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PLAN OF PRESENTATION
Introduction
What pregnancy mean to a woman?
Antenatal care?
Aims and objectives of Antenatal care.
Approach of modern medicine people.
What homoeopathy offers a pregnant woman?
Hyperemesis Gravidarum& Homoeopathy
Tocophobia
Miscarriage & Homeopathy
Hydatidiform mole & Homoeopathy
Amniotic fluid disorders & Homoeopathy
Hypertensive disorders in pregnancy and Homoeopathy
Anaemia during pregnancy and Homoeopathy
Gestational Diabetes Mellitus& Homoeopathy
False labor pains and Homoeopathy
Malpresentation, malposition & Homoeopathy
Haemorrhoids, Constipation during pregnancy & Homoeopathy
Prolonged pregnancy & Homoeopathy
Threatened preterm labor and Homoeopathy.
Bibliography
INTRODUCTION:
A nation’s health starts with healthy mother, she should have normal and natural pregnancy, delivers a healthy
child with good first cry and good APGAR score. So childbirth of this order will give to the nation with their
good mental capacity.
It is job of an obstetrician in our country because the more normal and safe delivery is the more intelligent the
newborn will be.“you can tell the condition of a nation by looking at the status of it’s women.
What Pregnancy Means To A Woman ?
Pregnancy is a special time for woman and her family. It is a time for many changes in pregnant women’s body
in her emotions, in her actions and in the life of her family. This all changes bring the extra stress on her and
with in her.
ANTENATAL CARE
Systematic supervision (examination and advice) of a woman during pregnancy is called antenatal (prenatal)
care. The supervision should be regular and periodic in nature according to the need of the individual. Actually
prenatal care is the care in continuum that starts before pregnancy and delivery and the postpartum period.
The objective is to ensure a normal pregnancy with delivery of a healthy baby from a healthy mother.
Visits:
The first visit should not be deferred beyond the second missed period
Interval of 4 weeks up to 28 weeks.
At the interval of 2 weeks up to 36 weeks, and thereafter weekly till delivery.
1. Family identification
2. Pregnancy record – LMP,EDD, No of pregnancies/ live births,
1. Birth record
2. Institutional identification
3. Regularcheckups
Blood pressure
Blood – Hb%
Urine –albuminous/ proteinuria
Weight gain –10-12 kgs gain , – 1 kg/ month last 6 months
TT injection – 2 TT,. 1) pregnancy confirm,
Homoeopathy Allopathy
Mode of action Effect on root cause Effect on disease not on root cause
Route Tongue Oral, IM and IV
On the other hand if the fetus is genetically diseased or received some hereditary dyscrasia from it’s parents,
no amount of Antenatal care and nutrition to the expected mother or hygienic precautions can make the child
born healthy, unless the hereditary dyscrasia is removed by constitutional, anti miasmatic treatment of the
mother during pregnancy.
The best procedure to treat such cases is to treat their parents constitutional disturbances, before they are
expecting to have child.
Constitutional:
Carbonitrogenoid ( psora) –
Oxygenoid( syphilitic) :
MIASMATIC APPROACH :
Hahnemann declared that the miasmatic theory was the result of 12 years of the most pain taking work on
difficult cases of chronic character combined with his own historical research into the disease of man.
Many physicians routinely give the corresponding nodsode to the mother or child.
Eg: to a child born with syphilitic skin vesicles they might give syphilinum rather than similimum.
This would seem an inappropriate use of the miasmatic concept, as the similimum what patient need not the
nosode.
The routine use of psorinum,medorrhinum and syphilinum is in general frowned upon because it is the
similimum that patient needs and that will cure. Certainly the nosodes can do good work, but it should be
used when it becomes the similimum not just routinely.
The physician skilled in anti miasmatic prescribing dips deeper into the case, and applies an agent that has
deep closer relationship with the disturbed life force. The results are always better- organon of medicine.
Prophylaxis:
H/o of skin disease in parents–two doses of sulphur 200 at the intervals of two months and after the same
interval one dose of 1 M potency to the mother.
Venereal tainted women: Two doses of Merc 200 and one dose of 10 M
To evert the syphilitic effecting the child syphilinum 30 every 15 days and Merc 6 daily in the morning
throughout the pregnancy until the child sucks the mothers breast. One dose of Merc 6 to the child if in spite
of the above child wasting.
HYPEREMESIS GRAVIDARUM
Definition:
It is a severe type of vomiting of pregnancy which has got deleterious effect on the health mother and/or
incapacitates her in day-to-day activities.
Advice woman to
Homoeopathic management:
Sepia
Chilly patient; predisposed to take cold at the change of weather; thin built with narrow pelvis; yellow saddle
across nose; past history of repeated abortions; sudden prostration with sinking faintness with all complaints;
offensive sweat; desire for vinegar, acids, pickles and sour, but sour food aggravates; aversion to food; sad,
indifferent even to loved ones, irritable, indolent and quarrelsome.
Particular symptoms
• Nausea with sour eructation’s, especially in morning before eating; from sight or thought of food and the
smell of cooking food, better by eating
• Worse after milk, especially when boiled Everything tastes too salty
COLCHICUM AUTUMNALE
Chilly patient; internal coldness and tendency to collapse; weak and restless; rheumatic diathesis; great
prostration, rapid sinking; easily affected by external impressions i.e. Light, noise, strong odors, contact, etc.,
depressed, irritable and sensitive.
Nausea and faintness from the odor of cooking food, fish, eggs or fat meat.
Vomiting of mucus, bile and food.
Sensitive to sight, smell and thought of food.
Profuse salivation. Burning or icy coldness in stomach and abdomen.
Sensitive to sight, smell and thinking of food.
Great thirst but no appetite.
Nausea is better by lying quietly and perfectly still, is renewed by every motion.
Craving for various things, but is averse to them after smelling.
ARSENIC ALBUM
Chilly patient, rapid disproportionate prostration; burning pains better by heat (except headache); cadaveric
odor of discharges and body, frequent thirst for small quantity of water, craving for acids, coffee and milk;
anxiety, anguish, fear of death, restlessness.
IPECACUANHA
Over-sensitive to both heat and cold; fatty, tendency to gastric disturbances; thirstlessness with clean tongue.
Ailments from: overeating, ice, rich foods, raisins, cakes and smoking tobacco.
Constant and continual nausea with no relief even after vomiting. Vomiting of food, bile, blood, white
glairy mucus; sometimes immediately after meals. Vomiting worse by stooping.
Moist mouth, with much saliva.
NUX VOMICA:
Chilly patient; thin, dark complexion; spare, quick, active; prone to indigestion and hemorrhoids, sedentary
lifestyle; tongue coated yellowish in the posterior part, desire for stimulants, nervous disposition; oversensitive
to external impressions, to noise, odors, light or music, etc.; zealous and irritable, impatient, spiteful with
violent action; ardent nature.
Ailments from: coffee, alcohol, spicy and highly seasoned food; lack of sleep. Patient is haggard and sick in the
morning. Nausea and vomiting, with much retching ;retching predominates over vomiting. Sour taste,
constant nausea in the morning, after eating.
• Wants to vomit, but cannot and feels “If I could only vomit I would be so much better.”
PULSATILLA
Hot patient, marked changeability; thirstless with great dryness of mouth; tongue coated yellow or white;
though she feels chilly, she is better in open air, worse in the evening; better by slow, gentle motion; desire for
cheese, pungent things, highly seasoned food, sausage; aversion to fatty food, meat, butter, bread, warm foods
and drinks and smoking, craving for ice-cream and pastry, desire for company, mild, gentle, affectionate,
yielding, weeping disposition.
Ailments from: rich fat food, cake, pastries, pork and sausages.
Nausea and vomiting in evening and night, after eating or drinking or during a meal. Vomiting of food
eaten long before.
Water brash with foul taste of mouth in the morning
Sour, bitter eructations; belching of rancid food. Taste of food remains for long time after eating.
Vomiting and purging at the same time.
TOCOPHOBIA
Definition
Tocophobia, also known as ‘Fear of Pregnancy’, and ‘Fear of Childbirth’ is a pathological fear of pregnancy and
can lead to avoidance of childbirth.
Homoeopathic management:
ACONITUM NAPELLUS :
ARSENIC ALBUM:
Irritable, sensitive, peevish and easily angered.Attacks of anxiety at night driving out of bed, worse after
midnight
Fears: of death, of being left alone, of goingwith cold sweat Anxiety, anguish, fear of death and
restlessness
ACTEARECEMOSA :
NUXMOSCHATA:
PULSATILLA:
SABINA –
SECALECORNUTUM:
CROCUS SATIVUS :
Threatened abortion, especially when hemorrhage is dark and stringy Surging of blood to genitals.
Threatened abortion especially when uterine hemorrhage is dark, clotted in long string, words from
least movement.
SEPIA :
Tendency to abort between 5 to 7″ month. Relaxed pelvic organs with bearing down sensation, as if
everything will escape from vulva.
Must sit down and cross legs to ameliorate pressure from pelvis.
Terrible itching of vulva.
HELONIAS:
Sensation of weakness, dragging and weight in the sacrum and pelvis, with great languor and
prostration.
Weight and soreness in womb.
Atonic uterus. Dark, foul blood from uterus.
Consciousness of the womb.
VIBURNUM OPULUS:
SABINA :
Promotes expulsion of moles from uterus.
Uterine pains extend to thighs.
Drawing pains in small of back, from sacrum to pubes and from below upwards shooting up the vagina.
Hemorrhage: partly clotted partly fluid; worse from least motion.
CANTHARIS:
Expels moles, membranes, etc. Constant discharge from uterus; worse false step. Lancinating and tearing pain
in coccyx. Black swelling of vulva with irritation.
PULSATILLA:
Uterine moles.
Pains rapidly shifting from one part to another, accompanied with constant chilliness.
Pain in back; tired feeling.
Pains associated with suffocative and fainting spells. Weak pains. Bearing down sensation worse while
lying down.
KALI CARBONICUM:
Uterine moles.
Uterine hemorrhage; constant oozing after copious flow, with violent backache, relieved by sitting and
pressure.
Polyhydramniosa
Polyhydramnios is a condition in which the amniotic fluid volume is more than twice the expected volume for
the age of gestation normal volume is 50 ml. at 12 weeks, 400 ml. at mid pregnancy and 1000 ml. at term).
Homoeopathic management
-Constitutional homoeopathic treatment can be given on the basis of symptom similarity with emphasis on
causative factors.
HYPERTENSIVE DISORDERS IN PREGNANCY
Hypertension is one of the common medical complications of pregnancy and contributes significantly to
maternal and perinatal morbidity and mortality.
Pre eclampsia:
Preeclampsia is a multisystem disorder of unknown etiology characterized development of hypertension to
the extent of 140/90 mmHg or more with proteinuria after the 20 th week in a previously normotensive and
nonproteinuric woman.
Eclampsia: Preeclampsia when complicated with grand mal seizures (generalized tonic-clonic convulsion
and/or coma is called eclampsia.
Homoeopathic management:
APIS MELLIFICA
MERCURIUSCORROSIVUS :
CINCHONA OFFICINALIS :
HELONIASDIOICA :
GLONINE:
SEPIA :
WHO has accepted up to 11gm% as the normal hemoglobin level in pregnancy. Therefore any hemoglobin
level below 11gm% in pregnancy should be considered as anemia.
Homoeopathic management:
ALETRISFARINOSA :
CINCHONA OFFICINALIS:
Gradually progressive anemia.
Face pale, hippocratic;
eyes sunken and surrounded by blue margins.
Weakness.
CALCAREAPHOSPHORICA :
FERRUM PHOSPHORIC:
NATRUMMURIATICUM:
Anemic headache, from sunrise to sunset; with paleface, nausea and vomiting.
Dyspnea while ascending stairs or from physical .
Maximum weakness is felt in the morning, in bed exertion. Tachycardia.
Palpitation, fluttering and intermittent action of the heart.
PULSATILLA:
Introduction
False labor pains are contractions, which occur at irregular and unpredictable intervals.
The woman feels pain and discomfort in the abdomen.
These are more commonly seen in primigravidae than in multiparous women.
Pains usually appear prior to the onset of true labor pains, 1-2 weeks before in primigravida and few
days before in multiparous women.
Homoeopathic management:
BELLADONNA:
CAULOPHYLLUM:
Intermittent, or erratic or paroxysmal severe pain fly in all directions without progress.
Short, irregular, spasmodic, tormenting pains.
Corrects deranged vitality and produces efficient pains, if the symptoms agree.
False labor pains; want of tonicity of womb.
ACTEARECEMOSA:
PULSATILLA:
Pains rapidly shifting from one part to another, accompanied with constant chilliness.
Pains associated with suffocative and fainting spells .
Bearing down sensation worse on lying down.
NUX VOMICA:
False labor pains extend to rectum with frequent desire for stool and urination.
Pains tingling, sticking, aching, worse from motion and contact.
Very irritable, cannot bear to be touched.
CHAMOMILA:
PULSATILLA :
AESCULUS HIPPOCASTANUM:
Engorged hemorrhoidal veins, with absence of actual constipation; accompanied by a severe lumbo-
sacral backache.
Dryness and heat of rectum; sensation as if full of small sticks; knife-like pains shoot up the rectum.
Hot, dry, stiff, rough and full feeling in the rectum.
Constipation with hard, difficult, large, dry stool with dryness and heat of rectum.
Stool followed by fullness of rectum and intense pain in anus for hours; with prolapse.
Hemorrhoids: blind, painful, burning, purplish; rarely bleeding. Burning in anus with chills up and down
the back.
COLLINSONIA :
Sensation of constriction and of sharp sticks in rectum as if sands or gravel had lodged in rectum .
Chronic, painful, incessant bleeding piles associated with severe constipation.
Stools sluggish, hard and dry with pain and great flatulence. Itching of anus.
Alternate constipation and diarrhea.
Piles ultimate with respiratory, heart or rheumatic symptoms.
SEPIA :
Dragging sensation in the lower abdomen. Bleeding at stool and fullness of rectum; great tenesmus;
pains shoot upward.
Constipation: large, hard stools; feeling of a ball in rectum not relieved by stool; dark-brown, round balls
glued together with mucus. Has to remove stool manually.
Aggravation while standing; hemorrhoids prolapse and bleed on walking.
NUX VOMICA:
Ailments from: sedentary habits; night watching, stimulants like coffee, alcohol and spicy and highly
seasoned food.
Irregular peristaltic action of the intestines causing frequent ineffectual desire for stool, or passing small
quantity at each attempt; feeling as if part of the stool remained unexpelled.
Very painful, non-bleeding piles, with ineffectual urging for stool. • Constant uneasiness in rectum.
Severe itching in the piles, better by sitting in a tub of cold water.
PROLONGED PREGNANCY
Pregnancy which has continued for more than 2 weeks beyond expected date of delivery.
It may lead to
Homoeopathic management:
SEPIA:
OPIUM:
Premature labor pains due to fright or shock especially in last month of the pregnancy.
Horrible labor like pains in uterus with urging to stool.
BIBLIOGRAPHY:
Dr V.Priyanka
P.G.Scholar, Part- 1,
Dept Of Case Taking & Repertorisation
Dr. G.G.H. Medical College,Gudivada.
Dr.P.Banerji Expert Homeopaths -
World Famous Clinics Kolkata
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