Assistência de enfermagem à gestante com eclâmpsia: uma revisão narrativa da literatura.

Abstract

Introduction: Pregnancy is a physiological and natural process that requires systemic cardiovascular, immunological, renal, and endocrine adaptations of the female body to sustain fetal development. Among the complications that may occur, eclampsia is an obstetric emergency characterized by seizure episodes without other identifiable neurological causes, requiring rapid and effective interventions. Nursing care is essential in prenatal follow-up within Primary Health Care and in hospital settings for obstetric emergencies. Objective: To analyze, through a narrative review of the literature, the available scientific evidence on nursing care for pregnant women with eclampsia. Method: A literature search was conducted between July and September 2025 in the Virtual Health Library (VHL), with emphasis on BDENF and LILACS. Inclusion criteria were articles published between 2015 and 2025, in Portuguese, English, and Spanish, available in full and free of charge, addressing nursing care for pregnant women with eclampsia. Abstracts, editorials, dissertations, theses, and institutional documents were excluded.Results and Discussion: The findings indicate that nursing practice plays a key role in prevention, early identification, and management of complications. The implementation of clinical protocols, updated technical and scientific knowledge, and humanized care are essential. However, challenges such as work overload, lack of resources, absence of standardized protocols, and gaps in professional training still compromise the effectiveness of care.Conclusion: Nurses play a leading role in addressing eclampsia and reducing maternal and fetal morbidity and mortality. Permanent education policies and investments in hospital infrastructure are necessary to improve the quality of care.