A CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHATAVARI TAILA ANUVASAN BASTI AND PICHU IN 9TH MONTH OF PREGNANCY IN NORMAL LABOUR

Abstract

Normal delivery is considered as the least traumatic mode compared to operative delivery. In Ayurveda garbhini paricharya (antenatal care) has been mentioned from conception till the delivery. It includes anuvasanbasti (enema with medicated oil) and pichu (vaginal tampon) in the 9th month of pregnancy for sukhapravasa (normal vaginal delivery) of madhura rasa dravya. A clinical study was conducted in 100 primipara patients to rule out efficacy of Shatavari (Asparagus Racemosus) taila (oil) anuvasan basti and pichu. According to Ayurveda, Apana Vayu (one type of Vata) in mainly responsible for normal labour.Shatavari taila is madhura, vatashamak and anulomak and also has demulcent action. Due to these properties taila basti was effective in maintaining vata dosha equilibrium and Apana vayu's normal anuloma gati (downward direction) and pichu caused local lubrication of birth canal which facilitated cervical dilatation, effacement and fetal expulsion. Out of 100 primi para, 95 delivered normally and 5 needed caesarean section. Also, significant results were observed regarding total labour duration, necessity for labour induction and augmentation, intensity of uterine contractions, Bishop' score and progress in overall labour process.