Evidence map›Paper›PMID 39604875›Full record

ArticleBMC pregnancy and childbirth2024

Self-monitoring blood pressure in pregnancy: evaluation of women's experiences of the BUMP trials.

Alison Chisholm, Katherine L Tucker, Carole Crawford, Marcus Green, Sheila Greenfield, James Hodgkinson, Layla Lavallee, Paul Leeson, Lucy Mackillop, Christine McCourt and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Alison ChisholmNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Katherine L TuckerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Carole CrawfordNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Marcus GreenAction on Pre-eclampsia, The Stables, 80 B High Street, Evesham, Worcestershire, UK.
Sheila GreenfieldInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
James HodgkinsonInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Layla LavalleeNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Paul LeesonCardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Lucy MackillopNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK.
Christine McCourtCentre for Maternal & Child Health Research, School of Health Sciences, City, University of London, London, UK.
Jane SandallDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, UK.
Hannah WilsonDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, UK.
Lucy C ChappellDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, UK.
Richard J McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Lisa HintonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. lisa.hinton@phc.ox.ac.uk.

Funding

National Institute for Health and Care Research RP-PG-1209-10051
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic accelerated the adoption of remote care, or telemedicine, in many clinical areas including maternity care. One component of remote care, the use of self-monitoring of blood pressure in pregnancy, could form a key component in post-pandemic care pathways. The BUMP trials evaluated a self-monitoring of blood pressure intervention in addition to usual care, testing whether it improved detection or control of hypertension for pregnant people at risk of hypertension or with hypertension during pregnancy. This paper reports the qualitative evaluation which aimed to understand how the intervention worked, the perspectives of participants in the trials, and, crucially, those who declined to participate.

methodsThe BUMP trials were conducted between November 2018 and May 2020. Thirty-nine in-depth qualitative interviews were carried out with a diverse sample of pregnant women invited to participate in the BUMP trials across five maternity units in England.

resultsSelf-monitoring of blood pressure in the BUMP trials was reassuring, acceptable, and convenient and sometimes alerted women to raised BP. While empowering, taking a series of self-monitored readings also introduced uncertainty and new responsibility. Some declined to participate due to a range of concerns. In the intervention arm, the performance of the BUMP intervention may have been impacted by women's selective or delayed reporting of raised readings and repeated testing in pursuit of normal BP readings. In the usual care arm, more women were already self-monitoring their blood pressure than expected.

conclusionsThe BUMP trials did not find that among pregnant individuals at higher risk of preeclampsia, blood pressure self-monitoring with telemonitoring led to significantly earlier clinic-based detection of hypertension nor improved management of blood pressure. The findings from this study help us understand the role that self-monitoring of blood pressure can play in maternity care pathways. As maternity services consider the balance between face-to-face and remote consultations in the aftermath of the COVID-19 pandemic, these findings contribute to the evidence base needed to identify optimal, effective, and equitable approaches to self-monitoring of blood pressure.

Indexed as

COVID-19Hypertension, Pregnancy-InducedQualitative ResearchAdultBlood PressureBlood Pressure Monitoring, AmbulatoryEnglandFemaleHumansPregnancyPrenatal CareSARS-CoV-2Self CareTelemedicineBlood pressureHypertensionPre-eclampsiaPregnancyProcess evaluationRemote careSelf-monitoring

Identifiers

PMID39604875
PMCPMC11603728

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.