CLINICAL STUDY TO ESTABLISH THE EFFECT OF GARBHASHOSHAHARYOGA

Introduction: IUGR is one of the most serious challenges in both developed and developing countries. It is the single most important factor that determines the chances of child survival. Intrauterine growth restriction is said to be present in those whose weight is below the tenth percentile of the average for the gestation age. It remains one of the commonest causes of neonate's morbidity and mortality. 30% of neonatal deaths are due to IUGR. Accurate and timely detection of IUGR can prevent adverse outcomes of pregnancy to some extent. In Ayurvedic text it is described as GARBHASHOSHA, NAGODARA or UPAVISHTAKA . Due to non-availability of proper diet (nourishment) to the garbha or vaginal discharges (bleeding) after conception the garbha suffers from Shosha (emaciation or dryness). These fetuses attain their proper growth or maturity after years and the woman delivers it after years or prolong delays. Vayu is also said to be a cause for dryness of the fetus. Blending of concepts from Contemporary and Ayurvedic disciplines, in an attempt to find solutions to problems of management of IUGR is the need of the day. Maternal and fetal outcome is noted in terms of maternal weight gain, mode of delivery, gestational age, birth weight, apgar score. Objectives: To study the efficacy of garbhashoshharyoga for treating garbh shosha (asymmetrical intrauterine growth restriction). Methods: Garbhashoshharyoga was given to 15 patients with IUGR in a dose of 5 gm twice daily with milk orally. This is an open randomized uncontrolled clinical trial which was carried out at OPD of PTSR dept. of R.G.G.P.G. Ay. College Paprola (H.P.). Conclusion: This study revealed that garbhashoshharyoga has a good effect on fetal growth restriction and nourishment of pregnant women without any side effects to foetus and mother.