Abstract

ROLE OF SHATAVARYADI KSHEERA BASTI IN MANAGEMENT OF PREMATURE UTERINE CONTRACTION: A CASE REPORT

Ashiya*, Prof. Laxmipriya Dei, Anu M. S. and Rajkrinti

ABSTRACT

Premature uterine contraction is the main symptom of premature labour with occurrence of no regular uterine contractions (4 or more in 20 minutes or 8 or more in 1 hr) and cervical changes (effacement equal to or greater than 80% and dilation equal to or greater than 1 cm) in women with intact fetal membranes and gestational age less than 37 weeks. 15 million babies are born preterm, every year according to WHO statistics and this number is rising. Tocolytic agents used to suppress premature contractions and prevent preterm labour, are not proven to be efficacious in preventing preterm birth or reducing neonatal mortality or morbidity. In Ayurvedic classics, Akala Prasava is mentioned which can be correlated to preterm labour. Expulsion of foetus is the function of Apana Vata and Vaigunya of Apana Vata (Prasuti Maruta) causes Akala Prasava. Basti is considered the best for managing the deranged Apana Vata. Basti is also indicated in Garbhini Paricharya (routine antenatal care) after completion of seven months. In this present case study, Shatavaryadi Ksheerapaka Basti was administered in a 21 year old primi gravida patient of 32 weeks pregnancy with premature contractions, wherein isoxsuprine hydrochloride proved to be ineffective. Basti with 450 ml Shatavaryadi Ksheerapaka administered per rectal for 2 consecutive days was found to be effective in preventing the uterine contractions.

Keywords: Preterm labour, Akala Prasava, isoxsuprine hydrochloride, tocolytic agents.