• Body mass index and blood pressure measurement during pregnancy.

      Hogan, Jennifer L; Maguire, Patrick; Farah, Nadine; Kennelly, Mairead M; Stuart, Bernard; Turner, Michael J; Coombe Women and Infants University Hospital, Dublin, Ireland., Jennifer.Hogan@ucdconnect.ie (2012-02-01)
      OBJECTIVE: The accurate measurement of blood pressure requires the use of a large cuff in subjects with a high mid-arm circumference (MAC). This prospective study examined the need for a large cuff during pregnancy and its correlation with maternal obesity. METHODS: Maternal body mass index (BMI), fat mass, and MAC were measured. RESULTS: Of 179 women studied, 15.6% were obese. With a BMI of level 1 obesity, 44% needed a large cuff and with a BMI of level 2 obesity 100% needed a large cuff. CONCLUSION: All women booking for antenatal care should have their MAC measured to avoid the overdiagnosis of pregnancy hypertension.