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Ayurveda Management of IUGR due to single umbilical artery: A case report
Asha Sreedhar1, Aswini Mohan L2, S Parvathy3
1Department of Prasutitantra and Striroga, Govt Ayurveda College, Thiruvanathapuram, India.
Insights
Intrauterine growth restriction (IUGR) in fetuses with a single umbilical artery can be managed with Ayurvedic therapies. This case report shows a successful full-term delivery after Ayurvedic treatment for IUGR.
Area of Science:
- Obstetrics
- Ayurvedic Medicine
- Fetal Medicine
Background:
- Intrauterine growth restriction (IUGR) is diagnosed when fetal growth is below normal potential.
- A single umbilical artery (SUA) is linked to increased risks of prematurity, IUGR, and intrauterine fetal demise.
- Ayurveda offers a comprehensive approach to antenatal care (garbhini paricharya).
Observation:
- This case report details a pregnancy with IUGR associated with an isolated single umbilical artery.
- Obstetric scans indicated reduced abdominal circumference and declining fetal growth parameters.
- Ayurvedic interventions focused on nourishing (brimhana), strengthening (balya), and pregnancy-sustaining (prajasthapana) actions.
Findings:
- The pregnancy resulted in a full-term delivery via vaginal birth.
- The neonate had a birth weight of 2.5kg.
- Ayurvedic treatment was associated with a positive fetal growth outcome despite the SUA complication.
Implications:
- Ayurvedic medicine may offer a viable complementary approach for managing IUGR in high-risk pregnancies.
- This case highlights the potential of holistic antenatal care in improving fetal growth outcomes.
- Further research into Ayurvedic interventions for fetal growth abnormalities is warranted.
Abstract:
IUGR is defined as a rate of fetal growth that is less than normal for the expected growth potential of a specific infant. Fetuses with isolated single umbilical artery are at higher risk of prematurity, IUGR(Intra uterine growth restriction), and intrauterine death. Ayurveda provides a holistic approach towards garbhini paricharya (antenatal care). Nabhinadi (umbilical cord) nourishes the fetus, and abnormalities result in garbhashosha. This is a case report of IUGR associated with a single umbilical artery with no other abnormalities. The obstetric scan revealed decreased abdominal circumference and falling growth parameters. Ayurvedic medicines with brimhana, balya, prajasthapana actions were given. The outcome was a full-term baby of birth weight 2.5kg through vaginal delivery.
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