Effects of Educational Blood Pressure Self-Monitoring Guideline among Preeclamptic Women on Pregnancy Outcomes

Elsayed Ahmed Shahin, Hanaa; Ali Abd El-Salam, Amany; K. Khalil, Amal; Roshdi Ahmed, Amal

doi:10.21608/ejhc.2023.380125

Effects of Educational Blood Pressure Self-Monitoring Guideline among Preeclamptic Women on Pregnancy Outcomes

Document Type : Original Article

Authors

¹ Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University Egypt

² Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

10.21608/ejhc.2023.380125

Abstract

Background: Preeclampsia, which affects 2-8% of pregnancies globally and up to 10% in developing countries, is still one of the leading causes of maternal morbidity and mortality. Aim: assess the effects of educational blood pressure self-monitoring guideline among preeclamptic women on pregnancy outcomes. Design: A quasi-experimental research design was used. Settings: Maternal and Child Health Centers served as the study's settings. Sample: A purposive sample of 136 pregnant women diagnosed with preeclampsia divided into two groups: intervention and control groups. Instruments: I) A structured interview questionnaire. II) Knowledge Assessment Sheet III) Structured self-monitoring practices assessment instruments: used for blood pressure self-measure. IV: Structured pregnancy outcomes instruments: to assess the outcomes of pregnant women's maternal, fetal, and neonatal outcomes in addition to the Apgar score. Results there was no statistically significant difference between study and control groups in terms of all aspects of knowledge and practice regarding the effects of educational blood pressure self-monitoring guideline at pre-intervention. While a highly statistically significant difference (P-value≤0.001) was observed between them post-intervention, Regarding the difference between the MCH clinic and self-monitoring readings, data from population studies suggests that home measurements are much closer to clinic BP levels. There were statistically significant differences throughout pregnancy for self-monitored and clinic systolic BP readings (P-value≤0.001). Regarding neonatal death, the study group represented no incidence of neonatal mortality compared to the control group the control group (3.4%). Additionally, the study group experienced fewer fetal and neonatal complications (10.3%) than the control group in terms of NICU hospitalization (29.4%). Comparing the study group to the control group, there is no incidence of stillbirth or neonatal mortality (3 cases, or 3.4%), respectively. Conclusion: the positive impact of blood pressure self-monitoring Guideline, reported high significant influential improvement in knowledge, increased empowerment, and control of blood pressure self-monitoring practice in addition to the reductive effect on adverse maternal, fetal, and neonatal outcomes. Additionally, the case group's Apgar score was around three-quarters higher than that of the control group, where over half of the participants had aberrant scores. Recommendations: Maternity nurses should consider integrating educational blood pressure self-monitoring guideline into the standard care protocol for pregnant women with preeclampsia.

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