EFFICACY OF KSHEERABASTI IN THE MANAGEMENT OF GARBHAKSHAYA W.S.R. TO INTRAUTERINE GROWTH RETARTDATION - A CASE REPORT

2021 ◽  
Vol 9 (4) ◽  
pp. 932-946
Author(s):  
Susheela choudhary ◽  
Sonu Sonu ◽  
Bharathi K. ◽  
Vipin Tanwar

Intrauterine growth restriction is quite common condition now a days and needs intensive fetal surveillance and proper antepartum and intra-partum care. IUGR may result in significant fetal morbidity and mortality if not properly diagnosed and treated. The condition is most commonly caused by inadequate maternal-fetal circulation, resulting in decrease in fetal growth. In Ayurveda, IUGR can be considered under Garbhakshaya. In Garbhakshaya according to Acharya Sushruta, Garbhaaspandana and Anunatkukshitta mentioned which is mainly due to the inadequate nutrition to fetus. Acharya Sushruta has mentioned the usage of Ksheerabasti from 8th month onwards to nourish the fetus in Garbhakshaya. In present case study, A 29-year-old pregnant woman with period of gestation 37 weeks 1 day was came to OPD of PTSR dept. National institute of Ayurveda (Deemed to be university). On examination her fundal height was found less than period of amenorrhoea. USG report showed single live intrauterine pregnancy of 35 weeks 3 days with IUGR and extensive calcification in placenta, was treated with Ksheerabasti, administered for 10 days once in the morning in the dose of 450 ml per day. After 10 days of above said treatment USG report was repeated and marked improvement was observed with no calcification and a healthy baby was delivered with normal Apgar score. So here Shatavari, Vidarikanda and Yashtimadhu sadhita Ksheerabasti is very effective treatment modality to improve IUGR and for good nourishment of fetus. Keywords: Garbhakshaya, IUGR, Ksheerabasti, Shatavari, Vidarikanda, Yashtimadhu etc.

2020 ◽  
Vol 08 (11) ◽  
pp. 5185-5188
Author(s):  
Reetu Pandey ◽  
Seema Shukla

Intrauterine growth restriction refers to a condition in which a fetus is unable to achieve its genetically determined potential size. Thus, an IUGR fetus should have grown bigger, if growth-inhibiting factors had not been present in embryonic life. This case study is about a 22-year-old primigravida whose ongoing pregnancy was uneventful until her seventh month. She was visiting Civil Hospital Baijanath (H.P.) for regular antenatal check-ups. On her seventh-month routine visit to the hospital, she was clinically diagnosed with intrauterine growth restriction. She was treated with allopathic medicines, but her condition deteriorated then she visited gyne OPD of Ayurvedic medical College Paprola on the 33rd week of pregnancy and was treated with Ayurvedic formulation. She was given granules of Garbhshoshahara yoga described in Garbhashaygata Vata chikitsa in Ashtanga Sangrah.


Ultrasound ◽  
2009 ◽  
Vol 17 (2) ◽  
pp. 99-102
Author(s):  
Samawal Alsammoua ◽  
Roisin McPherson ◽  
James Robins

We describe the obstetric care delivered to a woman over the course of three pregnancies during which time she and her partner were diagnosed as carriers of a rare autosomal recessive disorder: Donohue syndrome. She went on to deliver two affected children and one child who was unaffected. The first baby was growth restricted in utero and had many classical clinical and biochemical features of the syndrome. This infant died at the age of five months. The mother declined prenatal testing in her subsequent pregnancies. Fortunately, she was to deliver a healthy baby in her second pregnancy. However, her third pregnancy was again complicated by severe intrauterine growth restriction. She was delivered of the second affected baby who again demonstrated many of the features and abnormalities associated with Donohue syndrome. This baby died at thirteen months of age. The process leading to the diagnosis, the ultrasound growth charts related to affected and unaffected fetuses and the implications for subsequent management are described.


Author(s):  
Melissa J Lee ◽  
Danielle C Monteil ◽  
Michael T Spooner

Abstract Background Long QT3 syndrome (LQT3) is a gain of function mutation of the SCN5A gene that is inherited in an autosomal dominant fashion. LQT3 results in an increase in arrhythmic events during rest, sleep, and bradycardia by extending the QT interval and inducing Torsades de pointes and sudden cardiac death. Attempting to block the sodium channel with Class I anti-arrhythmics or blocking adrenergic tone with beta blockers especially in women, have shown to be beneficial. There have been few large-scale studies on treating patients with LQT3 due to its lethality and underreported number of cases. Specifically, the safety and efficacy of pharmacologic treatment in pregnant LQT3 patients is unknown. Case summary This case demonstrates the safe use of Mexiletine and Propranolol in a third trimester pregnant LQT3 patient after a presumed ventricular arrhythmia and device-lead electrical short from therapy rendered her Implantable Cardioverter Defibrillator (ICD) inoperable in a VVI mode. With appropriate medications, the patient was safely monitored through the remainder of her pregnancy and safely delivered at 36 weeks of pregnancy a healthy baby girl. The daughter, heterozygous for LQT3, showed no evidence of intrauterine growth restriction or other side effects from the medications. Discussion There are many variants of the SCN5A gene mutations that can lead to different phenotypes and not all mutations are responsive to the same medications. In this case, Mexiletine and Propranolol, both of which have only recently shown to benefit certain variants or LQT3 respectively, were safely started during the third trimester of pregnancy without harming the fetus.


2019 ◽  
pp. 50-54
Author(s):  
V.O. Golyanovskiy ◽  
◽  
Ye.O. Didyk ◽  

Pregnant women with intrauterine growth restriction (IUGR) have an increased risk of adverse perinatal and long-term complications compared with the birth of children with normal body weight. Thus, IUGR is one of the main challenges for the global health system, especially in poor and developing countries. Morpho-functional studies of the placentas help in determining the causes of IUGR, and therefore, timely prevent complications in pregnant women with IUGR. The objective: The purpose of this study is to investigate various morphometric and pathomorphological changes in the placenta, including inflammatory, in cases of IUGR, and to establish a correlation of these results with the etiology and complications for the fetus. Materials and methods. In the current study, 54 placentas of the fetuses with IUGR (the main group) were compared with 50 placentas of the fetuses with normal development (control group). The criteria for the inclusion of IUGR were gestational age more than 30 weeks and all fetuses with a weight less than 10th percentile for this period of pregnancy. The placenta material was studied pathomorphologically with laboratory screening for infection and inflammation. Similarly, the results were determined for placentas of the fetuses with normal development compared to placentas with IUGR. Results. The placenta study showed the presence of calcification in the case of IUGR, as well as in the case of prolonged pregnancy. However, calcification of the placenta in the case of IUGR was more progressive compared with placenta in the normal pregnancy. In addition, the presence of intrauterine infection and inflammation was observed, which could also lead to an adverse outcome for the further progression of pregnancy with IUGR. Conclusion. A comparative macro- and microscopic pathomorphological study of the placentas in the two groups has shown a significant increase in the pathological changes in all the anatomical structures of the fetuses with IUGR. Key words: Intrauterine growth restriction (IUGR), fetal weight, pathomorphological changes of the placenta.


2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Saranya Banerjee ◽  
Deepshikha Ray

Twin studies have mostly focused on the pattern of maladaptive behaviour manifested by the twins and their biological basis but the findings have remained controversial till date. The present case study explores the psychopathology in 14 year old twins of Indian origin. They were referred for psychometric assessment and psychotherapy for their conduct problems. The tools administered on them during psychometric assessment are Wechsler Intelligence Scale for Children IV (WISC-IV), Rorschach Inkblot Test (RIBT) and Thematic Apperception Test (TAT). Findings are discussed in terms of the personality processes and relationship quality of the twins.


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