Secretariats General
Definition of EPH-Gestosis
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Nomenclature
Definitions

a) Gestosis

b) Signs and Symptoms

c) Eclampsia Imminens (EI)

d) Eclampsia Convulsiva (EC)
Signs and Symptoms
Causes of E, P, H.
Gestosis Index, GI
Asphyia Index, AI
Classifications

a) Symptomatic

b) Pathogenetic
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Causes of EPH - Gestosis
Comparison FIGO - OG
Therapeutic Suggestions

a) First Measures

b) Hospitalized Patient

c) Eclampsia, Imm. & Convuls.
Medicaments not recommend.
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a) of the OG

b) of EPH - Gestosis

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a) ASOG

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c) RAOG

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OG
Β. ΤRΕΑΤΜΕΝΤ OF ΤΗΕ HOSPITALIZED ΡΑΤΙΕΝΤ  
possibly 5 -7
certainly < 7

Please be advised that these therapeutic suggestions have been worked out and published considering the State of Art ίπ Western Ευrope. In other parts of the world the priorities might have to be adopted to the local needs.

a) 1st.  Trias, Bedrest, Diet, Sedation

    2 st. Trias, Stay in bed, Look, Listen
That means: No noisy visits, No excitement, No home work
 
    3 st. Trias, Read, Write, Entertain

b) Monitoring.....
Mother and baby
reveals:
Abundant urin flow, excretion of retained fluid
Reduction of protein excretion in the urin
Lowerting of blood pressure.

c) New assessement frequently
possibly infusion of Glucose 5 %, mainly to keep a vein open. give little fluid (water retention !)
never give NaCL solution (water retention !)
beta sympathomimetics to widen the vessels
spasmolytics to prevent premature labor .

d) Monitor baby frequently
       remember : Danger Mother / Baby = 1 / 100
e) Terminate Pregnancy

when indicated. danger to fetus / danger to mother

Technic ; Induction of labor
Forceps delivery under general anesthesia
Cesarean Section

Remember : Labor pains and pushing down during birth may rise the blood pressure and cause eclamptic fits. Vacuum extraction which requires the active help of the parturient is therefore contraindicated.
 
 
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