Pregnancy is not a disease or illness, but requires clinical surveillance as life-threatening complications can develop. Preeclampsia, one such potentially serious complication, puts both mother and baby at risk. Self-monitoring blood pressure in the general population is well established, and its potential in pregnancy is currently being explored. In the context of self-monitoring, the information and guidance given to women regarding hypertension, and the literature they themselves seek out during pregnancy, are vital to perceptions of disease risk and subsequent responses to, and management of, any symptoms. Drawing on online, offline, official, and unofficial sources of information, discourses are examined to provide analysis of how self-responsibilization is reflected in contemporary information, advice, and guidance drawn from multiple sources. A paradox emerges between the paternalistic and lay discourses that seek to challenge and regain control. Findings are discussed in the context of Foucault’s governmentality and medical power.

怀孕不是一种疾病，而是需要临床监测，因为可能会出现危及生命的并发症。先兆子痫，一种潜在的严重并发症，使母亲和婴儿都处于危险之中。在一般人群中自我监测血压已经很成熟，目前正在探索其在怀孕中的潜力。在自我监测的背景下，给予妇女有关高血压的信息和指导，以及她们自己在怀孕期间寻找的文献，对于了解疾病风险以及随后对任何症状的反应和管理至关重要。利用在线、离线、官方和非官方的信息来源，对话语进行检查，以分析自我责任如何反映在当代信息、建议、和来自多个来源的指导。在寻求挑战和重新获得控制权的家长式话语和非专业话语之间出现了一个悖论。研究结果在福柯的治理和医疗权力的背景下进行了讨论。