AIM OF SOOTIKA PARICHARYA
(CARE OF PUERPERA)
1.?????? ?

To ensure the proper involution

2.?????? ?

To bring back the body tissues to near pre-pregnant state.

3.?????? ?

To prevent Gynaecological & medical disabilities.

4.?????? ?

To ensure and promote lactogenesis.

If the dosha’s are aggravated in the puerpera even the child on lactation gets effected with the vitiated milk.

GENERAL CARE THROUGH DIETETIC PROTOCOL

All the authors of classics have advised 7 days protocol with slight difference of opinion.

“SOOTIKA TU,? KHALU BHUBHIKSHITAM, VIDITWA, SNEHAM………………..Ch. Sa

“SOOTIKA, BALATAILA BHYAKTAM, VATAHAROUSHADHA, NISHKWATENOPACHERET, |….Su,? Sa

“UPAKRAMAMTU SOOTANAM, SAVISESHAMATAHA…………………

DESHAVIDESHA, KULASATMYATA, ……………………….

CHARMAVANADHHA, MASANDEEM, BALATAILOSHNA POORITAM,…Ka, Sam

Though with minor differences all the authors advisedto give initially oil massage to puerpera which helps in controlling the excited nervous system (vata samaka) It also helps to ensure the toning of abdominal, pelvic & Back muscles thus helping in preventing the laxity. It prevents the back ache. Oil slitz bath helps in regaining the pelvic floor strength.

Administration of medicated ghee & oil according to the? tolerance and capacity of the puerpera after feeling hungry helps in clearing the prescence of blood clots and bits of after births which produce after pains due to ishaemic and spasmodic contractions (? the drugs include pippali, pippalimoola, chavya etc.) (Makkalla Soola).

?After the digestion of this medicated ghruta, rice gruel medicated with the above drugs and ghee should be given. This should be given for seven nights, followed by slow administration of protein substances (mamsarasas). Kasyapa advices to give the vegetables? like pumpkin, radish, cucumber etc. fried in ghee.?

PROTOCOL OF PUERPERA AND ITS BENEFITS

Tailabhyanga & Tailavagaha

Vatasamaka and Balya (controls the excited nervous system, ensure the toning of abdominal, pelvic & back muscles)

Administration of Ghee medicated with pippali, pippalimoola. Chavya etc.,

Helps in clearing the presence of blood clots and bits of after births which produce pain (Makkalla soola)

Mamsarasa’s (meat)

Helps in gaining the strength.

According to kasyapa, puerpera residing in marshy land should consume scum of boiled rice medicated with appetizing and strength producing substance without fat (ghee or oil)

Puerpera residing in dry land area should be treated with initial administration of fat substances, followed by the use of cereals mixed with ghee.

??????????? He even advised the management for foreigners.?

"VAIDESAYASWA PAAYACHHANTI? VIVIDHA? MLECHAJATAYAHA? |? RAKTAM MAMSASYA NIRUHYAM KANDAMOOLA? PHALANICHA. | " (KA. SAM)

The above reference states that the foreign ladys after labour should consume meat soups, blood (probably iron rich food), tuberous? roots and different fruits.

DESANUSARA SOOTIKA PARICHARYA
(DIET PROTOCOL OF PUERPERA ACCORDING TO THE LIVING AREA)

ANUPA DESA (MARSHYLAND)

Manda with deepaneeya and balya dravya’s? à sneharahita (scum of boiled rice medicated with appetizing and strength producing drugs) without fat

JANGALA DESA (DRYLAND)

Snehapana, Yavagu with Ghruta (Fat in take, cereals with ghruta)

VAIDESASYA (FOREIGNERS)

Mamsarasa, rakta, Kandamoola, Phala (meatsoups, tuberous roots and fruits)

This differentiation probably might be given due to the biological differentiation of the people in different places.? Often we see some of the diseases are common in some places and in some traits.

Since all the body tissues become affected during pregnancy resulting in the loss of strength and hyperexcitation of nervous system. It is very much essential to regain the pre pregnant state of the body. According to ayurvedic science if the advised ditetic protocol is not followed, the doshas get vitiated resulting in nearly 74 diseases both gynaecological and medical which will be very difficult to cure or incurable. Plenty of water, cereals, meat, milk, & ghee are also advised to consume.?

"MITHYACHARAT SOOTIKAYA,YO,? VYADHIRUPAJAYATE|
???? SA, KRUCHRASADHYOASADHYOVA---------" (SU.SAM)

A pharmocological? preparation named “ SOUBHAGYA SUNTHI” which contains dry ginger (sunthi),? ksheera (milk),? ghruta (ghee)? and sarkara (sugar), is a very unique preparation which helps in treating a many puerperal diseases, particularly anaemia, menorrhagia and polyuria.


CONCLUSION
Due to pregnancy and child birth still the death rate is very high? in India (100,000 / Year).? Most of the rural woman cannot afford to take effecitve ante-natal & post natal care due to so many socio- economic reasons which is resulting in high mortality rate.

The Ancient Medical science “ Ayurveda is very well aware of the complications that occur during Ante-natal & post natal period.? This is the reason a great emphasis is laid on the Garbhini paricharya (ANC) and sootikaparicharya (PNC) with a varied range of dietetic protocol which is quiet acceptable for so many rural woman also because it is very near to the cultural practices of India, particularly rural community.


Most of the conditions that trouble the woman during pregnancy & puerperal period can be effectively tackled through a protocol combined diet with drugs, which will be easily acceptable by woman who are sensitive? to take Medicines.? As it is combined with diet, additional attention need not be given for medicine intake.

All the drugs (herbs) that are included in the protocol are safe and effective.? There is no need of any additional supplements if this protocol is followed.? The drug like Tribulus terrestris (Gokshura) effect in preventing toxemia’s of pregnancy need to be evaluated as it can be? a break through in the management of PIH& PET.
?
Effective involution in the post natal period can be achieved.

Finally this protocol keeps the mother and the child healthy which is ultimate aim of any science.