| Unique ID issued by UMIN | UMIN000060419 |
|---|---|
| Receipt number | R000069116 |
| Scientific Title | Positional invariance of continuous noninvasive blood pressure monitoring versus oscillometric cuff blood pressure measurement in term pregnancy: a prospective simultaneous-measurement study |
| Date of disclosure of the study information | 2026/01/21 |
| Last modified on | 2026/01/21 10:18:18 |
Comparison of Positional Invariance Between Continuous Noninvasive and Oscillometric Cuff Blood Pressure Measurements in Term Pregnant Women: A Prospective Simultaneous-Measurement Study
Positional Invariance Study Of Term pregnancy: continuous noninvasive vs cuff
Positional invariance of continuous noninvasive blood pressure monitoring versus oscillometric cuff blood pressure measurement in term pregnancy: a prospective simultaneous-measurement study
SIM-BP-PI study
| Japan |
Pregnancy
| Obstetrics and Gynecology | Anesthesiology | Adult |
Others
NO
We will simultaneously measure blood pressure using continuous noninvasive blood pressure monitoring (cNIBP) and a noninvasive oscillometric cuff device in term pregnant women, and compare the Position Invariance Index (PII) between the two methods (cNIBP vs cuff) across six commonly used clinical positions: supine, left lateral, right lateral, hands-and-knees, sitting, and standing.
Efficacy
Confirmatory
Position invariance index (PII) of mean arterial pressure (MAP) for each device (cNIBP and the oscillometric cuff blood pressure monitor)
1. PII for systolic blood pressure (SBP) and diastolic blood pressure (DBP) (defined in the same manner as for MAP).
2. Position-specific absolute deviations for each device, i.e., the change from the supine value for each non-supine position.
3. Agreement between cNIBP and the oscillometric cuff blood pressure device for MAP measurements in each position.
Observational
| 18 | years-old | <= |
| 45 | years-old | >= |
Female
Patients with ASA physical status II who are scheduled to undergo elective cesarean delivery at 37 weeks gestation or later and who provide written informed consent to participate in the study.
Pregnant women with a history of cardiac disease, hypertension, or arrhythmia.
Pregnant women with multiple gestation, threatened preterm labor, or fetal growth restriction and/or structural anomalies.
Pregnant women with abnormal vital signs on admission.
25
| 1st name | SHUNSUKE |
| Middle name | |
| Last name | HYUGA |
Kitasato University School of Medicine
Department of Anesthesiology
252-0375
1-15-1 Kitasato, Minami-ku, Sagamihara City, Kanagawa Prefecture
0427788111
shyuga@kitasato-u.ac.jp
| 1st name | SHUNSUKE |
| Middle name | |
| Last name | HYUGA |
Kitasato University School of Medicine
Department of Anesthesiology
252-0375
1-15-1, Kitasato, Minami-ku, Sagamihara Kanagawa 252-0374, Japan
0427788111
shyuga@kitasato-u.ac.jp
Kitasato University
Kitasato University
Self funding
Kitasato University Medical Ethics Organization
1-15-1, Kitasato, Minami-ku, Sagamihara Kanagawa 252-0374, Japan
0427788111
rinrib@med.kitasato-u.ac.jp
NO
| 2026 | Year | 01 | Month | 21 | Day |
Unpublished
Preinitiation
| 2026 | Year | 01 | Month | 07 | Day |
| 2026 | Year | 01 | Month | 21 | Day |
| 2026 | Year | 01 | Month | 22 | Day |
| 2028 | Year | 12 | Month | 31 | Day |
1 Eligible pregnant women who are admitted to our hospital without the onset of labor for elective cesarean delivery or for induction of labor will be informed about the study using the written information sheet (Appendix) and asked to provide written informed consent to participate.
2 After consent is obtained, participants will rest in bed. A conventional noninvasive oscillometric cuff blood pressure monitor will be placed on the upper arm of the dominant arm, and a cNIBP sensor will be applied to a fingertip. The fingertip cNIBP device will be calibrated to heart level in advance according to the manufacturers instructions.
3 Blood pressure will be continuously assessed using both devices in each of the following six positions: supine; lateral decubitus (two conditions: with the dominant arm uppermost and with the dominant arm lowermost);sitting; standing; and hands-and-knees. Measurements will be continued for 5 minutes immediately after each position change. The cuff device will measure blood pressure at 2.5 minute intervals. For analysis,the blood pressure value at 5 minutes after the position change will be used,defined as follows:
cNIBP:the value immediately before the cuff device begins its measurement at 5 minutes after the position change.
Cuff device:the value obtained from the measurement initiated at 5 minutes after the position change.
4 The order of the six positions will be determined by computer-generated randomization using a statistical software program.
| 2026 | Year | 01 | Month | 21 | Day |
| 2026 | Year | 01 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069116