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OG
We do need two classifications.
Α classification which is simple to establish by anybody taking care of pregnant patients, a sensible, symptomatic classificationand Α classification which is based οπ the causes of ΕΡΗ -Gestosis. a pathogenetic classification
 
Α.Symptomatic classification.

We hardly ever know in a patient first hand which of the many possible causes is indicated by her ΕΡΗ -Gestosis. We just know the cardinal signs and symptoms. So we have to build a first clinical classification from the data available and those are pathological Edema, ( Ε ), pathological Proteinuria ( Ρ ) and Hypertension ( Η ) (see Link 9b, 10, 12 )
Furthermore Ε ΡΗ -Gestosis being the syndrome of the neglected woman this clinical classification has to be as simple as possible so that it can be applied at grass root Ievel, by anybody taking care of a pregnant woman So the OG suggests the following symptomatic classification.
 
1. SYMPTOMATIC CLASSIFICATION: ΑLL CASES -
1.1.  Monosymptomatic  EPH-Gestosis (EPH-Complex, EPH-Syndrome)  |
1.1.1. Ε = Edema  |
1.1.2. Ρ = Proteinuria  |
1.1.3. Η - Hypertension  |
1.2. Ροlysymptomatic  EPH- Gestosis (EPH-Comp1ex, EPH-Syndrome) Combination of 2 οr  all 3 symptoms  |
1.2.1. EP

Pick up

1.2.2. EH 100%
1.2.3. PH  |
1.2.4. EPH  |
1.3.    Imminent (impending) eclampsia ΕΙ Objective + subjetive symptoms*  |
1.4.    Eclampsia EC
*Objective + subjective symptoms of imminent (impending) eclampsia ΕΙ:
Objective: Hyperreflexia
Motoric exitation Ιmpared consciousness Sudden deterioration (also cyanosis)
Subjective: Headaches
Visual disturbances Acute symptoms of the upper abdomen
-
We first describe the clincal picture and label the patient as possibly high risk pregnancy. Νο hint οπ cause (causes), prognostics, therapeutic measures, pathogenetics given.
   
[download pdf - file, 58 Kb.]
 
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