E-ISSN:2456-3110

Review Article

Garbhini Paricharya

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 9 SEPTEMBER
Publisherwww.maharshicharaka.in

Garbhini Paricharya (Antenatal Care) - An Approach through Ayurveda

Padhan S1*, Padhan S2
DOI:10.21760/jaims.9.9.37

1* Swagatika Padhan, AMO, Govt Ayurvedic Hospital, Paikmal, Odisha, India.

2 Sanjeev Padhan, Assistant Professor, Dept of Shalakya Tantra, Sri Sri Nrusinghnath Ayurved College and Research Institute, Paikmal, Odisha, India.

Pregnancy is the most beautiful and challenging period in the reproductive life of a woman. The aims and objective of safe motherhood bestows upon the creation of healthy progeny with devoid of anomalies following an easy delivery and safe guarding of health of mother which in other words term as Gharbhini Paricharya. It refers to the ante-natal care including Ahara-Vihara for pregnant women for the benefit of both mother and fetus. As per WHO report in 2020, everyday almost 800 women died from preventable causes related to pregnancy and childbirth. To reduce this rate, proper Garbhini Paricharya is the need of the day. Ayurveda considers food to be the best source of nourishment as well as medication for Garbhini. The monthly diet for nine month is unique concept of Ayurveda.

Keywords: Garbhini Paricharya, Garbhini, Ahara

Corresponding Author How to Cite this Article To Browse
Swagatika Padhan, AMO, , Govt Ayurvedic Hospital, Paikmal, Odisha, India.
Email:
Padhan S, Padhan S, Garbhini Paricharya (Antenatal Care) - An Approach through Ayurveda. J Ayu Int Med Sci. 2024;9(9):228-233.
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https://jaims.in/jaims/article/view/3668

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-08-01 2024-08-11 2024-08-21 2024-08-31 2024-09-11
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© 2024by Padhan S, Padhan Sand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Introduction

Garbhini Paricharya or antenatal care is originated from time immemorial, which is evidenced from our ancient texts. It constitutes general advice about nutrition and lifestyle concentrating on the prevention and cure for ailments which can be harmful to mother and fetus. This is aimed at culminating pregnancy in a normal way with the achievement of a healthy progeny by a healthy mother. During pregnancy mother’s nutrition is considered to be an inevitable factor for the growth and development of fetus.

This current review aims to focus on all measures which are explained in Ayurveda by different Acharyas to protect and ensure the health of pregnant women and to achieve a healthy progeny.

Month wise Dietic Regimen

The Ahara consumed by Garbhini has threefold action i.e. providing nourishment to body elements of mother, to growing fetus and for formation of breast milk.[1] Whatever diet consumed by pregnant woman becomes congenial to fetus. So Ahara of Garbhini should be given considering place of living, time, season and digestive capacity.

Month wise dietary regimen for Garbhini according to different Ayurvedic classics:

MonthCharak Samhita[2]Sushrut Samhita[3]Astanga Samgraha[4]Harita Samhita[5]
1st monthNon-medicated milkSweet, cold and liquid dietMedicated milk in specific quantityMadhuyasti, Parusaka, Madhukapuspa with butter honey and sweetened milk
2nd monthMilk medicated with Madhura Rasa drugsSame as in 1st monthMilk medicated with Madhura Rasa drugsSweetened milk treated with Kakoli
3rd monthMilk with honey and gheeSame as in 1st monthMilk with honey and gheeKrisara
4th monthMilk with butterCooked Sastika rice with curd, pleasant food mixed with milk and gheeMilk with 1 Tola (12gm) of butterMedicated cooked rice
5th monthGhee prepared with butter extracted from milkCooked Sastika rice with milk, Jangala Mansa along with dainty food mixed with milk and gheeGhee prepared with butter extracted from milkPayasa
6th monthGhee prepared from milk medicated with Madhura drugsGhee or rice gruel medicated with GokshuraGhee prepared from milk medicated with Madhura drugsSweetened curd
7th monthSame as in 6th monthGhee medicated with Prithakparnyadi group of drugsSame as in 6th monthGhritakhanda
8th monthKshira Yavagu mixed with gheeAsthapana Basti with decoction of Badari, Bala, Atibala, Satapuspa, Patala, milk, ghee, Mastu, oil salt, Madanaphala, honey and ghee followed by Anuvasana Basti of oil medicated with milk and decoction of Madhura group drugsKshira Yavagu mixed with ghee, Asthapana Basti with decoction of ghee, Anuvasana Basti with oil medicated with Madhura drugsGhritapuraka
9th monthAnuvasana Basti with oil prepared with drugs of Madhura group
Yoni Pichu with this oil
Unctous gruels and Jangala Mansa Rasa up to the period of deliveryAnuvasana Basti with oil prepared with drugs of Madhura group
Yoni Pichu with this oil
Varieties of cereals

Dietetics in first trimester

First trimester is associated with nausea, vomiting, fatigue etc. and cannot take proper diet which results in dehydration and loss of nutrients. The dietary regimen during this period is in liquid state, cold, Madhura Rasa and having high nutritional value which helps to replenish the nutrients and corrects the dehydration. The drug of Madhura Rasa being anabolic helps in maintenance of proper health of mother and fetus.

During the 1st eight weeks after fertilization, the process of embryogenesis occurs. Vata is responsible for the cell division[6] during embryogenesis.


Vitiation of Vata dosha may hamper in the normal function and process of cell division. The drugs used in 1st trimester are having Vatasamaka properties. Godugdha[7] is Madhura Rasa, Sheeta Virya, Mrudu, Snigdha, Rasayana, increases Oja and best among Jeevaniya drugs. Milk[8] is the best and complete food. It is the blend of all nutrients necessary for growth and development. Milk contain all the essential amino acids. It is the good source of protein, fat, sugar, vitamin and minerals. It contains retinol, vitamin D, calcium phosphorus, sodium, potassium, magnesium, cobalt, copper, iodine. Milk contain proteins like casein, lactoglobulin, lactalbumin, lactoferrin which provides immunological benefits.[9]

Milk when medicated with different drugs, its quality has been potentially increased. On gradual increase in the temperature of the milk, solubility of fats and proteins also increases, which may enhance the extraction of the active principles.

Madhuyasti[10] has Madhura Rasa, Sheeta Virya, Tridoshahara, Balya, Rasayana, Chhardivinasini, Jeevaniya, Sandhaniya, Sonithasthapana properties. It has been described by Acharya Charak[11] both in Chhardinigrahana and Vamanopaga Mahakashaya as it is ant-emetic in lower dose and emetic in higher dose. Parushaka[12] has Pittashamaka, Trishnashamaka and Hridya properties. Parushaka is rich in iron, calcium, potassium, sodium and vitamin C.[13] It is useful in anaemia due to the presence of iron. Madhuka[14] has Madhura Rasa, Sheeta Virya, Vatapittaghna, Brimhana properties. It contains albumin, saponin and act as galactagogue.[15] Kakoli[16] has Madhura Rasa, Sheeta Virya, Vatashamaka, Dahashamaka, Brimhana, Soshajwarapaha, Balya, Stanyajanana properties. It is a Jeevaneeya Dravya described both in Jeevaniya Mahakasaya[17] by Acharya Charak and Jeevaneeya Gana by Bhavaprakash.

Ghrita[18] is Madhura, Sheeta and Sahasravirya. It is Vatapittashamaka, Medhya, Agnivardhaka. Ghee[19] is a complex lipid of glycerides, free fatty acids, phospholipids, sterols, sterol ester, fat soluble vitamins, carbonyls, hydrocarbons and carotenoids. It contains vitamin D which is essential for the development of skeleton of fetus. And vitamin E which is essential for normal pregnancy, delivery and breast milk production. Ghee is a good source of milk protein and calcium.

Madhu[20] is Madhura, Sheeta, Raktapittakaphaghna, Kasaya and Madhura in Rasa. Honey[21] is primarily a high energy carbohydrate food and has anti-inflammatory, immune-booster, broad spectrum antibacterial activity. Krushara[22] is Balya and Vatashamaka. It is boiled and cooked gruel of different cereals, acts upon excretory system as it is Malamutrakari.[23]

Dietetics in 2nd trimester

Formation of muscular tissues of foetus speeds up in fourth month which requires a protein rich diet in 2nd trimester. The required protein is fulfilled by butter with cooked rice and Mansa Rasa (meat soup). Mansa Rasa provide nourishment to the fetus and help in muscular growth based on the principle of Samanya Vriddhi Karanam.[24]

Shastika rice is rich in carbohydrate, niacin, vitamin D, calcium, iron, fibre, thiamin and riboflavin.[25] Krutodana i.e., medicated cooked rice comprises of carbohydrate which is primary component for the growth of fetus.[26] Payasa acts Balya, Brimhaniya which is necessary in fifth month as the Garbhini becomes Krisha in this period as well as for the growth of the fetus.[27]

By the end of 2nd trimester, the pregnant women suffer from edema of feet and complications of water retention due to the pressure on the intestine and bladder by the enlarging uterus. Gokshura being a diuretic prevents the edema, hypertension and toxemia of pregnancy. Gokshura[28] has Madhura Rasa and Vipaka, Sheeta Virya, Vatapittashamaka, Garbhasthapana properties. Butter has Vatapittashamaka, Avidahi, Rochana, Medhya, Balya, Brimhana properties. It is rich in vitamin A, E, riboflavin, niacin, pantothenic acid, calcium, phosphorus, potassium, sodium.[29]

According to Harita, sweetened curd is given to Garbhini in sixth month. Curd is rich in vitamin A, D, calcium, protein and probiotics.[30] It cools down the body temperature and calms the emotional center in order to prevent anxiety. It also prevents Kikkisa (striae gravidarum).

Dietetics in 3rd trimester

Most of the pregnant women experience constipation in late pregnancy due to the pressure of the gravid uterus over the bowel and effect of progesterone.


Use of Basti (enema) in 8th month will relive the constipation as it is Vata Anulomana besides may also affect the autonomous nervous system governing myometrium and help in regulating their function during labour.[31] Use of tampon might influence autonomic fibres governing myometrium and help in regulating their functions. Besides this might soften the perineum and helps in its relaxation during labour. Tampon of oil may destroy pathogenic bacteria of vaginal canal and prevent puerperal sepsis.

Vidarigandhadi[32] group of drugs are Pittavatashamaka, diuretic, anabolic, relieve emaciation and maintains the health of mother and fetus. Ghritakhanda itself comprised of Ghrita which contains good fat to create brown fat in order to maintain the body temperature of fetus.[33] Ghritapuraka also contains Ghrita which is required for the formation of Oja as it become unstable in eighth month.[34] In ninth month, all the system has been completed and the fetus is now able to all type of Ahara so in order to a balanced diet schedule, different varieties of cereals has been given to Garbhini.[35]

General Measures

Exercises

Guidance for the exercises allowed during pregnancy is very important. A low impact exercise may be continued throughout the period of a normal pregnancy. Some limits of moderate intensity physical activity in pregnancy.[36] a) exercise should be regular, of low impact and as a part of daily activities. b) should avoid any symptoms of breathlessness, fatigue or dizziness, c) should be done in cool area without becoming uncomfortable and warm d) prolonged supine position, any compression to the uterus or risk of injury (fall) should be avoided. The pregnant women should be encouraged to continue with their domestic and social activities to maintain the fitness of the body physically. In order to alleviate the common problems during pregnancy, various exercises and relaxation postures are advised. Yogasanas[37] during pregnancy soothes the mind and body and prepare the Garbhini psychologically for the labour. Certain Yogasanas[38] practice like Sukhasana, Padmasana, Vajrasana, Shavasana, Ekapada Utthanasana in Shayana Sthiti are useful for pregnant woman.

Asanas performed in Vipareet Shayana Sthiti are contraindicated. Practice of Yogasanas during pregnancy strengthens the pelvic floor, tones up the lower body, improves digestion, strengthen the bearing down muscles and helps in expulsion of fetus and relieve physical and mental stress.[39]

Pranayam and breathing exercises are very important for a normal delivery process. It works both on mind and body which provides extra oxygen to every cell and rejuvenates them. It tones up the nervous system, improves emotional stability and helps to eliminate anxiety, fear and phobia. Anulom Vilom Pranayam, Bhramari Pranayam are beneficial.[40] Such practice helps the patient for bearing down efforts at proper time and delivery of the baby with less effort. Vigorous exercises like jumping, lifting heavy weight, fast walking etc should be contraindicated as it may suddenly increase intra-abdominal pressure or overexertion leading to complications like premature labour.

Sleep

On an average the pregnant lady should be in bed for about ten hours i.e. eight hours at night and two hours at noon is advisable especially in the last 6 weeks.[41] Lateral posture is more comfortable in late pregnancy.

Bathing

Garbhini should take daily bath with cold decoctions of Vataghna Dravyas[42] like Bilwa, Karpasa, Agnimantha Jatamansi, Eranda patra etc. along with Sarvagandha drugs.[43]

Care of breast and abdomen

Special care of breast should be taken during pregnancy. Breast engorgement may cause discomfort during late pregnancy. A well-fitting brassiere can give relief.[44] Breast and nipple should be washed with soap water. Application of paste of Chandana and Ushira[45] over abdomen to prevent Kikkisa.

Bowel habit

Most of the pregnant women suffer from constipation due to generalized relaxation of smooth muscles and compression of the lower bowel by the enlarged uterus. Use of Surana.[46] plenty of fluids, vegetables, milk etc. can be given to relieve constipation.


Clothing

Pregnant women should wear loose but comfortable garments. Daily change of cloth is necessary to avoid contaminations. Constricting belt should be avoided. It is better to avoid high heel shoes in advanced pregnancy when the center of balance alters.[47]

Dental care

Good dental and oral hygiene should be maintained.

Travel

It is better to avoid travel by vehicles having jerks especially in first trimester and last 6 weeks. Long journey is preferably limited to the second trimester. Rail route is preferable to bus route. Travel in pressurized aircraft is safe up to 36 weeks. Prolonged sitting in a car or aeroplane should be avoided due to the risk of venous stasis and thromboembolism. Seat belt should be under the abdomen. Air travel is contraindicated in cases with placenta previa, preeclampsia, severe anemia and sickle cell disease.[48]

Conclusion

As prevention is always be better than seeking cure for derangements in body, various dietic and lifestyle measures are described to maintain the health of a Garbhini and to get rid of the minor ailments due to pregnancy. The concepts described in different Ayurvedic classics are not only unique but also scientific. The appropriate use of diet and lifestyle mentioned in various texts of Ayurveda aims at excellence in the formation of fetus, its growth and development without anomalies and helps in safe and healthy motherhood.

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