Reviving Sukhaprasava - Classical Approaches to Promote Natural Vaginal Birth

Abstract

Background: Sukhaprasava (normal labour) is considered a physiological process that should occur spontaneously without any complications. In Ayurveda, this concept encompasses a holistic approach to childbirth, ensuring not only the physical wellbeing of the mother and child but also addressing mental and spiritual health.^[1]

Objectives: The primary objective of this review is to explore classical Ayurvedic references regarding Sukhaprasava and understand their applicability in the context of modern obstetric care. It seeks to highlight traditional practices that promote uncomplicated delivery and compare them with current lifestyle factors and medical trends affecting normal labour.^[2]

Methods: A thorough literature review was conducted using classical Ayurvedic texts like Charaka Samhita, Sushruta Samhita, Astanga Hridaya, and Kashyapa Samhita. Contemporary scholarly articles were sourced from PubMed and Google Scholar to correlate traditional practices with modern findings.^[3,4]

Results: Ancient Ayurvedic regimens such as Garbhini Paricharya (antenatal care), use of Anuvasana Basti and Yoni Pichu from the 8th to 9th month of pregnancy, and the design of the Sutikagara (labour room) contribute to facilitating smooth and safe delivery.^[5,6] Advance maternal age, Lack of physical activity, increasing mental stress, improper dietary habits, and avoidance of squatting positions in contemporary lifestyles are significant factors contributing to the rise in unnatural deliveries.^[7]

Conclusion: Emphasizing Ayurvedic principles in prenatal care and childbirth. Preparation has significant potential in supporting Sukhaprasava. These practices should be integrated into modern maternal health protocols to reduce the increasing dependency on surgical and pharmacological interventions during delivery.^[8]