THE ROLE OF THE EMERGENCY NURSE IN RECOGNIZING AND MANAGING CARDIOPULMONARY ARREST IN PREGNANT WOMEN

Abstract

Introduction: Cardiopulmonary arrest in pregnant women is a rare and highly severe obstetric emergency that requires early recognition and rapid intervention to ensure maternal and fetal survival. In this context, the emergency nurse plays an essential role in identifying clinical signs, making immediate decisions, and coordinating cardiopulmonary resuscitation actions. Objective: To understand the role of the emergency nurse in recognizing and managing cardiopulmonary arrest in pregnant women, considering decision-making processes, interventions performed, and challenges involved in care delivery. Methodology: This integrative literature review. Results and Discussion: The findings revealed weaknesses related to technical knowledge, lack of standardized protocols, structural limitations, and insufficient continuous training, factors that compromise the safety and effectiveness of care. Conversely, the use of validated instruments, checklists, specific protocols, and continuing education strategies, especially clinical simulation, proved effective in strengthening nursing performance. The literature also highlighted the importance of multidisciplinary integration, effective communication, and prompt implementation of adaptations required for cardiopulmonary resuscitation in pregnant women, contributing to improved maternal and perinatal outcomes. Conclusion: Continuous qualification of emergency nurses, associated with standardized procedures and strengthened healthcare infrastructure, favors the early recognition and proper management of cardiopulmonary arrest in pregnant women. Technical-scientific expertise and leadership skills are essential elements for maternal-fetal safety and for improving the quality of care in obstetric emergencies.