Innovations in vital signs measurement for the detection of hypertension and shock in pregnancy
Open accessAbstract
Approximately 820 women die in pregnancy and childbirth every day worldwide, with 99% of these occurring in low-resource settings. The most common causes of maternal mortality are haemorrhage, sepsis and hypertensive disorders. There are established, effective solutions to these complications, however challenges remain in identifying who is at greatest risk and ensuring that interventions are delivered early when they have the greatest potential to benefit. Measuring vital signs is the first step in identifying women at risk. Overstretched or poorly trained staff and inadequate access to accurate, reliable equipment to measure vital signs can potentially result in delayed treatment initiation. Early warning systems may help alert users to identify patients at risk, especially where novel technologies can improve usability by automating calculations and alerting users to abnormalities. This may be of greatest benefit in under-resourced settings where task-sharing is common and early identification of complications can allow for prioritisation of life-saving interventions. This paper highlights the challenges of accurate vital sign measurement in pregnancy and identifies innovations which may improve detection of pregnancy complications.
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The most common causes of maternal morbidity and mortality-hemorrhage, hypertensive disorders, infection, and sepsis-are often preceded by predictable vital signs perturbations in both high-resource and low-resource settings, and early intervention is key to improving outcomes.
“The most common causes of maternal morbidity and mortality—hemorrhage, hypertensive disorders, infection, and sepsis—are often preceded by predictable vital signs perturbations in both high-resource and low-resource settings, and early intervention is key to improving outcomes (4–9).”
From Comprehensive pregnancy monitoring with a network of wireless, soft, and flexible sensors in high- and low-resource health settings (2021) · cites this paper as [9]
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- Authors
- Vousden, N., Nathan, H. L., & Shennan, A. H.
- Affiliations
- King's College London (GB)
- Corresponding author
- Vousden, Nicola
- Venue
- Reproductive Health
- Published
- 2018-06
- Volume
- 15
- Issue
- S1
- Pages
- 92-92
- ISSN
- 1742-4755 (ISSN-L)
- PMC
- PMC6020004
- OpenAlex
- W2809140536
- Cited by
- 29
- References
- 47
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 1
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Reproductive Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Bill and Melinda Gates Foundation
- National Institute for Health and Care Research (ACF-2013-17-017)
- University of British Columbia
- Medical Research Council (MR/N006240/1)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- vital signs measurement, hypertension in pregnancy, early warning systems, maternal mortality, hypertensive disorders of pregnancy, pregnancy complications, task sharing, resource-limited settings, automated alerts, blood pressure measurement
- MeSH terms
- Diffusion of Innovation, Equipment and Supplies, Equipment Design, Female, Humans, Hypertension, Maternal Mortality, Monitoring, Physiologic, Pregnancy, Pregnancy Complications, Primary Health Care, Shock, Risk Assessment, Hypertension, Pregnancy-Induced, Vital Signs
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