Abstract

INTRAUTERINE GROWTH RESTRICTION – ITS REVIEW AND CORRELATION WITH GARBHASHOSHA, UPAVISTHAK AND UPASUSHKAK MENTIONED IN AYURVEDA

*Dr. Prajakta Patil and Dr. Subhash Marlewar

Abstract

Intrauterine growth restriction (IUGR) refers to inability of a foetus to achieve full growth potential while in utero where estimated foetal weight (EFW) is below 10th percentile. IUGR foetuses have substantial increase in perinatal morbidity (3 times) and perinatal mortality (8 times). Owing to its long term complications, the growth restricted foetus represents an enormous potential burden for the society.[1] The aim of the study is to review the literature of IUGR and co-relate it with garbha shosha, upavishtak and upasushkak mentioned in Ayurveda. The treatment of IUGR is according to the cause, the gestational age and the viability of the foetus. According to Ayurveda, IUGR due to maternal cause can be correlated with garbha shosha (drying of the foetus) mentioned by Acharya Charak. In this, vata dosha dries up the circulatory system of foetus. The treatment is to provide adequate maternal nutrition. Placental cause of IUGR can be correlated to upavisthak/ upasushkak mentioned by Acharya Vaghbhat. In this, vitiated dosha cause obstruction in the passage of blood vessels of the umbilical cord. The 3 types of upavisthak-vataj, pittaj and kaphaj can be correlated to the complications of IUGR which are maternal asphyxia, jaundice, severe anaemia respectively.

Keywords: Intrauterine growth restriction, upavisthak, upasushkak, garbha-shosha, Ayurveda, low-birth weight.