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Practice Guidelines

Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance

BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l5119 (Published 09 September 2019) Cite this as: BMJ 2019;366:l5119
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Re: Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance

Please reference any data that affirms the validity of Wrist blood pressure measurement in clinical monitoring.

I have always understood it to be a lifestyle fad and of no clinical value.

GPs like myself have advised patients for years that the only correct BP measurement with clinical continuity is that which exerts cuff pressure on the upper arm.

If BMJ asserts otherwise please publish data to support your illustration.

Competing interests: No competing interests

24 September 2019
James A Erskine
Salaried GP
Stockport

Re: Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance

In the print edition of this summary, a picture is provided of a pregnant woman using a wrist blood pressure monitor, held at the level of the umbilicus, to measure blood pressure. The full guideline makes no mention of BP measurement technique, but measurements taken as illustrated are highly likely to be dangerously misleading.

Competing interests: No competing interests

22 September 2019
Charles RV Tomson
Retired nephrologist
none
Morpeth, Northumberland
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