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Line 325: + − • periodic increase in size of abdomen [A.S. Sharira Sthana 2/8]+ − • development of linea nigra(lomaraji) [Cha. Sa. Sharira Sthana 4/16]+ − • growth of breast [Cha. Sa. Sharira Sthana 4/16]+ − • blackish discoloration of areola [Cha. Sa. Sharira Sthana 4/16]+ − • milk secretion from breast [Cha. Sa. Sharira Sthana 4/16]+ − • blackish discoloration of lips [Cha. Sa. Sharira Sthana 4/16]+ − • corpulent cheeks. [A.S. Sharira Sthana 2/10]+ − • edema in lower limbs. [Cha. Sa. Sharira Sthana 4/16]+ + + + + + + + + + − + − • enlargement of abdominal size. (udaravruddhi)[A.S. Sharira Sthana 4/13]+ − • fetal movements (garbhasphurana/spandana) [A.S. Sharira Sthana 4/13]+ − • expansion of vagina. [Cha. Sa. Sharira Sthana 4/16]+ + + + + + + − + − • Dislike/aversion for food(anannabhilasha). + − • Excessive salivation (asyasravanam) . + − • Anorexia(arochaka). + − • Interest in sour substances(amlakamata).+ − • Vomiting(chardi)[Cha. Sa. ShariraSthana 4/16]+ + + + + + + + + + +
Prenatal care (garbhini paricharya) (view source)
Revision as of 02:42, 15 September 2020
, 02:42, 15 September 2020→Diagnostics and therapeutics
Diagnosis of pregnancy is explained purely based on symptoms in Ayurveda. The three-fold method is applied in antenatal examinations for pregnancy and assessment of fetal growth in uterus.
Diagnosis of pregnancy is explained purely based on symptoms in Ayurveda. The three-fold method is applied in antenatal examinations for pregnancy and assessment of fetal growth in uterus.
===Inspection (darshana)===
===Inspection (darshana)===
The specific clinical features seen by direct observation in a pregnant lady are:
The specific clinical features seen by direct observation in a pregnant lady are:
*periodic increase in size of abdomen [A.S. Sharira Sthana 2/8]
*growth of breast [Cha. Sa. Sharira Sthana 4/16]
*blackish discoloration of areola [Cha. Sa. Sharira Sthana 4/16]
*milk secretion from breast [Cha. Sa. Sharira Sthana 4/16]
*blackish discoloration of lips [Cha. Sa. Sharira Sthana 4/16]
*corpulent cheeks. [A.S. Sharira Sthana 2/10]
*development of linea nigra(lomaraji) [Cha. Sa. Sharira Sthana 4/16]
*edema in lower limbs. [Cha. Sa. Sharira Sthana 4/16]
===Palpation(sparshana)===
===Palpation(sparshana)===
The growth of fetus is assessed palpation. Especially in the context of intra uterine growth restriction(IUGR) can be diagnosed by abdominal examination in view of following:
The growth and development of fetus and other changes in pregnancy can be assessed by palpation in view of following:
*enlargement of abdominal size. (udaravruddhi)[A.S. Sharira Sthana 4/13]
*fetal movements (garbhasphurana/spandana) [A.S. Sharira Sthana 4/13]
*expansion of vagina(yoni). [Cha. Sa. Sharira Sthana 4/16]
===Interrogation (prashna)===
===Interrogation (prashna)===
The symptoms of pregnancy are elicited through proper history taking. The first symptom, i.e. amenorrhea in a married woman is taken as an indicator for suspecting the pregnancy. [Cha. Sa. ShariraSthana 4/16]
The symptoms of pregnancy are elicited through proper history taking. The first symptom, i.e. amenorrhea in a married woman is taken as an indicator for suspecting the pregnancy. [Cha. Sa. ShariraSthana 4/16]
Symptoms related tothe gastro intestinal system are mentioned as initial symptoms of pregnancy.
Symptoms related to the gastro intestinal system are mentioned as initial symptoms of pregnancy.
*Dislike/aversion for food(anannabhilasha).
*Excessive salivation (asyasravanam).
*Anorexia(arochaka).
*Interest in sour substances(amlakamata).
*Vomiting(chardi)[Cha. Sa. ShariraSthana 4/16]
Psychological symptoms like alternate desire for things with opposite qualities, aversion of previously appreciated fragrance etc.[Su. Sa. Sharira Sthana 3/15] are also observed as symptoms of pregnancy.
Psychological symptoms like alternate desire for things with opposite qualities, aversion of previously appreciated fragrance etc.[Su. Sa. Sharira Sthana 3/15] are also observed as symptoms of pregnancy.
General fatigue, excessive sleep, excessive yawning, getting unconscious accidentally are also listed among the symptoms of pregnancy. [A.S.Sharira Sthana 2/8]
General fatigue, excessive sleep, excessive yawning, getting unconscious accidentally are also listed among the symptoms of pregnancy. [A.S.Sharira Sthana 2/8]
All these features can be assessed through simple interrogation in the clinical set up during antenatal visits.
All these features can be assessed through simple interrogation in the clinical set up during antenatal visits.
==Contemporary Approach==
==Contemporary Approach==
Systematic supervision of a woman during pregnancy is called antenatal care (ANC). Contemporary antenatal care has two main components.
Systematic supervision of a woman during pregnancy is called antenatal care (ANC). Contemporary antenatal care has two main components.