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
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

b) OGPh

c) RAOG

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OG
To assess the severity of the syndrome and the effect of your therapy
Modification Hamdi EI Kabarity, Cairo, Egypt
Management of EPH - Gestosis as monitored by Gestosis Index

Mild (GI 1-4)
Rest, stop strenous work, keep patient at home Balanced diet. low salt. rich in proteins, vitamins
Psychological assistance if needed

Moderate (GI 5-7)
Rest, bedrest, temporary, permanent
Strict diet, Low salt, rich ίπ proteins, supplements
Sedation if required
Frequent check-ups
Short repeated hospitalisations if required

Severe (GI 8-11)
Hospitalisation, permanent bedrest.
Laboratory investigations
Monitoring Baby and mother
Medicaments according the BABY's condition
to increase the uterine blood flow
to lower maternal blood pressure
to provide supplements as required
to prevent premature labor and delivery

Eclampsia imminent ( ΕΙ )
Eclampsia convulsiva ( EC )

According to emergency guide lines.
By specialists in Obstetrics

The treatment of ΕΡΗ -Gestosis is ALW Α YS the responsibility of the Obstetrician. Inter Departemental cooperations is mandatory but has ALWAYS to be under the guidance of an experienced Obstetrician. Because only he knows the intricacities of pregnancy and its implications
 
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