Abstract

AYURVEDIC MANAGEMENT OF OLIGOHYDROMNIOS WITH KSHIRBASTI AND KSHIRPANA: CASE REPORT

*Dr. Archana Jadhav, Dr. Vinay Sonambekar and Dr. Anjali Nawale

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Abstract

Oligohydramnios – It is an extremely rare condition where deficiency of amniotic Fluid is less Than 200ml, Amniotic fluid index is less than 5 cm, and maximum vertical pocket of liquor is less than 2 cm. It is associated with an increased risk of umbilical cord occlusion, foetal Distress, meconium-stained liquor, operative deliveries, & stillbirth at term. Oligohydromnios[1] is a serious complication of pregnancy. That is associated with poor perinatal outcome. An accurate and reproducible method of determining abnormality is amniotic fluid index (AFI). An effective medical therapy for oligo is very important for the fetus to grow normally to near term. Though some allopathic treatment modalities such as trans abdominal amniocentesis and maternal hydration have been suggested, none work well or resolve the primary cause. In Ayurveda, oligohydroamnios can be considered under Upvishtakanagodara. Here, Garbhakshaya[2] as stated by Acharya Sushruta where Garbhaaspandana i.e. ksheenaspandana and anunnatkukshitta which is due to reduced liquor. Acharya Sushruta has mentioned the usage of ksheerbasti[3] from 8 month onwards to nourish the fetus in garbhakshaya. So one patient has been selected having moderate AFI for the use of ksheerbasti. So here Gokshur[4] Shatavari[5] Ashwagandha,[6] Phalaghruta[7] sidhhaksheerbasti is selected which is very effective treatment modality to increase the amniotic fluid.

Keywords: Oligohydroamnios, garbhakshaya, shatavari, ashwagandha, ksheerbasti.