Nurses' actions in the urgent and emergency care of pregnant women with previous placental abruption

Introduction: Premature placental abruption (PDP) is defined as the rupture of the placenta implanted in the body of the uterus before the birth of the fetus in a pregnancy of 20 or more completed weeks. It results from a series of pathophysiological processes, often of unknown origin. Regarding the care of the pregnant woman with PPD, the nurse must be cautious, to meticulously evaluate the maternal-fetal conditions to avoid further damage. Objective: To identify the nurses' behaviors in the urgent and emergency care of pregnant women with PPD. Methodology: This is an Integrative Literature Review aimed at answering the guiding question: What are the nurses' attitudes in the urgency and emergency care of pregnant women with Premature Placenta Detachment? A search for articles in the electronic library SCIELO and in the Virtual Health Library (BVS) and in the LILACS database with the combination of descriptors Nursing, obstetrics, premature placental abruption, emergency. Articles available in full in the Portuguese language between the months of January 2010 to January 2018 were included, and monographs, dissertations and case reports were excluded. Titles and abstracts were read. Results: Among the care that nurses should perform are the verification of vital signs, identification of uterine hypertonia, immediate communication of any sign of shock or onset of labor and performing BCF auscultation. Conclusion: The study identified the nursing care provided to pregnant women with PPD and confirmed the need for adequate and permanent professional training to deal with this complication.