scholarly journals Management of IUGR with Pregnancy induced hypertension by Ayurveda Regimen: A Case Report

The Healer ◽  
2021 ◽  
Vol 2 (02) ◽  
pp. 117-123
Author(s):  
Khushboo Jha ◽  
Indra Bir Mishra ◽  
Sonu Verma ◽  
K. Bharathi
Keyword(s):  
Signs And Symptoms ◽  
Labor Pain ◽  
Pregnancy Induced Hypertension ◽  
Intrauterine Pregnancy ◽  
Oral Medications ◽  
Induced Hypertension ◽  
Fetal Movements ◽  
Upper And Lower Extremities ◽  
Laboratory Investigations ◽  
Pedal Edema

A Christain women aged 29 yrs visited OPD of NIA demmed to be university on (24/04/2021) with the complaint of Amenorhoea 9 months (G2P1A0L1) associated with itching on upper and lower extremities since 3 month. She also complaints of swelling in her leg, which resembles us towards the pedal edema. She also complaints of severe hyperacidity, chest pain on and off, occasional headache since 10 days in the first visit.  Her L.M.P.-15/08/2020, E.D.D: 22/05/21 and P.O.G.-35 weeks 6 days. Diagnostic assessment was done by USG and Laboratory investigations and Clinical examination. The findings of USG  revealed Single live intrauterine pregnancy of 34 weeks 6 days with mild IUGR, mild oligohydramnios. Loop of cord around neck, Normal fetoplacental blood flow pattern. Placenta was Grade III With calcified. In Ayurvedic classics lakshanas of Garbhakshaya, Garbhasosha, Vatabhipanna Garbha are near to signs and symptoms of IUGR. Ksheera vasti was planned along with it oral medications Avipatikar Churna, Pittantak Churna , Kapardika Bhasma, Shankha Bhasma and Gokshura Churna in combination, Phalasarpi, Swarna Vasanta malati rasa and Punarnavastak Kwatha. Patient got relief from Severe oedema. The other complaints like severe hyperacidity, Headache were relieved. Then after her B.P. was 110/70 throughout. Fetal movements were good after Vasti procedure due to which patient felt well relaxed. Patient got her labor pain and delivered on 8th May with the weight 2.2kg male child at Government Hospital. The delivery was uneventful. After ksheeravasti there was increase in weight of the baby around 118gms. Just in six days Vasti provided such a enormous change. Keywords: IUGR, Pregnancy Induced hypertension, Ksheera Vasti, Punarnavastak kwatha, Gokshura Churna

scholarly journals Case control study to assess the determinants of pregnancy induced hypertension among the antenatal mothers in Rajiv Gandhi women and children hospital at Puducherry

2020 ◽  
Vol 3 (2) ◽  
pp. 9-14
Author(s):  
Margaret A ◽  
Manjubala Dash
Keyword(s):  
Family History ◽  
Case Control Study ◽  
Pregnancy Induced Hypertension ◽  
Family History Of Diabetes ◽  
Induced Hypertension ◽  
History Of ◽  
Women And Children ◽  
Family History Of Hypertension ◽  
Pedal Edema ◽  
Control Study

Background: Hypertensive disorders of pregnancy are a major health problem to the world and is found to be the major cause of maternal morbidity and mortality accounting for nearly 10-15% 0f maternal deaths. Objective:To assess the determinants of Pregnancy induced hypertension. Methods: A case control study was conducted among pregnant women at Rajiv Gandhi Women and Children Hospital, Puducherry. 63 women with PIH were selected as cases and 63 normotensive pregnant women were taken as controls. The cases were selected by purposive sampling and the controls by simple random sampling. The tool consists of a self structured questionnaire which consists of the socio demographic factors and various other determinants assumed as a risk factor for PIH and some required information was also obtained from the case records. Statistics: The odds ratio and Chi-square test was used to determine the risk and association between PIH and the determinants respectively.Results: Primigravida (OR=2.826), multiple pregnancy (OR=2.629), presence of pedal edema (OR=54.836), family history of diabetes (OR=2.969), family history of hypertension (OR=5.5) Overweight (OR=2.12) and obesity (OR=6.52) were found to be significant risk factors of PIH. There was statistically significant association with history of abortion, parity, presence of pedal edema, use of contraceptives, family history of diabetes, family history of hypertension, prepregnancy Body mass index and PIH.

scholarly journals A Study on Complications of Pregnancy Induced Hypertension

2020 ◽  
pp. 21-26
Author(s):  
Dr. Adarsh Preet ◽  
Dr. Tushar Palve
Keyword(s):  
Fetal Outcome ◽  
Clinical Feature ◽  
Hypertensive Disorder ◽  
Pregnancy Induced Hypertension ◽  
Exclusion Criteria ◽  
Obstetrics And Gynaecology ◽  
Medical Disorder ◽  
Maternal Morbidity And Mortality ◽  
Induced Hypertension ◽  
Pedal Edema

Background: Hypertensive disorder is the second most common medical disorder seen during pregnancy. Hypertensive disorder contribute to maternal morbidity and mortality mainly due to its complications and not due to hypertension per sec. Thus, maternal mortality and these complications are preventable. The objective of the present study was to study the pattern of feto-maternal outcome and complications in cases of pregnancy-induced hypertension to identify them at the earliest. Methods: A study was conducted over a period 8 months in the department of Obstetrics and Gynaecology, Cama and Albless Hospital, Mumbai. This study enrolled a total of 50 pregnant women with pregnancy-induced hypertension with inclusion-exclusion criteria. Necessary information such as Sociodemographic information, detailed clinic, and obstetric history, clinical examination, investigations, and fetal outcome was noted by using preformed proforma. Results: In our study the majority of PIH mothers belonged to the age group of 20-25 years (46%); PIH is more prevalent among nulliparous (54%). Among PIH mother, the most common presenting clinical feature was pedal edema (44%), followed by headache (16%). The most prevalent complication among PIH patients was oligohydramnios (20%).

scholarly journals Study on Foetal Outcome in Pre-eclamptic Mother

1970 ◽  
Vol 25 (2) ◽  
pp. 57-61
Author(s):  
Sharmin Rahman ◽  
Nargis Sultana ◽  
AKM Mujibur Rahman ◽  
Saueeda Aljtar ◽  
Nasima Begum ◽  
...  
Keyword(s):  
Gestational Hypertension ◽  
Mode Of Delivery ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Pregnancy Induced Hypertension ◽  
Sectional Study ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Foetal Outcome

Pre-eclampsia or pregnancy induced hypertension (PIH) re-named as gestational hypertension is one of the important causes of maternal death in developing countries like Bangladesh. The foetal outcome is also very unsatisfactory and disappointing in pre-eclamptic mothers. Considering this view, the objective of this study was to assess the foetal outcome in pre-eclamptic mothers and also to identify the factors influencing the outcome. This was a cross sectional study conducted among the pregnant mothers admitted into Gynaecology and Obstetrics Department of Shaheed Suhrawardi Hospital, Dhaka, with specific signs and symptoms of pre-eclampsia during the period from January 2002 to December 2003. A total of 100 pre-eclamptic mothers were studied. Bivariate analysis revealed that a statistically significant association was present between complicated preeclampsia (p<0.05) and previous positive medical history with abnormal foetal outcome (p<0.05), but no statistically significant association was found between foetal outcome and age, occupation of the mother and the husband, socioeconomic status, parity, hypertension, diabetes mellitus, previous surgical and bad obstetrical history, body built, maternal oedema (p>0.05). Analysis also found that poor foetal outcome was significantly associated with haemoglobin level less than 10 gm%, gestational age and mode of delivery (p<0.01). Analysis of relative risk indicated that the abnormal foetal outcome was 7.1 times higher in complicated pre-eclamptic mothers than only pre-eclamptic mothers (p<0.001, 95% CI=2.598-19.957). (J Bangladesh Coll Phys Surg 2007; 25 : 57-61)

scholarly journals Perinatal outcome in cases of severe oligohydramnios

2019 ◽  
Vol 8 (4) ◽  
pp. 1538
Author(s):  
Nilesh Dalal ◽  
Anjali Malhotra
Keyword(s):  
Amniotic Fluid ◽  
Color Doppler ◽  
Randomized Study ◽  
Mode Of Delivery ◽  
Pregnancy Induced Hypertension ◽  
Fetal Hypoxia ◽  
Amniotic Fluid Index ◽  
Obstetrics And Gynaecology ◽  
Induced Hypertension ◽  
Fetal Movements

Background: Oligohydramnios is defined as when on ultrasonography the single largest pocket in horizontal and vertical diameter is less than 2cm or amniotic fluid index is less than 5cm. Normal amniotic fluid index is 5-25cm. The overall incidence is 0.5 to more than 5%. However, the incidence increases in post dated pregnancies as many as 11%. It is increasing these days because of changes in lifestyle and also reduced maternal fluid intake.Methods: A prospective randomized study was done in Dept of Obstetrics and Gynaecology, MGMMC and MYH, Indore during the period of 6 months from 1st July 2017 to 31st December 2017. It included 200 cases from all the antenatal patients attending Antenatal OPD in routine and emergency and who are admitted in MYH beyond 28 weeks of pregnancy.Results: Majority of cases i.e. 64% were handover, babies with 26% were IUDs (intra uterine devices) and Rest 10% requiring neonatal care in nursery. The color Doppler changes showed normal flow in 54% in cases with 26% showing early fetal hypoxia and 14% showing uteroplacental insufficiency. Rest of the 6% cases were IUD. Incidence of IUGR was 50% in babies most commonly being constitutionally small. About 8% cases were found to be associated with abruption and 24% cases were found to be associated with pregnancy induced hypertension. Most common mode of delivery was vaginal delivery in 68% cases. However, 32% cases underwent LSCS.Conclusions: There has been reported cases of sudden IUD in severe oligohydramnios presenting with loss of fetal movements.

scholarly journals CONCEPTUAL STUDY OF PUNARNAVASHTAKA KSHEERABASTI IN GARBHINI SHOTHA (EDEMA IN PREGNANCY.)

2021 ◽  
Vol 9 (5) ◽  
pp. 1067-1070
Author(s):  
Vibha Sheshrao Adhave ◽  
Vijay Nawale
Keyword(s):  
Side Effects ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Pregnancy Induced Hypertension ◽  
Convulsive Disorder ◽  
Causative Factors ◽  
Induced Hypertension ◽  
Life Threatening ◽  
Conceptual Study ◽  
In Pregnancy

Pregnancy is most beautiful phase of a women’s life its incredible journey that leads to great emotional fulfillment to women and Having a successful motherhood and continuation of pregnancy till term is very important. Garbhini Shotha (Edema in Gravidarum) is one of the most commonly found in Garbhini (Gravidarum) which mentioned in Garbhopadrava (Complications in pregnancy). There are 8 Upadravas (Complications) are mentioned in Harita Sanhita. On the basis of signs and symptoms Garbhini Shotha correlates with Pregnancy induced Hypertension (PIH) in Modern science. Number of causes have been Proposed but none of them has been proved It May leads to Preeclampsia which is life threatening convulsive disorder. Modern science has treatment on that, but it is not satisfactory it can lead side effects also so that I have tried to explain that Punarnavashtak Ksheerbasti this Ayur- vedic Medicine can overcome this problem by its Shothaghna (removing swelling) and anti-hypertensive Properties. This drug act with their different Properties on basis of causative factors of disease in early stages. Keywords: Garbhini Shotha, Punarnavashtak Ksheerbasti, Punarnavashtaka Kwatha, Edema in pregnancy

Pregnancy-Induced Hypertension Tied to Metabolic Syndrome

Ob Gyn News ◽  
2005 ◽  
Vol 40 (6) ◽  
pp. 20
Author(s):  
SHARON WORCESTER
Keyword(s):  
Metabolic Syndrome ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension

A Comparative Study of Placenta in Normal and Pregnancy Induced Hypertension

2012 ◽  
Vol 3 (6) ◽  
pp. 286-288
Author(s):  
Prakash Manae ◽  
◽  
Dr. Nazmeen Silotry ◽  
Dr. Aruna Mukherjee ◽  
Kishwor Bhandari ◽  
...  
Keyword(s):  
Comparative Study ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension

Role of dyslipidaemia and lipid peroxidation in pregnancy induced hypertension

2015 ◽  
Vol 4 (3) ◽  
pp. 205 ◽  
Author(s):  
Shikha Saxena ◽  
KV Thimmaraju ◽  
PremC Srivastava ◽  
AyazK Mallick ◽  
Biswajit Das ◽  
...  
Keyword(s):  
Lipid Peroxidation ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
In Pregnancy
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