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Arm Position and Blood Pressure Measurement Accuracy During Pregnancy

RecruitingNAAges 18 Years - 55 YearsFemaleSheba Medical Center
NCT07405723 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Accurate blood pressure measurement is essential during pregnancy, as blood pressure readings guide clinical decisions related to the diagnosis and management of hypertensive disorders of pregnancy. Clinical guidelines recommend measuring blood pressure with the arm supported at heart level; however, in routine practice, blood pressure is often measured with the arm in non-standard positions. This study aims to evaluate how different arm positions affect blood pressure measurements in pregnant women. Pregnant women attending a high-risk pregnancy clinic will undergo blood pressure measurements with the arm placed in several commonly used positions, including supported at heart level, supported on the lap, and unsupported at the side. Each participant will have multiple measurements taken during a single clinic visit. The study is designed as a randomized crossover trial with stratifica

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📋 Eligibility rules (as published)
Inclusion Criteria: * Pregnant women aged 18 to 55 years * Singleton or multiple viable intrauterine pregnancy * Gestational age corresponding to first, second, or third trimester at the time of enrollment * Ability to sit upright comfortably for the duration of blood pressure measurements * Ability to understand the study procedures and provide written informed consent Exclusion Criteria: * Preexisting significant cardiac disease (e.g., arrhythmias, congenital heart disease, severe valvular disease) * Chronic kidney disease defined as serum creatinine ≥1.5 mg/dL at enrollment * Significant upper limb or shoulder conditions that may affect arm positioning or blood pressure measurement (e.g., lymphedema, fractures, prior surgery, arteriovenous fistula) * Neurological or musculoskeletal conditions preventing proper positioning * Severe preeclampsia, eclampsia, or other acute medical conditions requiring immediate intervention * Major fetal anomaly * Intrauterine fetal demise
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What it tests

  • Arm Supported at Heart Level
  • Arm Supported on Lap
  • Arm Unsupported at Side
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Where

1 site
Sheba Medical Center
Ramat Gan, Israel
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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