SÍNDROME DE HELLP: ATUAÇÃO DA ENFERMAGEM NA REDUÇÃO DA MORBIMORTALIDADE MATERNO-FETAL

Abstract

HELLP syndrome represents a potentially severe complication of preeclampsia, characterized by hemolysis, elevated liver enzymes, and low platelet count. Due to its high rate of maternal and fetal morbidity and mortality—especially when not diagnosed early or managed appropriately—the role of nursing is highlighted in the early clinical recognition and implementation of evidence-based interventions. The main objective of this study was to identify key nursing strategies and interventions for the prevention and management of HELLP syndrome, aiming to reduce maternal and fetal mortality. The methodology used was an integrative literature review, with a descriptive and exploratory approach. The search was conducted in databases such as PubMed, SciELO, and LILACS, using specific descriptors and strict inclusion/exclusion criteria, resulting in the analysis of eight articles published in the last ten years. The theoretical framework is based on the importance of systematized care, health education, and the standardization of evidence-based clinical practices to optimize care. The results highlight the central role of nursing in early diagnosis and clinical management, the relevance of educating pregnant women about warning signs, and the effectiveness of care systematization, such as the use of standardized nursing diagnoses and interventions (NANDA/NIC). It was found that failures in the care process and socioeconomic inequalities contribute to unfavorable outcomes. It is concluded that nursing plays a fundamental role in all phases of care for HELLP syndrome. Technical-scientific knowledge, systematized clinical practice, and health education are essential pillars for preventing complications and improving maternal and fetal morbidity and mortality indicators, despite the need for further research and overcoming challenges such as the lack of standardized protocols and social inequalities.