Clinical trial NCT06898567: EFFECT OF BLOOD PRESSURE MEASUREMENT IN DIFFERENT POSITIONS ON BLOOD PRESSURE VALUES AND ANXIETY LEVELS IN PREGNANT WOMEN WITH PREECLAMPSIA
Official title: EFFECT OF BLOOD PRESSURE MEASUREMENT IN DIFFERENT POSITIONS ON BLOOD PRESSURE VALUES AND ANXIETY LEVELS IN PREGNANT WOMEN WITH PREECLAMPSIA
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Preeclampsia
Blood Pressure Check (Hypertension Screening)
Keywords: Preeclampsia
Blood pressure
Hypertension
Anxiety
Position
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2025-03-27
Enrollment: 96
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention model description: 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
Primary purpose: OTHER

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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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).

Exclusion Criteria:

* • 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).

Primary outcomes:
measure: blood pressure measurement
timeFrame: 4 month
measure: anxiety levels
timeFrame: 4 month
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Zeynep Kamil Women's and Children's Diseases Hospital
state: Üsküdar
Study officials:
References:
citation: 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.
citation: 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.