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Line 612: − • In current scenario the group antenatal care as compared to individual care offers an opportunity to increase quality of care and improve maternal and newborn outcomes. Group antenatal care holds the potential to increase healthy behaviors, promote respectful maternity care, and generate demand for services. Group ANC improves women’s health literacy on how to prevent and recognize problems, prepare for delivery, and care for their newborn. − • A systematic review on existing antenatal care models in different countries reveals that most of the models report fewer than half the characteristics associated with quality maternity care. − • A multi-center operational study has demonstrated the feasibility and effectiveness of Ayurvedic interventions for ante natal care in primary health care level settings. Total 1174 patients completed the full course of Ayrvedic interventions in the form of tablets for antenatal care in PHC set up. Significant results were found in improvement of haemoglobin percentage, relief in symptoms like vomiting and edema. 85.46% women underwent normal delivery. The 90.22 % babies were observed with optimum birth weight. The study could improve the awareness in public regarding the integrated approaches in antenatal care and promote the institutional delivery among the rural population. − • Research works are being conducted in different institutes of Ayurveda on the effect of rejuvenation therapy(rasayana)as a means of providing micronutrients during pregnancy in different trimesters. − A randomized controlled clinical trial in managing the first trimester pregnancy with rejuvenation therapy(rasayana), nasal instillation of medicine (nasya) and micronized progesterone, showed better outcome as compared to the control group with micronized progesterone therapy orally. The treated group was administered combination of herbs like Tinospora cordifolia(guduchi), Embilica officinalis(amalaki), Leptadenia reticulate(jeevanti), Asperagus recemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna), Vitis vinifera(draksha) in granule form in a dose of 10 gms twice a day with cold milk. Nasal instillation of milk processed with leaf bud of Ficus bengalensis(vatashunga), 4 drops in either right or left nostril for 3 consecutive days, just after the pregnancy test is positive, was also done. Better results were reported in subjective parameters like associated symptoms during pregnancy like vomiting, giddiness, abdominal pain, constipation, and heaviness in breast and USG parameters like gestational sac, crown rump length and nuchal thickness. − • The drugs like Asperagus racemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna) when administrated as medicated milk in enema form(per rectal) or oral route had shown appreciable result in the treatment of intra uterine growth restriction as well as oligohydramnios. + − The outcome of the studies reveals that per rectal route of administration of the above drugs in the form of medicated milk has better effect than the oral administration. The 450 ml of medicated milk given in the form of enema for 10 consecutive days, showed remarkably significant results in parameters of fetal biometry, estimated fetal birth weight, amniotic fluid index as compared to the control group of L-Arginine sachet(6.5g) in two divided doses for 10 days. The animal experimental study also showed promising results in maternal weight gain, maternal well being and successful delivery of the pups without any adverse effects. − + − + + + + + + + + + + + + + + + + + + + + + +
Prenatal care (garbhini paricharya) (view source)
Revision as of 07:19, 15 September 2020
, 07:19, 15 September 2020→Current Researches
==Current Researches==
==Current Researches==
*In current scenario the group antenatal care as compared to individual care offers an opportunity to increase quality of care and improve maternal and newborn outcomes. Group antenatal care holds the potential to increase healthy behaviors, promote respectful maternity care, and generate demand for services. Group ANC improves women’s health literacy on how to prevent and recognize problems, prepare for delivery, and care for their newborn.
Concept of designer baby:
*A systematic review on existing antenatal care models in different countries reveals that most of the models report fewer than half the characteristics associated with quality maternity care.
The term designer baby simply means a baby whose genes have been chosen by the parents and doctors so that it has some particular features. The genetic makeup of the baby has been artificially selected by genetic engineering combined with in vitro fertilization to ensure the presence or absence of some particular genes. Such genetic engineering techniques are believed to be capable of altering full range of biological traits from gender to susceptibility to disease and eventually appearance, personality and even IQ. These techniques are highly useful in cases of genetically transmitted disorders to prevent the occurrence of the particular disease in the baby by gene modification. But, ethical, legal and social controversies still exist in this field. Bioethicists are concerned about the fact that imperfections of the technology may introduce errors like off-target cuts. Even successful edits may have disastrous consequences, including irreversible damage to the health of individuals, assaults on human dignity, issues related to justice inequality, and unpredictable and unknown threats to future generations. Ayurveda recommends the natural and simple way of designing the baby through preconception and antenatal care. A special term “Garbha Sanskar” is given to the practices aiming to the creation of a desirable progeny based up on the guidelines from Ayurveda and other treaties related to Indian culture by modifying them through the contemporary approach.
*A multi-center operational study has demonstrated the feasibility and effectiveness of Ayurvedic interventions for ante natal care in primary health care level settings. Total 1174 patients completed the full course of Ayrvedic interventions in the form of tablets for antenatal care in PHC set up. Significant results were found in improvement of haemoglobin percentage, relief in symptoms like vomiting and edema. 85.46% women underwent normal delivery. The 90.22 % babies were observed with optimum birth weight. The study could improve the awareness in public regarding the integrated approaches in antenatal care and promote the institutional delivery among the rural population.
*Research works are being conducted in different institutes of Ayurveda on the effect of rejuvenation therapy(rasayana)as a means of providing micronutrients during pregnancy in different trimesters.
*A randomized controlled clinical trial in managing the first trimester pregnancy with rejuvenation therapy(rasayana), nasal instillation of medicine (nasya), showed better outcome as compared to the control group with micronized progesterone therapy orally.
The treated group was administered combination of herbs like Tinospora cordifolia(guduchi), Embilica officinalis(amalaki), Leptadenia reticulate(jeevanti), Asperagus recemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna), Vitis vinifera(draksha) in granule form in a dose of 10 gms twice a day with cold milk. Nasal instillation of milk processed with leaf bud of Ficus bengalensis(vatashunga), 4 drops in either right or left nostril for 3 consecutive days, just after the pregnancy test is positive, was also done. Better results were reported in subjective parameters like associated symptoms during pregnancy like vomiting, giddiness, abdominal pain, constipation, and heaviness in breast and USG parameters like gestational sac, crown rump length and nuchal thickness.
*The drugs like Asperagus racemosus(shatavari), Sida cordifolia(bala), Terminalia arjuna(arjuna) when administrated as medicated milk in enema form(per rectal) or oral route had shown appreciable result in the treatment of intra uterine growth restriction as well as oligohydramnios.
The outcome of the studies reveals that per rectal route of administration of the above drugs in the form of medicated milk has better effect than the oral administration.
The 450 ml of medicated milk given in the form of enema for 10 consecutive days, showed remarkably significant results in parameters of fetal biometry, estimated fetal birth weight, amniotic fluid index as compared to the control group of L-Arginine sachet(6.5g) in two divided doses for 10 days. The animal experimental study also showed promising results in maternal weight gain, maternal well being and successful delivery of the pups without any adverse effects.
==='''Concept of designer baby:'''===
The term designer baby simply means a baby whose genes have been chosen by the parents and doctors so that it has some particular features. The genetic makeup of the baby has been artificially selected by genetic engineering combined with in vitro fertilization to ensure the presence or absence of some particular genes. Such genetic engineering techniques are believed to be capable of altering full range of biological traits from gender to susceptibility to disease and eventually appearance, personality and even IQ. These techniques are highly useful in cases of genetically transmitted disorders to prevent the occurrence of the particular disease in the baby by gene modification.
But, ethical, legal and social controversies still exist in this field. Bioethicists are concerned about the fact that imperfections of the technology may introduce errors like off-target cuts. Even successful edits may have disastrous consequences, including irreversible damage to the health of individuals, assaults on human dignity, issues related to justice inequality, and unpredictable and unknown threats to future generations.
Ayurveda recommends the natural and simple way of designing the baby through preconception and antenatal care. A special term “Garbha Sanskar” is given to the practices aiming to the creation of a desirable progeny based up on the guidelines from Ayurveda and other treaties related to Indian culture by modifying them through the contemporary approach.
==List of theses done==
==List of theses done==