Management of garbhodakavriddhi w.s.r. to polyhydramnios through ayurveda - a case report

Summary of article contents:

Introduction: Polyhydramnios is a relatively common clinical presentation in pregnancy with a varying incidence of 1-2% of cases. There is yet no data suggestive of improvement in perinatal outcome with antenatal fetal surveillance. Since it is associated with significant perinatal morbidity and mortality, fixing up a standard treatment protocol for its management is needed. Case Description: A 28-yearold female patient consulted Prasutitantra and Streeroga OPD, NIA Hospital, Jaipur complaining of difficulty in breathing, palpitations, hyperacidity for 15 days with 8 months of amenorrhea. Diagnosis: Based on abdominal examination and radiological findings, the case was diagnosed with polyhydramnios. On the correlation of symptoms as stated by Acharya Sushruta, Ayurvedic diagnosis of Garbhavriddhi was made. Intervention: As in the management of garbhavriddhi , practices involving appropriate samshodhana (purifying) and sanshamana (suppressive) yet kshayaavirodhi karma (not causing loss of dosha or dhatu below optimal range) are prescribed. Hence, an intervention of Ksheerabasti with PunarnavashtakaKwatha was done along with the oral medication in the present study. Outcome: USG done after 7 days of treatment course showed significant correction in AFI as well relief from clinical symptoms. Conclusion: This case illustrates that Polyhydramnios can be managed effectively and safely with Punarnavashtaka kwatha ksheera basti. Mutrajanana, Srotoshodhana, Kledapachana, and Shothaghna are the main actions essential in its management. Keywords: Garbhavriddhi , Polyhydramnios, Punarnavashtaka kwatha , Ksheera basti INTRODUCTION Polyhydramnios is one of the common complications in pregnancy which is associated with an increased risk of perinatal morbidity and mortality