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As noted, it is extremely important to make sure your health provider uses the correct size of blood pressure cuff for you. Using a regular cuff on a fat person has been found to artificially inflate blood pressure significantly. If they do not use the correct-sized cuff on you, they will be basing your medical diagnosis and treatment plan on INVALID DATA. It is essential that this number be accurate. It is particularly critical to have an accurate reading of blood pressure in pregnancy due to concerns about Pre-Eclampsia/Pregnancy-Induced Hypertension (PE/PIH). Outside of pregnancy, a borderline BP number is not pursued as vigorously, but in pregnancy most OBs get very nervous about borderline blood pressures, and will start very aggressive interventions very quickly. Because some cases of PIH progress rapidly to PE and can endanger the baby and the mother, OBs tend to be extremely interventive about borderline blood pressures in pregnancy. Therefore it is extremely important to have accurate data on which to base these critical decisions.

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