Prenatal care (garbhini paricharya): Difference between revisions

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 Diagnosis of pregnancy is explained purely based on symptoms in Ayurveda. The three-fold method is applied in antenatal examinations for pregnancy and assessment of fetal growth in uterus.
 ===Inspection (darshana)===
 The specific clinical features seen by direct observation in a pregnant lady are:
-•	periodic increase in size of abdomen [A.S. Sharira Sthana 2/8]
-•	development of linea nigra(lomaraji) [Cha. Sa. Sharira Sthana 4/16]
+*periodic increase in size of abdomen [A.S. Sharira Sthana 2/8]
-•	growth of breast [Cha. Sa. Sharira Sthana 4/16]
-•	blackish discoloration of areola [Cha. Sa. Sharira Sthana 4/16]
+*growth of breast [Cha. Sa. Sharira Sthana 4/16]
-•	milk secretion from breast [Cha. Sa. Sharira Sthana 4/16]
-•	blackish discoloration of lips [Cha. Sa. Sharira Sthana 4/16]
+*blackish discoloration of areola [Cha. Sa. Sharira Sthana 4/16]
-•	corpulent cheeks. [A.S. Sharira Sthana 2/10]
-•	edema in lower limbs. [Cha. Sa. Sharira Sthana 4/16]
+*milk secretion from breast [Cha. Sa. Sharira Sthana 4/16]
+*blackish discoloration of lips [Cha. Sa. Sharira Sthana 4/16]
+*corpulent cheeks. [A.S. Sharira Sthana 2/10]
+*development of linea nigra(lomaraji) [Cha. Sa. Sharira Sthana 4/16]
+*edema in lower limbs. [Cha. Sa. Sharira Sthana 4/16]
 ===Palpation(sparshana)===
-The growth of fetus is assessed palpation. Especially in the context of intra uterine growth restriction(IUGR) can be diagnosed by abdominal examination in view of following:
-•	enlargement of abdominal size. (udaravruddhi)[A.S. Sharira Sthana 4/13]
+The growth and development of fetus and other changes in pregnancy  can be assessed by palpation in view of following:
-•	fetal movements (garbhasphurana/spandana) [A.S. Sharira Sthana 4/13]
-•	expansion of vagina. [Cha. Sa. Sharira Sthana 4/16]
+*enlargement of abdominal size. (udaravruddhi)[A.S. Sharira Sthana 4/13]
+*fetal movements (garbhasphurana/spandana) [A.S. Sharira Sthana 4/13]
+*expansion of vagina(yoni). [Cha. Sa. Sharira Sthana 4/16]
 ===Interrogation (prashna)===
 The symptoms of pregnancy are elicited through proper history taking. The first symptom, i.e. amenorrhea in a married woman is taken as an indicator for suspecting the pregnancy. [Cha. Sa. ShariraSthana 4/16]
-Symptoms related tothe gastro intestinal system are mentioned as initial symptoms of pregnancy.
-•	Dislike/aversion for food(anannabhilasha).
+Symptoms related to the gastro intestinal system are mentioned as initial symptoms of pregnancy.
-•	Excessive salivation (asyasravanam) .
-•	Anorexia(arochaka).
+*Dislike/aversion for food(anannabhilasha).
-•	Interest in sour substances(amlakamata).
-•	Vomiting(chardi)[Cha. Sa. ShariraSthana 4/16]
+*Excessive salivation (asyasravanam).
+*Anorexia(arochaka).
+*Interest in sour substances(amlakamata).
+*Vomiting(chardi)[Cha. Sa. ShariraSthana 4/16]
 Psychological symptoms like alternate desire for things with opposite qualities, aversion of previously appreciated fragrance etc.[Su. Sa. Sharira Sthana 3/15] are also observed as symptoms of pregnancy.
 General fatigue, excessive sleep, excessive yawning, getting unconscious accidentally are also listed among the symptoms of pregnancy. [A.S.Sharira Sthana 2/8]
 All these features can be assessed through simple interrogation in the clinical set up during antenatal visits.
 ==Contemporary Approach==
 Systematic supervision of a woman during pregnancy is called antenatal care (ANC). Contemporary antenatal care has two main components.