Dr. Jyoti H. Baswade

From,

DR. JYOTI H. BASWADE

Preliminary M. S. (Ay) Scholar,

Department of Post Graduate Studies in Prasuti Tantra & Stree Roga.

N.K.J.A.M.C. & P.G. Centre,

Bidar: 585403.

To,

The Registrar,

Rajiv Gandhi University of Health Sciences,

BANGALORE, Karnataka.

Through,

The Principal and Head of Department, P.G. studies in Prasuti Tantra & Stree Roga.

N.K.J.A.M.C. & P.G. Centre,

Bidar: 585403.

Subject: Submission of Completed Proforma for Registration of Synopsis ofDissertation.

Respected Sir,

I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore, for partial fulfillment of M.S. (Ay) in Prasuti Tantra & Stree Roga.

THE TITLE OF DISSERTATION:

“THE ROLE OF MATRA BASTI AND YONI PICHU IN SUKHAPRASAVA.”

I am hereby enclosing, completed proforma for the Registration of Subject of Dissertation.

Thanking You,

Yours faithfully,

Date:

Place: Bidar.
(DR. JYOTI H. BASWADE.)

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA-BANGALORE

ANNEXURE-II

PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

1.Name of the Candidate and Address:DR.JYOTI BASWADE D/O HANMANTRAO BASWADE TAL-KANDHAR,

DIST.-NANDED (MH).

2.Name of Institution:N.K.J. AYURVEDIC MEDICAL COLLEGE & P.G.

CENTRE, BIDAR: 585403.

KARNATAKA (INDIA).

3.Course of study and Subject:M.S. (Prasuti Tantra & Stree Roga)

4.Date of Admission to Center:15 JUNE, 2009.

5.Title of Topic:

“THE ROLE OF MATRA BASTI AND YONI PICHU

IN SUKHAPRASAVA.”

6. BRIEF RESUME OF THE INTENDED WORK.

6.1NEED FOR THE STUDY:

1. According to WHO preamble “Health is a fundamental Human right and Health is a world wide social goal”, so to avoid complication in labour, this study is proposed.
2. The most important physical act performed by women is child birth and normal delivery is always beneficial to mother and baby, as compared to surgery because, in operative delivery women may face pre-operative,intra-operative and post-operative surgical complications,so to provide cost effective procedure and to minimize complication, present study is needed1.
3. In Ayurvedic literature, many drugs and procedures are mentioned for Sukhaprasava as part of Garbhini Paricharya. Among them, the role of Basti and Yoni Pichu is evaluated for its possible role in Sukhaprasava2,3,4.

6.2 REVIEW OF LITERATURE:

Charaka,Sushruta,Vagbhata mentioned the Anuvasana basti and pichu prayoga in the management of pregnant women for Sukhaprasava2,3,4.

PreviousWorks:

i)Shyamala B,Effect of Pichu and Basti on Labour, Ph.DThesis BHU, Varanasi,1989.

ii)Sriwadane S.A.D, Effect of Basti on Labour,BHU, Varanasi,1990.

iii)Paranjape S.M, Role of anuvasana Basti in Prakruta prasava, Tilak Ayurved Mahavidyalaya,Pune,1995.

iv)Jadava Dhara M, Role of Madhuradi taila anuvasana Basti and Yoni pichu in Garbhini Paricharya in third trimester,I.P.G.TR.A Jamnagar,2000.

6.3 Objectives of the STUDY:

The objectives of the proposed research work are as follows.

i)To study Garbhini Paricharya in 9th month as per Charaka.

ii)To assess the role of specific therapies viz. the Basti and Yoni Pichu in Sukhaprasava.

7. MATERIALS AND METHODS:

7.1 SOURCES OF DATA:

i)Patient will be selected from the OPD of Prasuti and Stree Roga Dept. of Shri Siddharoodha Charitable Hospital, attached to N.K.J. Ayurvedic Medical College & P.G. Centre Bidar, Karnataka & other associated hospitals of the city.

ii)Samhita, modern booksof medicine, physiology, & pharmacology.

iii)Journals, magazines, seminars, conferences.

iv)Pathological laboratory attached to the hospital.

v)Pharmacy attached to the College for preparation of Medicine.

vi)Research Compound will be given in the form of Matra Basti and Yoni Pichu.

DRUG REVIEW:

The drugs used in Matra Basti are as follows:

1. BALA:

Botanical Name:Sida cordifolia.

Gana:Balya, Brumhaniya, Prajasthpana, Madhuraskandha.(Ch.Su.25)

Vatasamshamana.(Sus.)

1. TILA:

Botanical Name: Sesamumindicum.

Gana:Svedopaga,Purishavirajaniya.(Cha.)

.

7.2 METHODS OF COLLECTION OF DATA:

Being a clinical study,patients will be selected by Simple Randomized Sampling method after thorough physical and laboratory investigations.

SampleSize: 30 patients will be selected according to the inclusion criteria.Patients will be assigned in two groups:-

Group A(Treatment Group):

15 patients will be taken in the trial group.

A primi-gravida having completed 8th month will be given Bala Tail Matra Basti and Yoni Pichu for following duration in given doses:

Matra Basti:(Administered from the first day of 9th month)

Dose:120ml

Duration: 9 days

Retention Period: 3 yama/9hrs.

Yoni Pichu:

Dose: 10-15ml

Duration: 9 days

Dharana Kala: Mutrakalaparyantha (until the urge of urination)

(The Pichu will be removed under the supervision of Obstetrician)

Group B (Control Group):

A primi-gravida having completed 8th month will be given routine antenatal care and labour managed as per modern system of medicine under the supervision of the modern obstetrician attached to the ayurvedic hospital (follow up as per trial group).

Follow Up: Post partum.

INTERVENTION CHART:

Sr. No / Karma / Procedure / Retention time / Duration
1. / Poorva Karma / -Snehana, Svedana- Oil application and hot water bath.
-Light Diet just before administration.
-Light walking / - / 9 days
2. / Pradhana Karma / -Matra Basti with Bala taila
-Yoni Pichu dharana with Bala taila. / 9 hours/ 3 Yama
Mutra
kalaparyanta
3. / Paschat Karma / -Massage over the lower abdomen.
-Flexion extension of legs.
-Keeping pillow below the buttocks.
-Lukewarm water intake after administration of Basti& light diet after 3-4 hours of basti.
-Removal of pichu on the urge of urination. / -

SELECTION CRITERIA:

INCLUSION CRITERIA:

i)Age group 18-35 year.

ii)All primi-gravida with vertex presentation.

iii)Gravid Women after 8th Month.

iv)Patients having adequate Pelvis.

EXCLUSION CRITERIA:-

i)C.P.D

ii)Mal-presentation.

iii)Oligohydramnios.

iv)APH

v) Pregnancies complicated by jaundice, eclampsia, pre-eclampsia, twin pregnancy, anaemia,PIH etc.

vi)Patients having other systemic pathology (TB, DM, HIV, HBsAg, etc).

ASSESSMENT CRITERIA:-

1)Bishop’s Score

2)Partograph

3)Total duration of labour including 3 stages.

STATISTICAL ANALYSIS:-

Objective parameters will be analyzed by student‘t’ test.

7.3 INVESTIGATION REQUIRED:-

All routine antenatal investigations will be done.

7.4 HAS ETHICAL CLEARNCE BEEN OBTAINED FROM YOUR

INSTITUTION - Yes obtained.

8. LIST OF REFERENCES:-

1) D.C Dutta, Text book of Obstetrics. Calcutta: New Central Book Agency,West Bengal. 6th Edition-2004. 114-123pp.

2) Pt. Kasinath Shastri and Dr.Gorakhanath Chaturvedi. Charaka Samhita Shareer Sthana vol-1 8/32,. Varanasi: Chaukhambha Bharati Academy,Uttarpradesh, 2005. 918-964pp.

3) Prof. K. R Srikanthamurthy, Sushruta Samira Shareera sthana 10/4. Varanasi:Chaukhambha Orientalia,Uttarpradesh. 2nd Edition-2004. 197-204pp.

4) Dr.Ganesh Krishna Gardae, Sartha Vagbhata. 1st chapter Shareer Sthana 1/67,68 .MarathiBhashantar,Pune-2: AnmolPrakashana,Maharastra.1st Edition-1991. 121-128pp.

5) P.V.Tiwari. Ayurvediya Prasuti Tantra, Vol-1,Chapter5, Varanasi: Chaukhambha Orientalia,Uttarpradesh. 2nd Edition-1999. 197-204pp.

6) Dr. J.L.N Shastri. Dravyaguna Vijnana.Varanasi: Chaukhamba Orientalia,Uttarpradesh.2nd Edition-2005.

7) Vaidya Haridas Shridhar Kasture. Ayurvediya Panchakarma Vijnana. Nagpur: Shree Baidyanath Ayurvediya Bhavan Limited,Maharastra. 8th Edition-1999. 372-486pp.

9.SIGNATURE OF THE CANDIDATE:

10. REMARKS OF THE GUIDE:

11.NAME & DESIGNATION OF

11.1Guide:PROF. DR. L.V.RATNAKAR,M.D.(Ayu)

PROFESSOR,

P.G. DEPT. OF PRASUTI TANTRA & STREEROGA,

N.K.J.A.M.C & P.G RESEARCH CENTRE,

BIDAR.

11.2 Signature:

11.3 Co-Guide :

11.4 Signature:

11.5 Head of Department: PROF. DR. L.V.RATNAKAR,M.D.(Ayu)

PROFESSOR,

P.G. DEPT. OF PRASUTI TANTRA & STREEROGA,

N.K.J.A.M.C & P.G RESEARCH CENTRE,

BIDAR.

11.6 Signature:

1. 12.1 Remarks of the Chairman &:

Principal

12.2 Signature:



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