FIFTH MONTH :

?Along with butter, rice gruel and sweet rice enriched with ghee is advised.

?
SIXTH MONTH:???

“SHASHTE, SWADAMSHTRA, SIDDASYA, SARPISHO, MATRAM, PAYAYED, YAVAGUVA, “? (SUS)

Susrutha specially advised the intake of ghruta or rice gruel medicated with gokshuru. (tribulus terrestris)

The advice of gokshuru with ghee during sixth month is a unique protocol which can? help in preventing PIH? and? related conditions like pre- eclamptic toxaemia and? their complications.?? This drug is a diuretic and considered? as the best choice in the disorders of urogenital system.? Recent studies proved this drug has got Nephorprotective???

Activity ( tried in albino rats).

Some of the cases with? past History of PIH & PET responded well with this protocol with uneventful antenatal & post natal periods.

Probably this protocol helps in reducing the angiotensin sensitivity in susceptible subjects and produce vasodilator effect by helping in the elimination of elevated concentration of extra cellular sodium. It needs a more scientific evaluation through sufficient clinical research.

DIET PROTOCOL FOR SECOND TRIMESTER

SUSRUTHA	Sali dhanya with? Ghruta, Dadhi & mamsa rasa ( Rice cereal with Ghee, curd and meat) and gokshuradi Ghruta????? (Ghee medicated with Tribulus Terrestris)
CHARAKA	Ksheera, navaneetha Yukta, Saliodana with Ghruta (Milk with butter & Rice Cereal with Ghee

?
Seventh Month :

“ SAPTAME, SARPHI, PRITIHAK PARNYADI, SIDDHAM |
EVAMAPYAYATE, GARBHAHA || (SUS)

?Susrutha advises medicated Ghee with prithakparnyadi drugs (uraria picta etc) These group of drugs are said to have the property of Foetal Nourishment. During eight & ninth Months most of the Acharya’s advice in addition to the above diet protocal, administration of cleansing and Anabolic enema’s with medicated drugs to promote a safe and easy labour by making the birth canal more flexible and brining foetus into right position, achieved by regulating apanavata, which is the controlling factor for expulsion of foetus.

???????????
During the last trimester plenty of intake of different varieties of cereals is advised.
?

DIET PROTOCOL FOR THIRD TRIMESTER?

SUSRUTHA	Pruthak parnyadi Ghruta (Ghee medicated with uraria group of drugs)
CHARAKA	Sali dhanya yukta Ghruta & Ksheera (Plenty of cereals with Ghee & Milk)
OTHERS	Vividha dhanya’s (Planty of cereals of different varieties)

?
Some of the important medicines used during antenatal period contain the fruits like Pomegranate (Dadima), embilica officnalis (Amalaki), Grapes (Draksha) etc., as main ingredients. These will help in preventing abortions and premature labour. Conditions like threatened abortion, Habitual abortions, can be effectively handled with these preparations. Pomegranate is a uterine relaxant. amalaki has got anti emetic, anti diabetic property and growth promoting activity with plenty of vit ‘C’. It helps in the good absorption of Iron and if administered from the early ante natal period can prevent the Gestational diabetes. The Juice of amalaki and Honey improves haemoglobin levels.

IMPORTANT PHARMACOLOGICAL PREPARATIONS WITH GHEE AND FRUITS ?

POMEGRANATE (DADIMA)	Dadimadi ghruta: - helps in sustaining the pregnancy, promotes nourishment to the Foetus.
GOOSE BERRY (AMALAKI)	Amalaki rasayana: - helps to incease the Hb levels, promotes good absorption of Iron, foetal growth, Prevents Gestational Diabetes.
GRAPES (DRAKSHA)	Drakshadi Rasayana: - Good foetal nourisher, prevents pregnancy loss.

?

BENEFITS OF MONTHLY DIET PROTOCOL

"EVAMAPYAYATE, GARBHA, …………………. ANULOMEHI, VAYAU, SUKHAM, PRASOOYATE, NIRUPADRAVACHA,?????

?BHAVATI ……………………….EVAMUPAKARNTA, SNIGDHA BALAVATI, SUKHAMANUPADRAVA, PRASOOYATE | " (Su.sam)

?The diet protocol helps in normal development of foetus with good nourishment, by preparing the birth canal helps for easy and uneventful labour and also helps in the expulsion of placenta.

?BENEFITS OF DIET PROTOCOL?

APYAYATEGARBHA	Foetal Nourishment
ANULOMEHIVAYAU	Promotes the easy expulsion of Foetus
SUKHAMANUPADRAVA PRASOOYATE	Promotes easy and uncomplicated labour.

?

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"SOOTAYASVAPI, TATRA, SYADAPARA, CHENVA, NIRGATA |
?? PRASOOTAPI, NASOOTA, STREE, BHAVATYEVAM, GATESAT ||"??
(ka. Sam)

After the delivary of the child till the placenta is not expelled, the woman can not be called sutika. Sutika term can be used only after expulsion of placenta.

DURATION OF PUERPERIUM (AVADHI)

??????????? According to susrutha it is 1 ? month. Some authors opine that it is till the appearance of next menstruation. Kasyapa mentioned it as six months

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Dietetics of Puerperal Lady:

Lot of emphasis is given on the mode of diet that has to be given for a puerperal lady. Kasyapa particularly mentioned the protocol according to the living area i.e. basing on the climatic and geographical considerations. Ayurveda stress on normalcy of tridosha’s for health. During the labour the dosha vata gets excited and if not pacified properly, causes nearly 74 diseases. Even the modern science agrees that the nervous system is in hypersensitive state during the puerperal period. Improper management of puerpera results in causing number of gynaecological and medical disabilities.

The aim of dietetic protocol followed strictly for 7 days after the delivary is to restore the normal health of puerpera.