scholarly journals CONCEPTUAL STUDY OF THE EFFICACY OF LODHRA WITH HONEY GEL IN UPAPLUTA YONIYAPAD (VAGINAL CANDIDIASIS IN PREGNANCY)

2021 ◽  
Vol 9 (2) ◽  
pp. 391-395
Author(s):  
Seema Gholap ◽  
Sumit Kumbhare

Introduction: The pregnant women are more prone to vaginal infection like vulvovaginitis, which presents a challenge for doctor today. Pregnant state produces several normal and expected changes in all the ma-ternal organ systems, from which vaginal candidiasis is one. Vaginal secretion changes during pregnancy mainly vaginal PH. Vaginal secretions during pregnancy falls from a pH of greater than 7 (an alkaline pH) to 4 or 5 (an acid pH). Due to this change in vaginal pH candida albicans growth occurs. In pregnancy, there is higher oestrogen level and higher glycogen level which helps in growth of candida. According to Ayurveda if woman during pregnancy take Kapha aggravating Ahar and Vihar excessively and suppresses the urges of vomiting and respiration, the vitiated Vayu carries Kapha to genital tract affect the same and vaginal white discharge is seen in pregnant woman due to Kapha and Vata; This is known as "Upapluta Yonivyapad". Lodhra has Kashay Ras which help in decreasing Kapha Dosha and Madhu has Tridoshahar property which cures Upapluta Yonivyapad. Aim: The present study is aimed to assess the efficacy of Lodhra with Madhu gel in Upapluta Yonivyapad. Material and Methods: The present study is done, to analyze the effect of Lodhra and Madhu gel in Upapluta Yonivyapad. Study is performed with help of var-ious previous research paper published, from various authentic Ayurvedic and Modern books as well as Samhitas. Conclusion: In pregnancy, due to Kapha and Vata there is a change in vaginal pH and vaginal white discharge; Also, there is high estrogen level which cause vaginal candida. Lodhra has property of Kaphahar, analgesic, anti-inflammatory, antibacterial, antihelminthic. Madhu is one of the five elixirs of immortality (panchamrut) and has properties like: Tridoshahar, antiseptic, antimicrobial, antiallergic, anti-inflammatory. Thus, it balances the Dosha and result in decrease (vaginal candida) Upapluta Yonivyapad. Thus, Lodhra and Madhu gel can work effectively in Upapluta Yonivyapad.




2021 ◽  
Vol 12 ◽  
Author(s):  
Melissa L. Kozakiewicz ◽  
Chad A. Grotegut ◽  
Allyn C. Howlett

The endocannabinoid system (ECS) is a cell-signaling system present in multiple organ systems and is an integral part of sustaining the microenvironment necessary for early pregnancy success and maintenance. It plays a significant role in embryo development, transport and implantation as well as placentation. The current theory behind the initiation of term labor is that it is a complex, multifactorial process involving sex steroid hormones, prostaglandin production and interplay at the maternal-fetal interface resulting in increased expression of receptors and gap junctions that promote uterine activation. There is increasing evidence that, in addition to early pregnancy events, the ECS plays a regulatory role in pregnancy maintenance and the timing of labor. This review presents an overview of the ECS in pregnancy that focuses on late gestation and parturition.



2021 ◽  
Vol 68 (2) ◽  
pp. 143-146
Author(s):  
Delia Cudalbă ◽  
◽  
Nicolae Gică ◽  
Radu Botezatu ◽  
Corina Gică ◽  
...  

Malignant melanoma is one of the most frequent cancers diagnosed during pregnancy. Any pigmented skin lesions that change the color should be examined by an experienced dermatologist and if suspected, should be biopsied. Recent studies showed that malignant melanoma in pregnancy has not a worse outcome compared with non-pregnant state. Diagnosis of melanoma does not require an early delivery excepted pregnant patients with poor prognosis that need more aggressive treatment. Diagnosis and treatment need to be established in specialized centers with a multidisciplinary team. Pregnancy monitoring should be performed by team consisting of an obstetrician, a neonatologist and a specialist in fetal medicine.



2020 ◽  
pp. 2613-2618
Author(s):  
Meredith Pugh ◽  
Tina Hartert

Respiratory changes in pregnancy include an increase in tidal volume and minute ventilation, leading to a primary respiratory alkalosis. This chapter examines the various chest conditions arising in pregnancy—these include: amniotic fluid embolism—unique to pregnancy; venous air embolism—a rare condition that can occur in pregnancy; venous and pulmonary thromboembolism—pregnancy is a risk factor; pulmonary oedema—this can be caused by heart disease, as in the non-pregnant state, but it can also be associated with pre-eclampsia or HELPP syndrome and be induced by tocolysis; aspiration; varicella pneumonia—a potentially devastating complication of primary varicella-zoster virus infection; and influenza, which is associated with increased maternal morbidity.



Author(s):  
Helen E. Turner ◽  
Richard Eastell ◽  
Ashley Grossman

This chapter discusses thyroid, adrenal, and pituitary diseases that occur during pregnancy. A series of changes in thyroid hormone economy take place in normal pregnancy. As a result of these changes, thyroid hormone levels in pregnancy differ from those in the non-pregnant state. This chapter includes a description of normal thyroid physiology and thyroid pathophysiology, including hyperemesis gravidarum, post-partum thyroiditis, hypothyroidism, and hyperthyroidism. Changes in the hypothalamo-pituitary–adrenal axis during normal and abnormal pregnancies are also described, with syndromes such as Cushing’s syndrome and Addison’s disease listed. Finally, pituitary adenomas in pregnancy, and their respective features and management strategies, are listed, including acromegaly, hypopituitarism, TSH-secreting adenomas, and prolactinoma.



2012 ◽  
Vol 2 (4) ◽  
pp. 60-62
Author(s):  
Sujoy Dasgupta

Incisional hernias are not rare but obstetric complications due to an incisional hernia are rare. Literature suggests that the incisional hernia following a caesarian section may behave differently from an incisional hernia arising after a surgery in the non-pregnant state. The failure of hernia repair is more frequent in the former. The risk factors and the contributing factors to optimal management of these cases are discussed.



Author(s):  
Sir Peter Gluckman ◽  
Mark Hanson ◽  
Chong Yap Seng ◽  
Anne Bardsley

Vitamin A is critical for visual and reproductive function, supports resistance to infection, and is required for the development of multiple organ systems. including the heart, lungs, kidneys, and skeleton. Both excess and deficiency of vitamin A in pregnancy are associated with birth defects. High intakes of vitamin A, either in the form of supplements or in concentrated food sources such as liver, should be avoided in pregnancy, particularly between day 15 and day 60 post conception. However, in areas with endemic vitamin A deficiency, supplementation in late pregnancy is recommended to prevent night blindness. Most women who are at low nutritional risk can meet their early pregnancy vitamin A requirement from food sources, but should increase their vitamin A intake from food during the third trimester and through lactation.



2018 ◽  
Vol 12 (2) ◽  
pp. 100-102 ◽  
Author(s):  
Tomi T Kanninen ◽  
Michael L Moretti ◽  
Nisha A Lakhi

In the non-pregnant state, exogenous as well as endogenous fluctuations of progesterone have been demonstrated to cause a rare delayed hypersensitivity reaction known as autoimmune progesterone dermatitis. We describe the case of a 20-year-old woman in her second pregnancy who presented to our delivery unit at 31 weeks and 3 days gestation for a cutaneous breakout with pruritic pustules, blisters, and crusts across her chest back and extremities 23 days after the initiation of vaginal progesterone. After suspension of the vaginal progesterone, the patient’s cutaneous lesions resolved. Differential diagnosis and management strategies are discussed. With the increased use of progesterone during pregnancy, complications arising from their use will rise. Clinicians should be aware of their potential adverse effects and consider autoimmune progesterone dermatitis in the differential diagnosis of patients presenting with pruritic lesion in pregnancy.



2006 ◽  
Vol 2006 ◽  
pp. 1-6 ◽  
Author(s):  
Ida Vogel ◽  
Poul Thorsen ◽  
Bernard Jeune ◽  
Bo Jacobsson ◽  
Niels Ebbesen ◽  
...  

Objectives: the aim was to examine factors associated with acquisition and elimination of bacterial vaginosis in pregnancy.Methods: a group of 229 pregnant women were randomly selected from a population-based prospective cohort study of 2927. They were examined at enrollment (mean gestational weeks16w+0d) and again in mid-third trimester (mean gestational age32w+3d).Measures: BV (Amsel's clinical criteria), microbiological cultures of the genital tract and questionnaire data.Results: BV prevalence decreased from 17% in early second trimester to 14% in mid-third trimester due to a tenfold higher elimination rate (39%) than incidence rate (4%). Heavy smokers(>10/d)in early pregnancy were at increased risk(5.3 [1.1−25])for the acquisition of BV during pregnancy, as were women receiving public benefits(4.8 [1.0−22]), having a vaginal pH above4.5 (6.3 [1.4−29])or vaginal anaerobe bacteria(18 [2.7−122])at enrollment. A previous use of combined oral contraceptives was preventive for the acquisition of BV(0.2 [0.03−0.96]). Elimination of BV in pregnancy tended to be associated with a heavy growth ofLactobacillus (3.2 [0.8−13])at enrollment.Conclusions: acquisition of BV during pregnancy is rare and is associated with smoking, while the presence of anaerobe bacteria and a vaginal pH> 4.5are interpreted as steps on a gradual change towards BV. In the same way heavy growth ofLactobacillusspp in early pregnancy may be an indicator of women on the way to eliminate BV.



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