Impact of HELLP Syndrome on Maternal Mortality and the Role of Nursing in Peru

In 2022, hypertensive disorders of pregnancy continued to be a global concern, affecting 10% of pregnant women, while HELLP syndrome (HS) complicated between 0.1% and 0.9% of pregnancies. In Latin America, approximately 27.6% of women with preeclampsia developed HS, with a maternal mortality rate of 14%. In Peru, maternal mortality increased significantly compared to previous years, with hypertensive disorders accounting for 30% of cases. HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and thrombocytopenia, caused severe complications such as postpartum hemorrhage, pulmonary edema, and death. In rural areas of Peru, the lack of resources and specialized personnel hindered the timely management of this condition, exacerbating the risks for patients. The strategies implemented included improving prenatal care and training healthcare professionals. Nurses played a crucial role in the early identification of risk factors, continuous monitoring, and interdisciplinary management of critical patients. Additionally, the nursing care process ensured comprehensive care based on scientific and humanistic principles. Despite these efforts, inequity in access to healthcare services persisted, especially in remote areas. The need for public policies to strengthen healthcare infrastructure and promote equity was evident, being key to reducing maternal complications and improving health indicators in the country