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
Post partum examinations
Gestosis Clinic
Causes of EPH - Gestosis
Comparison FIGO - OG
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a) First Measures

b) Hospitalized Patient

c) Eclampsia, Imm. & Convuls.
Medicaments not recommend.
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b) of EPH - Gestosis

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OG
Ιπ the Anglo-American literature alone, used also by other Anglo-Americo-phile countries (Scandinavia, Germany, South Africa) are close to 1 00 names af this syndrome to be found. This Ieads to confusion, missunderstanding and prevents comparison of results and therewith progress ίπ research.  

Toxemia
Toxicosis
Preeclamptic toxemia
Hypertensivetoxemia
Irnpending toxemia
Acuta
l toxemia
Eclamptogenic toxemia
Eclamptic toxemia
Convulsive toxemia
Pretoxemia
Pregnancy toxemia
Mild toxemia
E
arly toxemia
Severe toxemia
Essentia
l toxemia
Latent toxemia
Recu
trent toxemia
Unclassified toxemia
Imminent eclampsia
Impending eclampsia
Essential hypertension
Albuminuric toxemia
Preeclamptic toxemia of pregnancy
Chronic hypertensive cardiovascular disease with superimposed preeclampsia οf eclampsia
Chronic hypertensive vascular disease with superimposed toxemia
Chronic hypertensive vascular dlsease
Hypertensive vascular disease
Hypertensive disease of pregnancy
Hypertensive disorders of pregnancy
Preec
lampsia

Mild preeclampsia
Severe preec
lampsia
Ec
lampsia
Νο
n toxemic hypertension. Hypertensive vascular disease Superimposed toxemia
Preec
lampsia levis
Metabo
lic toxemia of late pregnancy Superimposed preeclamptic toxemia Gestosis of late pregnancy
Late gestosis of pregnancy
Proteί
nuric preeclampsia
Choriοgenίc nephropathy
Uter
o-renal-reflex syndrome
Psychogenic gestosis
Choriogeηίc vasculo-nephropathy -choriouic - nephrotic vasculopathy

Chorio-nephrοtίc vasculitis
Chorio-renal vasculosis
Chorio-vascular nephrosis
Vascu
lar chorionephrοsίs
Trophob
lastic vasculopathy
Trophob
lastic vasculosis
Trophob
lastic nephrovasculopathy
Trophob
lastogenic vasculopathy
Preec
lamptic nephropathy
Gestosis
Nephropathy
Toxemia of
late pregnancy
Toxemia of pregnancy syndrome
Toxemia of pregnancy
Hypertensive toxemia of pregnan
cy
Acute toxemia of pregnancy

 
Discussion of those names

4. Toxemia, Toxicosis.
Never a toxic substance could be isolated responsible for all cases of ΕΡΗ -Getosis, not even for some of the cases (Decision : Το be dropped)
5. Preeclampsia
Ιπ the Anglo-American Iiterature:Αll cases with hypertension and proteinuria, sometimes also with edema are being labeled as preeclampsia. This term was described as misnomer and recomended to be dropped.
In the German Iiterature it describes the condition immediately before the eclamptic seizure (Eclampsia imminens. ΕΙ ).(Decision Το be dropped)
6. Hypertension
Hypertension has many causes (cardia, renal, endocrinal, malformations, psychological)
The readings depend on many factors (position of the patient, condition of patient as well as doctor Οr who ever takes the blood pressure, time of the day, equippment and its instruction and use, state of knowledge etc..)In underpriviledged areas a blood pressure apparatus, a stethoscope and the instruction how to use both might be a Iuxury unheared of. The readings of blood pressure have been vastly ονer estimated (Decision :Το be dropped)
4. Complicated names,
like Trophoblastic nephrovasculopathy
Οr Choriogenic Nephropathy
Οr Vasculo Chorionic Nephrosis
Οr Oedemo-nephrotisch-hypertensiver Symptomencomplex
might be convincing for their inventors but would never be accepterd generally (Decision: Το be dropped)
4. Eclampsia
is the easiest condition to be identified. It is always connected with tonic- clonic convulsions ( Convulsive eclampsia, Eclampsia convulsiva. EC) We know about the very rare cases of silent eclampsia  .(Decision: Το be considered)
5. Impending or Imminent Eclamspsia,(EI) .similarely is easy to detect. It can very well be separated from other forms of ΕΡΗ -Gestosis by the signs and symptoms the patient shows. It is especially important a condition because it enables us to recognize the danger of a seizure to develop. This next step to Convulsive Eclampsia can be prevented ( Decision: Το be considered)
6. Gestosis.
This is actually the correct name. It indicates that we are dealing with a pregnancyJ a Gestation (Gest... ) which shows an abnormal course (... osis). And if this disturbed pregnancy shows the signs and symptoms of EdemaJ and / or Proteinuria and / or Hypertension then it is an ΕΡΗ -Gestosis which we may subdivide in several groups:
Ε, Ε ,P -  monosymptomatic cases
ΕP,EH, PH, EPH -  polysymptomatic cases

This name is just descriptive. It does not imply causes, prognosis, underlying disease or therapy. And also it does not Iable this complication as one single disease but as a syndrome of which we should search for its cause (causes)
That's why we call this syndrome EPH-Gestosis
 
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