A COMPARATIVE CLINICAL STUDY ON THE EFFECT OF PIPPALIMUL VARTI AND APAMARGA VARTI IN SUKHAPRASAVA

Abstract

Child birth is a very dynamic process and the women need to be well prepared for it. The contemporary system uses analgesia and anaesthesia to reduce pain during labour but have no proved measures to shorten the period of 1st stage of labour. In Ayurveda similar efforts are being incorporated by means of drugs, among them there are many formulations for the pregnant women to deliver with ease. When all three stages of labour occurs without any com-plications and in normal time period, then we can say it as Sukhaprasava. Ayurvedic texts have described at the onset of labour the head of the foetus gets turned and comes forward due to action of prasuti maruta and is expelled through the vaginal passage. This is sukhaprasav, other situations are abnormal. The present study was carried out to compare the effect Pippalimul and apamarga in the management of sukhaprasava. 30 female patients with 9 months amenorrhea were registered for the present research work and were divided into 2 equal groups. 15 patients were treated with group-I drug i.e. Pippalimul varti and 15 patients were treated with group-II drug i.e. Apamarga Varti. After conducting clinical study on 30 patients, observation and results were obtained. Statistical analysis shows that both drugs were significantly effective to conduct normal delivery. The comparison between group I and group II for the assessment parameters shows significant results(p< 0.001). Normal labour with vaginal delivery in Group I patients was 80% at third follow up, whereas improvement (with operative delivery) was seen in 20 % cases. In Group II, it was 66.66% at third follow up and improvement (with operative delivery) is seen in 33.33 % cases.