Changes

==Current Researches==

==Current Researches==

*In current scenario the group antenatal care as compared to individual care offers an opportunity to increase quality of care and improve maternal and newborn outcomes. Group antenatal care holds the potential to increase healthy behaviors, promote respectful maternity care, and generate demand for services. Group ANC improves women’s health literacy on how to prevent and recognize problems, prepare for delivery, and care for their newborn.  

*In current scenario the group antenatal care as compared to individual care offers an opportunity to increase quality of care and improve maternal and newborn outcomes. Group antenatal care holds the potential to increase healthy behaviors, promote respectful maternity care, and generate demand for services. Group ANC improves women’s health literacy on how to prevent and recognize problems, prepare for delivery, and care for their newborn.<ref>Lori JR, Ofosu-Darkwah H, Boyd CJ, Banerjee T, Adanu RMK. Improving health literacy through group antenatal care: a prospective cohort study. BMC Pregnancy Childbirth. 2017;17(1):228. Published 2017 Jul 14. doi:10.1186/s12884-017-1414-5</ref>

*A systematic review on existing antenatal care models in different countries reveals that most of the models report fewer than half the characteristics associated with quality maternity care.  

*A systematic review on existing antenatal care models in different countries reveals that most of the models report fewer than half the characteristics associated with quality maternity care. <ref>Symon A, Pringle J, Cheyne H, et al. Midwifery-led antenatal care models: mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care. BMC Pregnancy Childbirth. 2016;16(1):168. Published 2016 Jul 19. doi:10.1186/s12884-016-0944-6</ref>

*A multi-center operational study has demonstrated the feasibility and effectiveness of Ayurvedic interventions for ante natal care in primary health care level settings.  Total 1174 patients completed the full course of  Ayrvedic interventions in the form of tablets for antenatal care in PHC set up. Significant results were found in improvement of haemoglobin percentage, relief in symptoms like vomiting and edema. 85.46% women underwent normal delivery. The 90.22 % babies were observed with optimum birth weight. The study could improve the awareness in public regarding the integrated approaches in antenatal care and promote the institutional delivery among the rural population.

*A multi-center operational study has demonstrated the feasibility and effectiveness of Ayurvedic interventions for ante natal care in primary health care level settings.  Total 1174 patients completed the full course of  Ayrvedic interventions in the form of tablets for antenatal care in PHC set up. Significant results were found in improvement of haemoglobin percentage, relief in symptoms like vomiting and edema. 85.46% women underwent normal delivery. The 90.22 % babies were observed with optimum birth weight. The study could improve the awareness in public regarding the integrated approaches in antenatal care and promote the institutional delivery among the rural population.<ref>Sulochana Bhat et al, Effectiveness of Ayurvedic Interventions for Antenatal Care(GarbhiniParicharya) at Primary Health Care level- A Multicentre Operational Study, Journal of Research in Ayurveda and Siddha, 36(1-4)109-120, 2015,Page no:109-119.</ref>

*Research works are being conducted in different institutes of Ayurveda on the effect of rejuvenation therapy(rasayana)as a means of providing micronutrients during pregnancy in different trimesters.   

*Research works are being conducted in different institutes of Ayurveda on the effect of rejuvenation therapy(rasayana)as a means of providing micronutrients during pregnancy in different trimesters.<ref>Prachi Sharma ,A controlled clinical study for evaluation of the effect of rasayana and micronized progesterone during first trimester of pregnancy, PG dissertation work, 2016, Dept of PTSR ,IPGT &RA, Jamnagar.</ref>  

*A randomized controlled clinical trial in managing the first trimester pregnancy with rejuvenation therapy(rasayana), nasal instillation of medicine (nasya), showed better outcome as compared to the control group with micronized progesterone therapy orally.  

*A randomized controlled clinical trial in managing the first trimester pregnancy with rejuvenation therapy(rasayana), nasal instillation of medicine (nasya), showed better outcome as compared to the control group with micronized progesterone therapy orally.  

The treated group was administered  combination of herbs like Tinospora cordifolia(guduchi), Embilica officinalis(amalaki), Leptadenia reticulate(jeevanti), Asperagus recemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna), Vitis vinifera(draksha) in granule form in a dose of 10 gms twice a day with cold milk. Nasal instillation of milk processed with leaf bud of Ficus bengalensis(vatashunga), 4 drops in either right or left nostril for 3 consecutive days, just after the pregnancy test is positive, was also done. Better results were reported in subjective parameters like associated symptoms during pregnancy like vomiting, giddiness, abdominal pain, constipation, and heaviness in breast and USG parameters like gestational sac, crown rump length and  nuchal thickness.

The treated group was administered  combination of herbs like Tinospora cordifolia(guduchi), Embilica officinalis(amalaki), Leptadenia reticulate(jeevanti), Asperagus recemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna), Vitis vinifera(draksha) in granule form in a dose of 10 gms twice a day with cold milk. Nasal instillation of milk processed with leaf bud of Ficus bengalensis(vatashunga), 4 drops in either right or left nostril for 3 consecutive days, just after the pregnancy test is positive, was also done. Better results were reported in subjective parameters like associated symptoms during pregnancy like vomiting, giddiness, abdominal pain, constipation, and heaviness in breast and USG parameters like gestational sac, crown rump length and  nuchal thickness. <ref>Resmi V Rajagopal,Management of first trimester pregnancy with Rasayana, Nasya and micronized progesterone- A randomized controlled clinical trial,PG dissertation work, 2018, Dept of PTSR ,IPGT &RA, Jamnagar</ref>

*The drugs like Asperagus racemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna) when administrated as medicated milk in enema form(per rectal) or oral route had shown appreciable result in the treatment of intra uterine growth restriction as well as oligohydramnios.

*The drugs like Asperagus racemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna) when administrated as medicated milk in enema form(per rectal) or oral route had shown appreciable result in the treatment of intra uterine growth restriction as well as oligohydramnios.<ref>Seema A.N.,Management of garbhakshayaw.s.r to IUGR with ShatavaryadiKsheerapaka- A comparative clinical trial., PG dissertation work, 2020, Dept of PTSR ,IPGT &RA, Jamnagar.</ref>

    

    

The outcome of the studies reveals that per rectal route of administration of the above drugs in the form of medicated milk has better effect than the oral administration.  

The outcome of the studies reveals that per rectal route of administration of the above drugs in the form of medicated milk has better effect than the oral administration.  

The 450 ml of medicated milk given in the form of enema for 10 consecutive days, showed remarkably significant results in parameters of fetal biometry, estimated fetal birth weight, amniotic fluid index as compared to the control group of L-Arginine sachet(6.5g) in two divided doses for 10 days. The animal experimental study also showed promising results in maternal weight gain, maternal well being and successful delivery of the pups without any adverse effects.  

The 450 ml of medicated milk given in the form of enema for 10 consecutive days, showed remarkably significant results in parameters of fetal biometry, estimated fetal birth weight, amniotic fluid index as compared to the control group of L-Arginine sachet(6.5g) in two divided doses for 10 days. The animal experimental study also showed promising results in maternal weight gain, maternal well being and successful delivery of the pups without any adverse effects. <ref>Suprabha .K, A clinic-experimental study of garbhakshayaw.s.r. to IUGR and its management by ShatavaryadiKsheera Basti, , Phd thesis work,2018 Dept of PTSR ,IPGT &RA, Jamnagar.</ref>

==='''Concept of designer baby:'''===

==='''Concept of designer baby:'''===