ROLE OF HOMOEOPATHY IN OBSTETRICS Shyama Kanungo MD
ROLE OF HOMOEOPATHY IN OBSTETRICS Shyama Kanungo, MD, FICOG, FICMCH Professor O&G, S. C. B. Medical College
WHY NOT “INTEGRATIVE” ?
WORLD MOVES TOWARDS GLOBALISATION l INTEGRAL l TOTAL l COMPLETE l WHOLE
DIMENSIONS TO HEALTH & HEALING MENTAL SPIRITUAL PHYSICAL EMOTIONAL
INTEGRATION OF SYSTEMS IS THE NEED OF THE HOUR
INTEGRATE BOTH SYSTEMS & MONITOR BY MODERN INVESTIGATIVE TECHNOLOGY
ACCESS TO INTEGRATIVE MEDICINE NOW A SOUGHT AFTER MODALITY BY THE HEALTH CARE BENEFICIARY
OBJECTIVES OF INTEGRATION To offer ‘THE WHOLE, THE TOTAL, THE INTEGRATED, THE HARMONIOUS BEST’ of the systems concerned Ensure safety Provide benefits & evidence of harmless therapy Avoid delays in non-responding situations; Back up of emergency management by Modern Medicine ready at hand
WHEN TO ADVOCATE HOMOEOPATHY? l PRE-CONCEPTIONAL l ANTE-NATAL l INTRA-NATAL l POST-NATAL
PRE-CONCEPTIONAL l FERTILITY CHALLENGES ESP. UNEXPLAINED/ OTHER l H/O REPEATED PREGNANCY LOSS l H/O CONGENITAL ANOMALIES l PRE-EXISTING ANEMIA l H/O REPEATED FGR BABIES l H/OREPEATED PTL
She came because of homoeopathic treatment to her mom !
SPECIFIC ANTENATAL SITUATIONS FIRST TRIMESTER Exclusive use of Homoeopathy: l 1. Mild & Moderate nausea & vomiting l 2. Anxiety , fear, emotional lability, pica l 3. Constipation l 4. Hemorrhoids (piles) l 5. Heart burn & indigestion Use along with modern medicine: l 1. Hyper emesis gravidarum l 2. Gross psychosis l 3. Severe constipation with acute abdomen l 4. Severe nonresponding bleeding piles l 5. Severe discomfort with hematemesis
SPECIFIC ANTENATAL SITUATIONS FIRST TRIMESTER contd… EXCLUSIVE USE OF HOMOEOPATHY 7. Anemia l 8. Mild fever with coryza l 9. Preventive for malaria l ALONG WITH MODERN MEDCINE 7. Severe anemia with or without heart failure l 8. High fever l 9. Malaria l 10. Bleeding per vaginum l
SPECIFIC SITUATIONS IN 2 ND & 3 RD TRIMESTERS HOMOEOPATHY ALONE: l l l 1. Worrisome skin changes, commedones 2. Unexplained excessive weight gain 3. Epulis gum & tooth problems 4. Back ache, mild head ache 5. Pain abdomen false labour; thrtnd. PTL ALONG WITH MODERN MEDICINE: l l l 1. Severe itching with altered LFT, HELLP 2. Wt. gain associated with HTN, Albuminuria 3. Severe head ache with blurred vision/loss of vision/ convulsions/unconsciousne ss 4. Established PTL/Labour 5. decreased fetal movements, p. PROM/PROM 6. Bleeding per vaginum
2 nd & 3 rd TRIMESTERS CONTINUED 6. Pyelitis/pyelonephritis l 7. Cough due to Pulmonary tuberculosis l 6. Repeated UTI l 7. Intractable cough (TB excluded) l 8. Anemia l 9. Breech after 37 weeks without cpd or risk factors l 10. Preventive for malaria l l 8. Severe anemia l 9. malaria & high fever l 10. Breast abscess & Mastitis
Specific situations in low risk labours Homoeopathy alone: 1. Delays in latent phase 2. Uterine inertia - hypo tonic 3. Anticipation of PPH Along with modern medicine: 1. Delays in active and second stage 2. Hypertonic, inco-ordinate uterine action
Specific life threatening conditions Along with modern obstetric management 1. 2. 3. 4. 5. Suspicion of rupture/impending rupture APH, PPH not responding to AMTSL Morbidly adherent placenta Inversion of uterus Chorio-amnionitis
Puerperium Homoeopathy as first line: l Poor Lactation or failure l Breast engorgement l Poor and painful voiding of urine l Depression l Anemia Along with modern medicine: l Retracted nipples l Breast abscess l Retention of urine despite homoeopathic management l Frank psychosis l Severe anemia requiring BT
Puerperium contd… Homoeopathy as first line: l Fatigue, exhaustion l Pain in the perineal sutures and injuries l Swelling of feet l Sub involution due to mechanical factors unrelated to sepsis l Contraception in addition to LAM Along with modern medicine: l High fever, purulent lochia, wounds, rpoc in cavity l Painful white leg, l DVT
MY OBSERVATIONS ON EFFECTIVENESS OF HOMOEOPATHY IN OBSTETRICS: l l l l Recalcitrant anemia Nausea & vomiting Head ache, back ache in pregnancy Repeated cough & cold Version of breech to vertex after 37 weeks Clearing out of herpes zoster at term pregnancy Reduction of varicose veins
Observations in some nonobstetric areas l Proximal tubal block l Other infertility related problems l Interstitial cystitis l Myomas
Maternal Child Health WHO ALGORITHM
SAFE DELIVERY BY INTEGRATION OF HOMOEOPATHY & ALLOPATHY
MAMAMAMAMAMAMAMAMAMAMAMA MAMAMAMA
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