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

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

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/B leeding per vaginum

2 nd & 3 rd TRIMESTERS CONTINUED 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 11. Mastitis l l 6. Pyelitis/pyelonephritis l 7. Cough due to Pulmonary tuberculosis 8. Severe anemia l 9. Breech with cpd/risk factors l 10. malaria & high fever l 11. Breast abscess

Specific situations in low risk labours Referral to Homoeopathy: 1. Delays in latent phase 2. Uterine inertia -hypertonic 3. Anticipation of PPH Referral to Allopathy: 1. Delays in active and second stage 2. Hypertonic, inco-ordinate uterine action 3. Suspicion of rupture/impending rupture 4. APH, PPH not responding to AMTSL 5. Morbidly adherent placenta 6. Inversion of uterus

Puerperium l l l Poor Lactation or failure Breast engorgement Poor and painful voiding of urine Depression Anemia l l l Retracted nipples Breast abscess Retention of urine despite homoeopathic management Frank psychosis Severe anemia requiring BT

Puerperium contd… l l l Fatigue, exhaustion Pain in the perineal sutures and injuries Swelling of feet Sub involution due to mechanical factors unrelated to sepsis Contraception in addition to LAM l l l High fever, purulent lochia, wounds, rpoc in cavity Painful white leg, DVT Unconsciousness, convulsion, blurred or sudden loss of vision Desirous of puerperal ligation/other methods

Maternal Child Health WHO ALGORITHM

SAFE DELIVERY BY THE TWO WINGS – HOMOEOPATHY&ALLOPATHY

MAMAMAMAMAMAMAMAMAMAMAMA MAMAMAMA