ANTENATAL CARE IN AYURVEDA (GARBHINI PARICHARYA )

ANTENATAL CARE IN AYURVEDA (GARBHINI PARICHARYA )

                                                     Ayurveda prescribes specific nutritional measures for the growth and protection of the woman to keep her vital and pure. In one of its most famous teaching analogies, Ayurveda compares human conception to the germination and sprouting of a seed and its transformation into a sapling. When the male and female seeds unite and the soul enters the union, an embryo (garbha) is created. Ayurveda gives great importance to the quality of the seed (ovum).The wisdom regarding the general management of pregnancy is found in both the Charaka and Sushruta Samhitas under the subject of “Garbhini Vyakarana”. There are separate chapters for general management, specific management, diseases in pregnancy and their treatment and many other practical pieces of advice . Guidelines regarding diet, activities, behavior and mental activity (ahar, vihar, achar and vichar, respectively) are also detailed.The physician is cautioned to be very vigilant during the management of pregnancy. “If a cup filled with oil right up to the brim is to be carried without spilling even a single drop, every step has to betaken with care”. (CS Cs 8/22) Ayurveda advises the same degree of care and attention in the management of a pregnant woman.The goal is the protection and nourishment of both the growing fetus and the mother.The concept that improper decisions and lifestyle are responsible for the genesis of disease is a well-known Ayurvedic idea. Crowded urban living in particular has been cited in the Charaka Samhita as causing disease and shortening lifespan. (CS Cs1/1) .It is the woman who procreates children and propagates the human species. Dharma (righteousness), artha (wealth), lakshmi (auspiciousness), and loka (the entire universe) are represented in every woman.” (CS, Cs 2/3). In Astanga hrudaya Garbhini paricharya is described in detailed manner….Acharya explains, Garbhini from the first day after the conformation of pregnancy should be happy,clean ,Without makeup, She should wear white clothings,she should be calm and every day she she do pooja and read some good books.Shoud not touch any dirty things and should not see any obscene things.She should not talk at very high peech and laugh loudly and should not sleep uneven places .should take proper diet which includes snigdha, drava, hrudya Ahara.

In the texts of ayurveda many herbs are advised in perspective of need of a mother during the pregnancy.

• Pomegranate, Amrita, Usheeram, Lotus, shatavary, Amalki, Pippali, Brahmi, Aloa vera, Punarnava, Vidari, Kiraatatika, Prishnaparnee, Musta, Cardimom Shariva, Ashwagandh etc are highly popular in Indian tradition of medication and are being use since many centuries B.C.

Month wise Regimen of Garbhini:

• Regimen for the first month of pregnancy: Having doubt of conception from the first month itself she should take non-medicated kshira (milk) repeatedly in desired quantity considering her digestive power and strength. Congenial diet should be taken in morning and evening.
• Regimen for the Second month of Pregnancy: Milk medicated with madhura dravya (drugs) and sweet and cold diet should be planned for garbhini.
• Regimen for the third month of Pregnancy: Milk with madhu (honey) and ghrita (ghee), sweet and cold diet and specially sasti rice with milk.
• Regimen for fourth month of Pregnancy: Butter extracted from milk in the quantity of two tola (approx 20 gm) or milk with butter. Cooked sasti rice with curd, dainty and pleasant food mixed with milk and butter and meat of wild animals.
• Regimen for Fifth month of  Pregnancy: Ghrita, cooked sasti rice with milk, meat of wild animals, along with dainty food with milk and ghrita, yawagu, paayasa (rice cooked with milk and sweetened).
• Regimen for sixth month of Pregnancy: Medicated ghrita with madura group of drugs, yawagu prepared with gokshura (Tribulus terristris).
• Regimen for seventh month of Pregnancy: Ghrita medicated with prithakparnyadi group of drugs. This helps in proper growth and development of fetus.
• Regimen for eighth month of Pregnancy: Ghrita mixed yawagu should be given. And in this month, for clearing the retained feces and anuloma of vayu, the aasthapana basti should be given with decoction of badari (Zygiphus jujuba) mixed with bala (Sida cordifolia) , atibala (Abuliton indicum) , satapuspa (Antheum sowa) , palaka, mixed curd, mastu (expressed part of curd), oil, salt, madanphala (Grandia spinosa) , honey and ghrita. This should be followed by use of anuvasana basti of oil medicated with milk and decoction of drugs of madhura group.
• Regimen for ninth month: In this month anuvasana basti with oil prepared with the drugs of madhura group or the same as used in 8th month. Vaginal tampon of Til tail should be advised in this month.

Classical medicines used in first and second trimester medicine

VIDARYADHI KASHAYAM

DHANWANTHARAM GULIKA

THALEESAPATHRADI CHOORNAM

MAHA DHANWANTHARAM GULIKA

Classical medicines used in third trimester medicine

MAHADHANWANTHARAM GULIKA

DADIMADIGHRUTHAM

SUKUMARAMGHRUTHAM

BALA TAILAM

DHANWANTHARAM THAILAM

SUGAPRASOODI GRITHAM 

SUKHAPRASOOTHI KASHAYAM

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