NURSING CARE FOR WOMEN WITH PREGNANCY-SPECIFIC HYPERTENSIVE SYNDROME

Abstract

Introduction: Pregnancy-specific hypertensive syndrome (PGHS) is characterized by an increase in blood pressure >= 140x90mmHg from the twentieth week of pregnancy and may extend until the puerperium. This syndrome can be classified as chronic arterial hypertension, hypertension in pregnancy, pre-eclampsia, pre-eclampsia superimposed on chronic hypertension, eclampsia and HELLP syndrome. Thus, it is extremely important to allow access to humanized and qualified care so that pregnant women have better exclusive assistance from professionals. Objectives: To analyze nursing care for women with pregnancy-specific hypertensive syndrome. Methodological Aspects: The qualitative research was exploratory in nature, carried out through an integrative review. The searches for articles occurred in the virtual health library (VHL), from the selection of descriptors registered in DECS (Health Sciences Descriptors), using the Boolean operators “AND” and “OR”. The online databases used were: LILACS, BDENF and MEDLINE. The inclusion criteria were complete articles available in full, indexed in the databases, in Portuguese, English and Spanish, with a time frame of the last five years (2019 to 2024). Among the exclusion criteria were theses, dissertations, reports, abstracts, monographs and articles that did not fit the theme. Expected results: Nursing care plays a crucial role in the care of pregnant women with Specific Hypertensive Syndrome of Pregnancy (SHEG), from prenatal care to hospital follow-up. In the intra-hospital environment, nursing monitors the pressure curve, fetal heart rate and possible complications, allowing early interventions and administration of antihypertensives. The nurse uses the Nursing Care Systematization (SAE) to identify risks and plan individualized care, especially in cases of HELLP syndrome. Continuous monitoring of vital signs, including blood pressure and edema, is essential to prevent serious complications such as eclampsia. Magnesium sulfate is recommended for the control of preeclampsia, and nurses play an important role in the immediate stabilization of patients in high-complexity units. Conclusion: Nursing plays a vital role in the care of pregnant women with Specific Pregnancy Hypertensive Syndrome (SHEG), using continuous monitoring and early interventions. The Systematization of Nursing Care (SAE) enables individualized care, which is essential to reduce complications and improve outcomes for mothers and babies.