Abstract

ROLE OF APARA DUSHTI IN PREGNANCY INDUCED HYPERTENSION AND ITS COMPLICATIONS - AN AYURVEDIC PERSPECTIVE

*V. S. Madhumithaa and Dr. Papiya Jana

Abstract

Hypertensive disorders remain among the most significant problems in obstetrics. These disorders complicate 5 to 10 percent of all pregnancies and contribute greatly to maternal morbidity and mortality rates. According to the contemporary understanding, the physiological changes during pregnancy involving the increased demand from the growing fetus that leads to changes in the uteroplacental circulation and when the maternal system is not able to cope up with the changing environment, there could be conditions like Hypertension and subsequent placental insufficiency. Hence increased awareness regarding these disorders, their causes and treatment strategies should be made to avoid serious complications to the mother and the fetus. Ayurveda, being a holistic system of approach, gives high importance to pregnancy care and ensuring proper Poshana for the development of garbha. Garbha poshana depends upon the Rasa Dhatu of the mother, the Apara and Nabhi Nadi that is responsible for carrying the Poshaka Dhatu. Anupahata Sthithi of these ensure proper Garbha Vridhi. Apara Dushti is a term used to denote the set of pathologies that impairs the proper formation and functioning of the Apara that leads to a compromised state of mother and garbha. Placentation abnormalities can be seen as a disruption of the Vata Dosha's regular functioning. As the disease worsens, Pitta and Kapha also become involved. Intervention should start before conception in women who have had preeclampsia in the past or not. Pregnancy-induced hypertension can be prevented and managed by using Garbhini paricharya, Garbhasthapaka Dravya, Rasayana Dravya, Masanumasika Garbhasravahara Dravya, and other remedies. These measures can improve the health of both the mother and the foetus.

Keywords: PIH, Apara, Garbha poshana, IUGR, Uteroplacental insufficiency.