comparison of blood pressure measurement over a sleeved arm versus a bare arm. CMAJ. 178(5), pp 585-589.
Pinar, R., Ataalkin, S. & Watson, R. (2010). The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients. Journal of Clinical Nursing, 19(13-14), pp 1861-1864.
Skirton, H., Chamberlain, W., Lawson, C., Ryan, H. & Young, E. A. (2011). A systematic review of variability and reliability of manual and automated blood pressure readings. Journal of Clinical Nursing, 20(5-6), pp 602-14.
Brown M. A., Hague, W. M., Higgins, J., Lowe, S., McCowan, L., Oats, J., Peek, M.J, Rowan J.A., Walters BNJ. (2000). ‘The detection, investigation and management of hypertension in pregnancy:’ full consensus statement. Australian and New Zealand Journal of Obstetrics and Gynaecology, 40(2), pp 139-55.
South Australian Perinatal Practice Guidelines: normal pregnancy, labor and puerperium (2013). Government of Australia, SA Health. Retrieved from: www.health.sa.gov.au/ppg/Default.aspx?Page ContentID=2248&tabid=5
Williams, B., Poulter, N. R., Brown, M. J., Davis, M., McInnes, G. T., Potter, J. F., Sever, P. S., Thom, S. M., BHS guidelines working party, for the British Hypertension Society (2004). British Hypertension Society guidelines for hypertension management 2004 (BHS-IV): summary. BMJ, 328(7440), pp 634-640.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Malaysian Journal of Medical Research (MJMR)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
