HELLP Syndrome: Challenges in Early Identificationand Clinical Management Strategies, with Emphasison Nursing Practice

Authors

DOI:

https://doi.org/10.66104/1zasyv59

Keywords:

HELLP Syndrome. Nursing. Early identification. Clinical management.

Abstract

HELLP Syndrome is a severe complication associated withhypertensive disorders of pregnancy, characterized byhemolysis, elevated liver enzymes, and thrombocytopenia, and is associated with high rates of maternal and fetal morbidity and mortality. This study aimed to analyze, in thescientific literature, the main challenges related to the earlyidentification of HELLP Syndrome, as well as to describeclinical management strategies and highlight the role ofnursing care in high-risk pregnant women. This is anintegrative literature review conducted through searches in scientific databases such as SciELO, Virtual Health Library, and Google Scholar, using the descriptors “HELLP Syndrome”; “Nursing”; “Early Identification”; and “Clinical Management,” combined using Boolean operators. Articlesavailable in full, published between 2018 and 2025, in Portuguese or with available translation, addressing HELLP Syndrome, were included. After applying the inclusion andexclusion criteria, 10 studies were selected to compose thefinal sample and were analyzed descriptively andqualitatively. The analyzed studies showed that earlyidentification of HELLP Syndrome still represents a challenge, mainly due to the lack of specificity of clinicalsigns and their similarity to other gestational conditions. It was observed that clinical treatment involves maternal stabilization, use of magnesium sulfate, blood pressurecontrol, and, frequently, termination of pregnancy as thedefinitive measure. In addition, the importance of continuousmonitoring and multiprofessional care in reducingcomplications was highlighted. It is concluded that thequalified performance of the nursing team, combined withcontinuous education and humanized care, significantlycontributes to risk reduction and to the promotion of more favorable outcomes.

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Author Biographies

  • Ana Paula Freitas Nascimento , Centro Universitário Santa Terezinha - Cest

    Acadêmica do curso de Enfermagem da Faculdade  Cest. Possui interesse nas áreas de saúde pública e assistência materno-infantil.

  • Joseneubia Mascarenhas Mendes, Centro Universitário Santa Terezinha - Cest

    Acadêmica do curso de Enfermagem da Faculdade  Cest. Possui interesse nas áreas de saúde pública e assistência materno-infantil.

  • Fernanda Italiano Alves Benício de Sousa, Centro Universitário Santa Terezinha - Cest

    Enfermeira graduada pelo Centro Universitário do Maranhão, mestre em Biologia Parasitária pela Universidade Ceuma, especialista em Perinatologia pelo Hospital Universitário Materno-Infantil -UFMA, especialista em Enfermagem gineco-obstétrica pela Faculdade de Cidade Verde e especialista também em Enfermagem na Saúde da Família pela Faculdade UniBF. Experiência como docente e preceptora de estágio curricular no curso de Enfermagem da Faculdade Santa Terezinha - CEST (nível de graduação), atuando na área da Assistência de Enfermagem na Saúde da Mulher, sendo está minha área de atuação principal. Também atuo como Docente e Supervisora de estágio, na Universidade Ceuma. Atuo como orientadora de trabalhos de conclusão de curso, artigos científicos e participo na análise final dos produtos de TCC na área de Enfermagem, nível de graduação. Faço parte do corpo docente integrante das ligas acadêmicas, LASMIN (Liga acadêmica de saúde materno infantil) e LAHEN (Liga acadêmica de habilidades de Enfermagem). Experiência na área de Enfermagem, com ênfase em Enfermagem Obstétrica e Neonatologia, tendo trabalhado no Centro Obstétrico /Cirúrgico da Maternidade de alta complexidade do Maranhão (MACMA).

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Published

2026-05-19

Issue

Vol. 13 No. 10 (2026): REMUNOM - ISSN 2178-6925

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Artigos

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Copyright (c) 2026 Ana Paula Freitas Nascimento , Joseneubia Mascarenhas Mendes, Fernanda Italiano Alves Benício de Sousa

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How to Cite

HELLP Syndrome: Challenges in Early Identificationand Clinical Management Strategies, with Emphasison Nursing Practice. (2026). REMUNOM, 13(10), 1-21. https://doi.org/10.66104/1zasyv59