COMMON AILMENTS DURING PREGNANCY & ITS MANAGEMENT

Dr. B. SYAMALA. M.D. PhD AMRITA SCHOOL OF AYURVEDA, KARUNAGAPPALLY, KOLLAM, KERALA. drbsyamala@gmal.com

PROLOGUE
Pregnancy and delivery are natural processes to

continue human generation. Various structural and functional changes occur in body of pregnant woman that may produce discomforts and dis-eases to the woman. It is the duty of the Obstetrician to support them by relieving those discomforts that she can have a safe pregnancy and delivery with achievement of a healthy normal child.

COMMON AILMENTS
MINOR: MAJOR: VOMITING HYPEREMESIS GRAVIDARUM HRLLASAM HEMORRHAGE LOW BACKACHE TOXEMIA MUSCLE CRAMPS CONSTIPATION PILES GAS TROUBLE KIKWISAM OEDEMA ANEMIA GESTATIONAL DIABETES LEUCORRHOEA

Vomiting

Cause-decreased peristalsis Smooth muscle relaxation Retention of gastric juice Management-awareness Take less food, more frequencies Avoid fluid just after getting up Reduce tea, coffee Take dry fruits, nuts, biscuits Laja with sugar Laja boiled with water Vilwadi lehyam Dhanwantaram gulika

Hrllasam( Heart burn)

Cause- retention or regurgitation gastric juice

Compression of stomach Delayed intake, pickles Management-Avoid spicy food Avoid stomach full diet Lying just after meals Dhanwantaram tablet Shatavari ksheerapakam Guloochyadi kwatham Banana pudding

Low Backache

Cause- Increased weight Compression on vertebra High heeled slippers Travel/ Stand/ sit long ManagementAvoid causative factor Massage back-S. Thailam Adequate rest

Constipation

Cause- Atonic gut Diet- less fluid more hot, Pungent, pickles Egg, chicken ManagementTake more fluid diet Vegetables, milk, buttermilk Thriphala choornam at bed time Enough exercise

Muscle cramps

Cause- Exposure to cold Stand long, less Cal.salt diet Management- Avoid cold Cover legs while sleep Wear slippers at home Massage calf muscle With S.thailam& salt Hot fomentation

Piles

Cause-Chronic constipation Hot , pungent diet, pickles Chicken, egg, pepper Compression of gravid uterus Management-Avoid cause More vegetables, Onion, Yam Buttermilk, Thriphala water Bahushalagulam,Gandarvahastadi kwatham.

Gas trouble

Cause- Constipation, Piles More pulses in diet Sitting , Lying long time Lack of exercise ManagementAvoid constipation Treat piles Hingwadi choornam/ Tab Dhanwantaram gulika

Kikwisam- stretch marks

Cause- Stretching of dermis- tear-scar Symptom- Itchingburning-marks ManagementIncrease elasticity Less salty, oily food Apply oil, Thriphala choornam & milk Kalka of Ushira, Chandan & butter

Oedema
Oema on feet sitting long, salty food Management Proper rest Punarnavadi kwatham Gokshur, yeva. Not relieved- check B.P. urine

Anemia

Hemodilusion Malabsorption Malnutrition Less intake diet ManagementAvoid hard work Nutritious diet Egg, fruits,vegetables Mandoora vadakam, Punarva mandooram

Gestational Diabetes
Cause- Excess diet, less exercise Test-G.C.T. Reduce quantity Starchy food Take more vegetables Nishakatakadi kwatham

Leucorrhoea

Cause- Increased Glandular,Cx secretions Hormones Management- Good hygiene If itching- Wash Aragwathadi kwatham Frothy greenishThriphala kwatham

Haemorrhage-Abortion,A.P.H.

Abortion-Cause-Disease, trauma, defects Threatened-Rest Ksheerapakam-Lekshmana Shatavari ,Masanumasika Phalasarpis, Kerakesara Pichu- Shatadhauta ghrta A.P.H.-Bed rest,Vrkshadanyadi Kshherapakam.

Pre- eclamptic toxemia

Management-Remove edema Control Blood pressure Rectify albuminuria Management- Rest Reduce oil, salt Punarnavadi kwatham Sarpagenda

Prevention
Awareness Counselling Preconceptional Conceptional care Proper A.N.C DIET, EXERCISE, REST.

AVOID

Drugs-Resaushadhees Asava, Arishta X-ray, C.T.scan Known teratogens Use-MedicationSoft, palatable,light Diet-Light, nutritious, easily digestable

CONCLUSIONS

COUNSEL COUPLE PREGNANT WOMEN ENCOURAGED FOR PROPER DIET & MODE OF LIFE CARE PSYCHOLOGY AVOID TERATOGENS TREAT DISEASE PROMPTLY CAN ACHIEVE HEALTHY NORMAL MATURE CHILD THROUGH NORMAL NATURAL LABOR

Thank you all!