The Specific Hypertensive Syndrome of Pregnancy (SHEG) is characterized by clinical
manifestations such as hypertension and proteinuria, a symptom that manifests itself after the
20th week of pregnancy, is considered the first cause of maternal death in Brazil. In this context,
through the inclusion of preventive and curative procedures and health promotion, prenatal care
can be considered a protective factor for the health of pregnant women. The nurse is the health
professional most qualified to identify, and perform the first care and referral for high-risk
pregnant women to prenatal care if necessary. The nursing care practiced by the nurse is
permeated by several knowledge and skills that have a strong influence on care during the
puerperal pregnancy cycle. It is essential to know and understand pregnancy and its
complications for measures to be taken in a timely manner to protect the health of the mother
and fetus. Thus, the objective was to unveil the knowledge of nurses who attend prenatal care
in basic health units about Specific Hypertensive Syndromes of Pregnancy in the city of Belém,
state of Pará. A field research with a qualitative descriptive approach was carried out in the
eight administrative districts of Belém, and the sample consisted of fifteen nurses who attend
prenatal care in primary care, the collection was made through an oral and recorded interview,
the analysis Data analysis was carried out through Bardin's Content Analysis, and to assist in
processing, the IRAMUTEQ software was used as a tool that brings statistical rigor to
qualitative research carried out according to Reinert's method, which uses the Descending
Hierarchical Classification. In the results, four categories and three subcategories emerged.
Category 1 “Main aspects about SHEG” with subcategories 1 and 2, respectively, “Knowledge
of prenatal nurses about SHEG and its clinical manifestations”, “Preventive measures to reduce
complications triggered by SHEG during prenatal care. primary ", category 2" Prenatal care in
primary care of pregnant women with SHEG ", with subcategory 1" Factors associated with
referral of pregnant women with SHEG to Obstetric Urgencies and Emergencies ", Category 3"
Nurses' assistance to pregnant women diagnosed with SHEG "and Category 4" Nurses'
knowledge about nutritional factors during pregnancy and the relationship with SHEG ". Nurses
who work in prenatal care have knowledge about SHEG, however they have difficulties in its
classification, describing the pathology in a more general way. In addition, some clinical signs
such as edema are described as a diagnostic criterion, despite the literature demonstrate the
opposite. Another relevant factor concerns the prevention of SHEG, where nurses describe
healthy habits as protective factors, which according to the evidence only prevent complications
that this pathology causes, besides, within the management, a strong tendency to refer to the
pre-natural high-risk and obstetric emergencies, however there is no reference to the return of
this woman to her unit of origin to share prenatal care as guided by women's health protocols.
We concluded that most of the participants had been without training on prenatal care for a long
time, which may be related to the outdated information about changes in protocols and
inappropriate conduct. Through investigation, we understand the need for professional
improvement of nurses on SHEG, and that the creation and use of care protocols based on the
most current scientific evidence being addressed in the clinical practice of nurses are extremely
important to guide the decision-making process and ensuring the provision of quality and safe
care. In this context, we can say that nurses have knowledge about SHEG, however there are
still many gaps regarding the proper classification of the pathology, the clinical management
within primary care shows a difference in the procedures adopted despite the existence of
national protocols.
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