Why Nausia Vomiting occurs During Pregnancy ?

Why Nausia Vomiting occurs During Pregnancy ?

*Symptoms usually begin four to eight weeks after 4weeks, peak at about 9-11 weeks, and go away by 14-16 weeks into the pregnancy.

*Ayrveda have  described nausea, vomiting and other symptoms of normal pregnancy.

*Causes of nausia, vomiting according to Ayurveda:

1) Vitiated vata - Vayus vitiated due to  stimulation by fetus . The  vitiated Vayu cause Vomiting in pregnancy मा.नि.15/3मधु.व्या.

2) Non fulfilment of desires of  pregnant woman:

Normally the  pregnant woman desires the substance which are deficient in her body. Nonfulfillment of desires may cause Vomiting. सु.सं.उ.49/12 डल्ह.टी.,

3) First three months the fetus is in Amawastha . (आमावस्था)

  च.सं.शा.8/25 अ.हृ.शा.4/8

In the first trimester it is Ama awastha of fetus( Garbha). Therefore she suffers from Ama symptoms such as nausia, vomiting.

*According to modern science exact cause of nausea and vomiting in pregnancy is not clear

Following may be probable causes of vomiting in normal pregnancy

1) Rapid changes in hormone levels. These fluctuations may cause changes in the muscle contraction and relaxation patterns of  stomach and intestines, thus leading to nausea and vomiting.

The hormones  include  human chorionic gonadotropin(hCG), estrogen, and progesterone,thyroid , etc.

2)Psychological :

condition may be a woman's psychological reaction against the pregnancy and might arise from conflict within the family and her home environment. 

*Hyperemesis gravidarum: This condition occurs when a pregnant woman has ongoing vomiting that results weight loss than 5% of her body weight, and evidence dehydration.

** This is not the symptom of normal pregnancy

 Hyperemesis gravidarum is an extreme form of nausea and vomiting in pregnancy that sometimes requires hospitalization. 

If nausia, vomiting does not  reduce  or if she is unable to take  any liquids for more than 24 hours then there is need to search for any other associated cause.

   If the vomiting is associated with these symptoms

• Fever

• Abdominal pain

• Headache

• Dizziness

• Fainting

• Weakness

• Fatigue

• Fever

• Diarrhea

• Abdominal pain

In these condition patient needs of urgent help.

MENOPAUSE

MENOPAUSE

*Menopause is a stage in life when a woman stops having her monthly period.

- It is a normal part of aging and marks the end of a woman's reproductive years.

- Menopause typically occurs in a woman's late 40s to early 50s. However, women who have their ovaries surgically removed undergo "sudden" menopause.

-Menopause that occurs before the age of 45, regardless of the cause, is called early menopause. 

-Menopause that occurs at 40 or younger is considered premature menopause.

*Menopause is one of the most significant events in a woman's life and brings in a number of physiological changes that affect the life of a woman permanently.

For women undergoing natural menopause, the process is gradual and is described in three stages:

1)Perimenopause or "menopause transition

"Perimenopause can begin 8 to 10 years before menopause, when the ovaries gradually produce less estrogen. It usually starts in a woman's 40s, but can start in the 30s as well. 

Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. 

-In the last 1-2 years of perimenopause, the drop in estrogen accelerates. At this stage, many women can experience menopause symptoms. -Women are still having menstrual cycles during this time, and can get pregnant.

The average length of perimenopause is four years, but for some women this stage may last only a few months

2)Menopause is the point when a woman no longer has menstrual periods. At this stage, the ovaries have stopped releasing eggs and producing most of their estrogen. 

--Menopause is diagnosed when a woman has gone without a period for 12 consecutive months.

3 )Postmenopause -the years after menopause. During this stage, menopausal symptoms, such as hot flashes, can ease for many women. But, as a result of a lower level of estrogen, postmenopausal women are at increased risk developing osteoarthritis,heart disorders, diabetes ,etc

Symptoms of menopause:

In transitioning(perimenopausal) into menopause patient may begin experiencing some or all of the following symptoms:

• Hot flashes (a sudden feeling of warmth that spreads over the body)

• Night sweats and/or cold flashes

• Vaginal dryness; discomfort during sex

• Urinary urgency (a pressing need to urinate more frequently)

• Difficulty sleeping (insomnia)

• Emotional changes (irritability, mood swings, mild depression)

• Dry skin, eyes or mouth

Women who are still in the menopause transition (perimenopause) may also experience:

• Breast tenderness

• Worsening of premenstrual syndrome (PMS)

• Irregular periods or skipping periods

• Periods that are heavier or lighter than usual

Some women might also experience:

• Racing heart

• Headaches

• Joint and muscle aches and pains

• Changes in libido (sex drive)

• Difficulty concentrating, memory lapses (often temporary)

• Weight gain

• Hair loss or thinning

***However, women affected with new symptoms of racing heart, urinary changes, headaches, or other new medical problems should see a doctor to make sure there is no other cause for these symptoms.

Treatment depends on severity.

Menopause is a natural process with treatments that focus on symptomatic relief.  Medications , ayurvedic Panchakarma,improvement in life style and diet  ,meditation,some exercises,reduce the severity of “menopause” .

It is the very important stage of life. 

*AYURVEDIC TREATMENT:

-Shirodhara, Shiropichu,Nasya

-Yoni Pichu 

 -Massage,Steam,Basti, Ksheer Dhara,

-Ayurvedic diet plan

-Stress management therapy

FACTORS RESPONSIBLE FOR FULL TERM HEALTHY BABY

FACTORS RESPONSIBLE FOR FULL TERM HEALTHY BABY

According to Ayurveda:

शुक्रासृगात्माशयकालसंपद् यस्योपचारश्र्च हितैस्तथाऽन्नै:।

गर्भश्र्च काले च सुखी सुखं च सञ्जायते संपरिपूर्णदेह:॥च.सं.शा.2/6

1) Good quality of sperms(शुक्र संपद्)

2) Good quality  of ovum and ovarian hormones(अस्रृक् संपतद्)

3) Self  perfection(आत्मा संपद्)

4) Healthy Uterus (आशय संपद्)

5) Proper time :age of couple and secretory phase etc (काल संपद् )

6) Proper following of treatment and mode of life  (उपचारश्र्च हितै:)

7) Proper following of dietetics ( स्तथा ऽन्नै:)

Fulfilment of above factors   results in delivery of full term, healthy baby ,  at proper time and having normal all  body parts.

AIMS AND OBJECTIVES of ANTENATAL CARE (ANC):

AIMS AND OBJECTIVES of ANTENATAL CARE (ANC):

*Systematic supervision of a woman during pregnancy is called antenatal care.

*The aims of antenatal care are 

1)To optimise maternal and fetal health,

2) To offer women maternal and fetal screening, 

3)To make medical or social interventions available to women where indicated

4)To improve women's experience of pregnancy and birth 

5) To prepare women for motherhood whatever their risk status.

*The  objectives of antenatal care are:-

The main objective is to ensure a normal pregnancy with delivery of a healthy baby from a healthy mother.

Other objectives are:

1. Maintenance of health of mother during pregnancy

2. Identification of high risk cases and appropriate management

3. Prevent development of complications

4. Decrease maternal and infant mortality and morbidity

5. Remove the stress and worries of the mother regarding the delivery process

6. Teach the mother about child care, nutrition, sanitation and hygiene

7. Advice about family planning.

Musk (कस्तुरी)

Musk (कस्तुरी) 

Ayurvedic Medicinal Uses :

Musk/Kasturi: –  ls a secretion from the animal Moschus Moschiferus or popularly known as Musk Deer found in the Himalayan mountains. 

*The musk is used in the treatment of psychiatric disorders, neurological diseases, nausea, bad odour, strengthening cardiac muscles and respiratory diseases. 

***Useful when there is deficiency of Pruthvi Tatva (पृथ्वी तत्व)*****

1) It is useful in hysteria with  weak pulse and uncontrolled laughing.

2) It is used in nervous hiccups.

3) Useful in impotence associated with diabetes

4) It is useful in Menorrhagia, with the episode of fainting .

5) It is useful in Hypotension.

6) Useful in hysteric spasm of chest, asthma due to fear, anxiety, without expectoration of cough.

7) It is aphrodisiac(वाजीकर) and  rejuvenator and useful in oligospermia, repeated abortion, female infertility.

8) It is used in COPD, Asthma, cough, cold.

9) Is useful in abdominal tumor, diabetes,  Kshaya. 

10) Useful in IBS,anemia,  urinary calculi, polyurea.

11) Useful in sudden construction  of larynx and trachea ,hoarseness of voice & loss of speech,

12) In toxic involvement of C.N.S

13) In metastatic gout

14) Useful in low fever with general debility and anaemia.

15) It is used  in Udwartan  (उद्वर्तन  -applying herbal powders on body) to remove bad smell of the body and also for Vajeekarana.

16) If diseases occurs  sudden on set and do not follow a normal course ,then in this condition it is very useful.

*Adverse effects:-

Excess use of kasturi can cause burning sensation, intoxicating effect and giddiness.

*Antidote:- Camphor(कर्पुर)

AYURVEDIC BASIC PRINCIPLES OF TREATMENT FOR DISEASES DURING PREGNANCY :

AYURVEDIC BASIC PRINCIPLES OF TREATMENT FOR DISEASES   DURING PREGNANCY : 

1) The treatment is the same as the principal applicable to the  disease in all human beings according to Dushya,Desh,Bala kala etc.

*The pregnant woman should be treated just like a pot filled fully with oil .As slight oscillation of this pot causes spilling of oil,in the same way slight stimulation to the pregnant woman can initiate abortion etc.

2) Shodhana (Panchakarma) should be avoided .

3) Medicines using to treat should be soft,sweet,cold, pleasant and gentle in nature.

4) Anuvasan, Asthapan basti (enema) should not be used frequently, but if the disorder is acute then moderate use of basti can be used.

5) After 8 months of pregnancy if disease has  very much needed of  Vaman etc,then it is permitted,but it should be very gentle.

 *It is best to use spitting (निष्ठीवन), suppositories( फलवर्ति)to get the results for Vaman (वमन) and Virechan (विरेचन) respectively.च.शा.8/22चक्र.टी.

6) If the disease is very serious then the life of woman should be saved by use of drastic, extreme measures and pungent drugs,even it causes harm to the fetus. अ.सं.शा.2/62,63

FACTORS TO AVOID DURING PREGNANCY:-

FACTORS TO AVOID DURING PREGNANCY:-

Ayurveda has been stated certain factors to avoid during pregnancy, which can cause harm to the pregnant woman and fetus.

Some of these are as follows:-

1)Travel on irregular roads, travel in speeding vehicles

2)Wearing of red clothes

3)Sitting on hard and irregular surface

4)Intercourse, smoking, narcotic drugs, wine ,sedatives.

5)Sleeping in supine position

6)Taking fish in large quantity,

7)Food which is Guru( heavy to digest), Tikshna(irritative in stomach) , Ushna ( hot) 

9)Holding of natural urges

10)Excessive exercise

11)Predominant use of one taste in large quantity has following effect on child after birth.

-Sweet – Baby will be fat and may develop diabetes.

-Sour – Skin diseases, diseases of eyes and allergies.

-Salty – Hair become white early, graying hairs,wrinkles on the skin.

-Pungent – Weak and may cause infertility.

-Bitter - weak and dry.