New Tool Aids Blood Pressure Monitoring in Pregnancy

A new digital adaptation kit for self-monitoring blood pressure during pregnancy was released today by WHO and the United Nations' Special Programme in Human Reproduction (HRP) to enable countries to better help pregnant women manage hypertensive disorders. These disorders, if not properly treated, can lead to serious health consequences for women and their babies. The release of the kit has been timed to coincide with Self-Care Month, which runs from 24 June to 24 July.

Hypertensive disorders during pregnancy such as pre-eclampsia account for an estimated 16% of all maternal deaths worldwide. Potential complications include eclampsia, stroke, kidney failure, and placental abruption, as well as preterm birth and even stillbirth. Prevention, early detection and timely treatment of hypertensive disorders are key to improving the immediate and long-term health of mothers and their babies.

Self-monitoring blood pressure is an important self-care option to help those affected reduce risks. It can be done at home – either to complement the antenatal care being received via a health facility or in instances where travel is not feasible, alongside community-based care.

How the Digital adaptation kit works

Written WHO guidance on self-monitoring of blood pressure during pregnancy already exists in the WHO Guideline for self-care interventions for health and well-being , and the Digital adaptation kit translates that guidance into a digital format that can then be used within the health sector. The kit is the first for self-care during pregnancy.

I am delighted to announce the release of this digital adaptation kit, the first in a person-centred self-care series.
Pascale Allotey / Director of HRP and SRHR at WHO

The kit provides a common language and understanding of the health information content and standards required to enable self-monitoring of blood pressure, alongside the necessary digital information to develop personal health tracking systems that enable any needed follow-up care.

"I am delighted to announce the release of this digital adaptation kit, the first in a person-centred self-care series," said Pascale Allotey, Director of HRP and the Department of Sexual and Reproductive Health and Research (SRHR) at WHO.

"The kit will help Ministries of Health adopt the WHO recommendation on self-monitoring of blood pressure during pregnancy, and in turn help more women stay healthy through the antenatal period and beyond, while promoting the quality assurance of emerging digital tools".

The kit sits alongside the health and care worker-facing Digital adaptation kit for antenatal care .

Self-care and digital transformation of health systems

WHO defines self-care as the ability of individuals, families, and communities to promote health, prevent disease, maintain health and to cope with illness with or without the support of a health or care worker. WHO recommends evidence-based self-care interventions for all to advance autonomy, health and well-being. Digital health platforms and tools can facilitate access to self-care interventions and support informed decision-making by individuals and health systems.

This digital adaptation kit is the first in a series that aims at giving people wider access to self-care interventions through digital systems, in line with WHO SMART (Standards-based, Machine-readable, Adaptive, Requirements-based, and Testable) Guidelines. Digital adaptation kits translate WHO guidance into an accessible digital format to assist countries integrate evidence-based clinical recommendations into health systems helping them, and in turn, individuals, benefit from evidence-based clinical and data practices.

Funding for the kit was received from the Children's Investment Fund Foundation, The Gates Foundation and HRP.

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