EFFECT OF BLOOD PRESSURE MEASUREMENT IN DIFFERENT POSITIONS ON BLOOD PRESSURE VALUES AND ANXIETY LEVELS IN PREGNANT WOMEN WITH PREECLAMPSIA

NCT06898567 | Completed DMC

• 2 other identifiers: PREECLAMPSIA29.01.2024 2024/06
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: This study examined the effects of blood pressure measurement in different positions on diastolic and systolic blood pressure values and anxiety levels in pregnant women diagnosed with preeclampsia. Method: The study was conducted between March and June 2024 as a pre-test post-test quasi-experimental study with 96 pregnant women diagnosed with preeclampsia in the perinatology department of a training and research hospital. Participants were divided into three groups and their blood pressures were measured in the left lateral, right lateral and semi-Fowler positions. Data were collected using an introductory information form and the State Anxiety Scale.

Conditions

Preeclampsia; Blood Pressure Check (Hypertension Screening)

Keywords

Preeclampsia; Blood pressure; Hypertension; Anxiety; Position

Outcome Measures

Primary Outcomes (2)

• blood pressure measurement

  The effect of blood pressure measurement in different positions on diastolic and systolic blood pressure values in pregnant women diagnosed with preeclampsia will be examined. Measurement will be made with a blood pressure device. Systolic pressure and diastolic pressure will be measured in mmhg.

  4 month

• anxiety levels

  The effects of blood pressure measurement in different positions on anxiety levels in pregnant women diagnosed with preeclampsia will be measured. The anxiety level will be measured with the state anxiety scale. The score obtained from the scale varies between 20 and 80. A high score indicates a high level of anxiety, a low score indicates a low level of anxiety. The same applies when interpreting scores according to percentile rank. In other words, a low percentile rank (1, 5, 10) indicates low anxiety. The average score level determined in applications varies between 36 and 41.

  4 month

Study Arms (3)

Right Lateral Position

EXPERIMENTAL

The pregnant woman was placed in the right lateral position on the patient bed. Her head was supported by a medium-height pillow. The right arm to be measured was held at heart level and extended at a 45° angle to the body. Considering that taking measurements from the left arm above heart level could lower blood pressure values, both measurements were made only from the right arm.

Other: Right Lateral Position

Left Lateral Position

EXPERIMENTAL

The pregnant patient was lying in the left lateral position on her bed, her head supported by a pillow of medium height. The left arm to be measured was positioned at heart level and supported by a pillow underneath. Blood pressure was measured using the arm extended at a 45° angle to the body in the left lateral position. Considering that taking measurements from the right arm above heart level may lower blood pressure values, both measurements were taken from the left arm only.

Other: Left Lateral Position

Semi Fowler Position (45° Fowler)

EXPERIMENTAL

The pregnant woman was laid on her back at a 45° angle on the patient bed. Her head was supported with a medium-height pillow. The arm to be measured was held at heart level and supported with a pillow underneath to provide the appropriate position.

Other: Semi Fowler Position (45° Fowler)

Interventions

Right Lateral Position OTHER

Participants rested for 10 minutes in a fully seated position, leaning their backs on a chair, without crossing their legs and placing their feet parallel to the floor. During this time, the arm to be measured was kept at heart level.

Right Lateral Position

Left Lateral Position OTHER

Left Lateral Position

Left Lateral Position

Semi Fowler Position (45° Fowler) OTHER

Semi Fowler Position (45° Fowler)

Semi Fowler Position (45° Fowler)

Eligibility Criteria

• Age: 18 Months - 45 Months
• Gender Eligibility Details: pregnancies
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Being primigravida (first pregnancy),
• Being in the third trimester of pregnancy,
• Being between the ages of 18-45,
• Being diagnosed with preeclampsia,
• Having an arm circumference of less than 36 cm,
• Having a history of hospitalization of at least 24 hours (in order to minimize anxiety, uncertainty, lack of information and disorientation related to hospitalization).

You may not qualify if:

• Presence of a physical disability that would make it difficult to perform the positions included in the study (e.g. loss of extremity),
• Presence of decompensated disease (e.g. eclampsia, pulmonary edema),
• Presence of a history of cardiological disease,
• Diagnosis of obstructive sleep apnea,
• Presence of additional risk factors other than preeclampsia (e.g. threat of premature birth, placental anomalies).

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Zeynep Kamil Women's and Children's Diseases Hospital

Istanbul, Üsküdar, 34668, Turkey (Türkiye)

Location

Related Publications (2)

• Stergiou GS, Palatini P, Parati G, O'Brien E, Januszewicz A, Lurbe E, Persu A, Mancia G, Kreutz R; European Society of Hypertension Council and the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. J Hypertens. 2021 Jul 1;39(7):1293-1302. doi: 10.1097/HJH.0000000000002843. No abstract available.

  PMID: 33710173 RESULT

• Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; Authors/Task Force Members:. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. J Hypertens. 2018 Oct;36(10):1953-2041. doi: 10.1097/HJH.0000000000001940.

  PMID: 30234752 RESULT

MeSH Terms

Conditions

Pre-Eclampsia; Hypertension; Anxiety Disorders

Condition Hierarchy (Ancestors)

Hypertension, Pregnancy-Induced; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Vascular Diseases; Cardiovascular Diseases; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist Nurse

Model Details: Participants were divided into three groups and their blood pressures were measured in the left lateral, right lateral and semi-fowler positions. Left Lateral Position: The pregnant patient was lying in the left lateral position on the bed, her head supported by a pillow of medium height. The left arm to be measured was positioned at heart level and supported by a pillow underneath. Blood pressure was measured using the arm extended at a 45° angle to the body in the left lateral position. Considering that taking measurements from the right arm above the heart level may decrease blood pressure values, both measurements were taken only from the left arm. Right Lateral Position: The pregnant woman was placed in the right lateral position on the bed. Her head was supported by a pillow of medium height. The right arm to be measured was held at heart level and extended at a 45° angle to the body. Considering that taking measurements from the left arm above the heart level may decrease blood

Study Record Dates

• First Submitted: March 8, 2025
• First Posted: March 27, 2025
• Study Start: March 1, 2024
• Primary Completion: June 1, 2024
• Study Completion: June 1, 2024
• Last Updated: March 27, 2025

Record last verified: 2025-03

Locations

TU (1)