COMMON AILMENTS DURING COMMON AILMENTS DURING PREGNANCY & ITS PREGNANCY & ITS

MANAGEMENTMANAGEMENT

Dr. B. SYAMALA. M.D. PhDDr. B. SYAMALA. M.D. PhDAMRITA SCHOOL OF AYURVEDA, AMRITA SCHOOL OF AYURVEDA,

KARUNAGAPPALLY, KOLLAM, KARUNAGAPPALLY, KOLLAM, KERALA.KERALA.

drbsyamala@gmal.comdrbsyamala@gmal.com

PROLOGUEPROLOGUE

• Pregnancy and delivery are natural Pregnancy and delivery are natural processes to continue human generation.processes to continue human generation.

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

COMMON AILMENTSCOMMON AILMENTSMINOR: MAJOR:MINOR: MAJOR:• VOMITING HYPEREMESIS GRAVIDARUMVOMITING HYPEREMESIS GRAVIDARUM• HRLLASAM HEMORRHAGE HRLLASAM HEMORRHAGE • LOW BACKACHE TOXEMIA LOW BACKACHE TOXEMIA MUSCLE CRAMPSMUSCLE CRAMPS• CONSTIPATIONCONSTIPATION• PILESPILES• GAS TROUBLEGAS TROUBLE• KIKWISAMKIKWISAM• OEDEMAOEDEMA• ANEMIAANEMIA• GESTATIONAL DIABETESGESTATIONAL DIABETES• LEUCORRHOEALEUCORRHOEA

VomitingVomiting

• Cause-decreased peristalsisCause-decreased peristalsis• Smooth muscle relaxationSmooth muscle relaxation• Retention of gastric juiceRetention of gastric juice• Management-awarenessManagement-awareness• Take less food, more frequenciesTake less food, more frequencies• Avoid fluid just after getting upAvoid fluid just after getting up• Reduce tea, coffeeReduce tea, coffee• Take dry fruits, nuts, biscuitsTake dry fruits, nuts, biscuits• Laja with sugarLaja with sugar• Laja boiled with water Laja boiled with water • Vilwadi lehyamVilwadi lehyam• Dhanwantaram gulika Dhanwantaram gulika

Hrllasam( Heart burn)Hrllasam( Heart burn)

• Cause- retention or regurgitation gastric juice Cause- retention or regurgitation gastric juice Compression of stomachCompression of stomach

• Delayed intake, picklesDelayed intake, pickles• Management-Avoid spicy foodManagement-Avoid spicy food• Avoid stomach full dietAvoid stomach full diet• Lying just after mealsLying just after meals• Dhanwantaram tabletDhanwantaram tablet• Shatavari ksheerapakamShatavari ksheerapakam• Guloochyadi kwathamGuloochyadi kwatham• Banana puddingBanana pudding

Low BackacheLow Backache

• Cause- Increased weight Cause- Increased weight

• Compression on vertebraCompression on vertebra

• High heeled slippersHigh heeled slippers

• Travel/ Stand/ sit long Travel/ Stand/ sit long

• Management-Management-

• Avoid causative factorAvoid causative factor

• Massage back-S. ThailamMassage back-S. Thailam

• Adequate restAdequate rest

ConstipationConstipation

• Cause- Atonic gutCause- Atonic gut• Diet- less fluid more hot, Diet- less fluid more hot, • Pungent, picklesPungent, pickles• Egg, chickenEgg, chicken• Management-Management-• Take more fluid dietTake more fluid diet• Vegetables, milk, buttermilkVegetables, milk, buttermilk• Thriphala choornam at bed timeThriphala choornam at bed time• Enough exerciseEnough exercise

Muscle crampsMuscle cramps

• Cause- Exposure to coldCause- Exposure to cold

• Stand long, less Cal.salt dietStand long, less Cal.salt diet

• Management- Avoid coldManagement- Avoid cold

• Cover legs while sleepCover legs while sleep

• Wear slippers at homeWear slippers at home

• Massage calf muscleMassage calf muscle

• With S.thailam& saltWith S.thailam& salt

• Hot fomentationHot fomentation

PilesPiles

• Cause-Chronic constipationCause-Chronic constipation

• Hot , pungent diet, picklesHot , pungent diet, pickles

• Chicken, egg, pepperChicken, egg, pepper

• Compression of gravid uterusCompression of gravid uterus

• Management-Avoid causeManagement-Avoid cause

• More vegetables, Onion, YamMore vegetables, Onion, Yam

• Buttermilk, Thriphala waterButtermilk, Thriphala water

• Bahushalagulam,Gandarvahastadi kwatham. Bahushalagulam,Gandarvahastadi kwatham.

Gas troubleGas trouble

• Cause- Constipation, PilesCause- Constipation, Piles• More pulses in dietMore pulses in diet• Sitting , Lying long timeSitting , Lying long time• Lack of exerciseLack of exercise• Management-Management-• Avoid constipationAvoid constipation• Treat pilesTreat piles• Hingwadi choornam/ TabHingwadi choornam/ Tab• Dhanwantaram gulikaDhanwantaram gulika

Kikwisam- stretch marksKikwisam- stretch marks

• Cause- Stretching of Cause- Stretching of • dermis- tear-scardermis- tear-scar• Symptom- Itching-Symptom- Itching-• burning-marksburning-marks• Management- Management- • Increase elasticityIncrease elasticity• Less salty, oily foodLess salty, oily food• Apply oil, Thriphala Apply oil, Thriphala • choornam & milkchoornam & milk• Kalka of Ushira, Kalka of Ushira, • Chandan & butterChandan & butter

OedemaOedema

• Oema on feet-Oema on feet-

• sitting long, salty foodsitting long, salty food

• Management-Management-

• Proper restProper rest

• Punarnavadi kwathamPunarnavadi kwatham

• Gokshur, yeva.Gokshur, yeva.

• Not relieved- check B.P. urineNot relieved- check B.P. urine

AnemiaAnemia

• HemodilusionHemodilusion• MalabsorptionMalabsorption• MalnutritionMalnutrition• Less intake dietLess intake diet• Management-Management-• Avoid hard workAvoid hard work• Nutritious dietNutritious diet• Egg, fruits,vegetablesEgg, fruits,vegetables• Mandoora vadakam,Mandoora vadakam,• Punarva mandooramPunarva mandooram

Gestational DiabetesGestational Diabetes

• Cause- Excess diet, Cause- Excess diet,

• less exerciseless exercise

• Test-G.C.T.Test-G.C.T.

• Reduce quantity- Reduce quantity-

• Starchy foodStarchy food

• Take more vegetablesTake more vegetables

• Nishakatakadi kwathamNishakatakadi kwatham

LeucorrhoeaLeucorrhoea

• Cause- Increased Cause- Increased

• Glandular,Cx secretionsGlandular,Cx secretions

• HormonesHormones

• Management- Good hygieneManagement- Good hygiene

• If itching- Wash If itching- Wash

• Aragwathadi kwathamAragwathadi kwatham

• Frothy greenish- Frothy greenish-

• Thriphala kwathamThriphala kwatham

Haemorrhage-Haemorrhage-Abortion,A.P.H.Abortion,A.P.H.• Abortion-Cause-Disease, Abortion-Cause-Disease,

• trauma, defectstrauma, defects

• Threatened-RestThreatened-Rest

• Ksheerapakam-LekshmanaKsheerapakam-Lekshmana

• Shatavari ,Masanumasika Shatavari ,Masanumasika

• Phalasarpis, KerakesaraPhalasarpis, Kerakesara

• Pichu- Shatadhauta ghrtaPichu- Shatadhauta ghrta

• A.P.H.-Bed rest,Vrkshadanyadi A.P.H.-Bed rest,Vrkshadanyadi Kshherapakam.Kshherapakam.

Pre- eclamptic toxemiaPre- eclamptic toxemia

• Management-Remove edemaManagement-Remove edema

• Control Blood pressureControl Blood pressure

• Rectify albuminuriaRectify albuminuria

• Management- RestManagement- Rest

• Reduce oil, saltReduce oil, salt

• Punarnavadi kwathamPunarnavadi kwatham

• SarpagendaSarpagenda

PreventionPrevention

• Awareness Awareness

• Counselling-Counselling-

• PreconceptionalPreconceptional

• Conceptional careConceptional care

• Proper A.N.CProper A.N.C

• DIET, EXERCISE, REST.DIET, EXERCISE, REST.

AVOIDAVOID

• Drugs-ResaushadheesDrugs-Resaushadhees

• Asava, ArishtaAsava, Arishta

• X-ray, C.T.scan X-ray, C.T.scan

• Known teratogensKnown teratogens

• Use-Medication-Use-Medication-

• Soft, palatable,lightSoft, palatable,light

• Diet-Light, nutritious,Diet-Light, nutritious,

• easily digestableeasily digestable

CONCLUSIONSCONCLUSIONS

• COUNSEL COUPLECOUNSEL COUPLE• PREGNANT WOMEN PREGNANT WOMEN • ENCOURAGED FORENCOURAGED FOR• PROPER DIET &PROPER DIET &• MODE OF LIFEMODE OF LIFE• CARE PSYCHOLOGYCARE PSYCHOLOGY• AVOID TERATOGENSAVOID TERATOGENS• TREAT DISEASETREAT DISEASE PROMPTLYPROMPTLY• CAN ACHIEVE HEALTHY NORMAL MATURECAN ACHIEVE HEALTHY NORMAL MATURE• CHILD THROUGH NORMAL NATURAL LABORCHILD THROUGH NORMAL NATURAL LABOR

Thank you all!Thank you all!