Abstract

Background: Blood pressure variability (BPV) in pregnancy is a significant concern, particularly in women with cardiac risk factors. This study aims to analyze BPV in this high-risk group to improve maternal and fetal outcomes. Objectives: The primary objective was to assess the patterns of BPV in pregnant women with cardiac risk factors. Secondary objectives included identifying demographic and clinical factors influencing BPV. Methods: In this cross-sectional study, 200 pregnant women with identified cardiac risk factors were enrolled. Blood pressure measurements were taken across different times of the day and stages of pregnancy. Data on demographic, lifestyle, and clinical factors were also collected. Statistical analyses were performed to understand the variability and its correlates. Results: Significant BPV was observed in the study group, with higher variability in the third trimester. Factors such as age, BMI, and history of hypertension were associated with increased BPV. Women with higher BPV showed a trend towards adverse pregnancy outcomes, although this was not statistically significant. Conclusion: This study highlights the importance of monitoring BPV in pregnant women with cardiac risk factors. Tailored management strategies considering these variability patterns may be beneficial in optimizing maternal and fetal health outcomes.

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