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.

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