ABSTRACT
Pregnancy is one of the most important events in the life of every woman. Antenatal care is essential for diagnosis of high risk cases and for educating the pregnant women about the physiological changes and process of delivery. By these fear is removed and psychology of pregnant women improved. The main objective of antenatal care is to delivery healthy fetus from a healthy mother. The prevalence of the C-section in India was 8.5% in NFHS-3 while data in NFHS-4 showed that it has increased upto 17.2%. Thus, almost 9% has increased over 10 years. In the present scenario incidence of Caesarean section has been increased. When labour is induced with oxytocin or prostaglandin leads to cervical dystocia, uterine inertia are more evident. Acharyas are explained Navama masa garbhini parcicharya for Sukha prasava or Dhatu vriddhi. Basthi which helps in Vata anulomana and softness Kukshi, Kati and Parshwa pradesha. Aim and objective: To achieve normal vaginal delivery without complication and to know the efficacy of Ayurveda treatment modalities in Sukha prasava. Methodology: Oral administration of Dashamula kashya 20 ml second hourly and Dhanwantaram taila yoni pichu till the full dilatation of cervix. Results: There is reduction in duration of first stage of labor. Conclusion: Dashamula kashaya and Yoni pichu with Dhanwantara taila was effective in progress of labor without complication.
ABSTRACT
Objective: To study the use of early labour room Bubble CPAP in preterm neonates born at 28–32 weeks of gestation and to analyse the outcome in relation to need for mechanical ventilation, duration of hospital stay and mortality at the Neonatal Intensive Care Unit (NICU), Tertiary Care Teaching Government Hospital Kurnool, Andhra Pradesh for a period of 1 Year. Methods : Facility Based Interventional Studied (Randomised Control Study) Participants : Study sample of 109 preterm babies of age 28–32 weeks of gestation Cases : 54 cases, neonates with respiratory distress who were started on CPAP in the labour room within 15 minutes of life. Controls : 55 babies, neonates with respiratory distress who were started on CPAP after 15 minutes to 6 hours of life. In the present study, both the groups(cases and controls) were monitored till they were discharged and the need for mechanical ventilation was noted. Clinical diagnosis of RDS was made based on the time of onset of respiratory distress and clinical examination and respiratory scoring(Silverman Anderson Score) . Chest X–ray and routine investigations were done in all neonates. Duration of CPAP and difference in mortality between the two groups was analysed. Outcome : In the present study, preterm neonates born at 28–32 weeks of gestation who were started on early labour room CPAP vs control group outcome is assessed in relation to need for mechanical ventilation and duration of hospital stay and mortality. Results: It is observed that 16 (29.63%) cases required mechanical ventilation whereas 28 (50.91%) preterm neonatesin the control group needed mechanical ventilation. There was a statistically significant difference between the two groups (p < 0.05). The duration of stay in NICU in neonates with early CPAP was significantly less when compared to the controlled group. 30(76.9%) neonates were discharged within 14 days among cases and 16 (48.48%) neonates among control group. There is no difference in mortality between the 2 groups. Conclusions : The following conclusions could be drawn out of the present study on preterm neonates. 1. The early administration of CPAP in the delivery room in preterm neonates developing respiratory distress decreases the need for mechanical ventilation. 2. The duration of stay in NICU in neonates with early CPAP was significantly less. 3. There is no difference in mortality between the two groups.