A REVIEW ARTICLE - CONCEPT OF OLIGOMNIOSIS IN AYURVEDA

Introduction: The recent incidences of oligoamnios according to the prospective case control study 23 % prevalence among the three hundred eight antenatal ladies with singleton pregnancy between 34 and 41 weeks of gestation included in the study. Aim and Objective: To understand the condition of Oligoamnios under the Ayurvedic perspective and to r eview the Ayurvedic classics and critically analyses the same. Materials & Methods: All Ayurvedic classic text authored by Brihatrayees and Laghutrayees, related journals, modern biomedical text and web were referred for r eview of literature. Literature Review: Oligoamniosis is characterized by less volume of liquor amnii (less than 2 00ml at 20-41st weeks of gestation), affecting the well-being and maturity of the growing fetus. The lubricating ac tion of liquor amnii is reduced, the free movements of the fetus affected and cause adhesion between the body part s and with the amniotic sac can be seen as complications. Discussion: Ayurvedic point of view oligo-hydramnios can be considered under the broad spectrum of jarayu dosha mentioned in Sarangadhara Samhitha. According to Acharya Sarangadhara, jarayu is the membranous covering of the fetus in its intra-uterine life while the liquor amnii secreted from amnion as ambu/ garbhodaka. Conclusion: From an Ayurveda viewpoint, oligoamnios can b e considered under the broad spectrum of ambupoornavyadhi or ulbakaroga characterized by hridroga (cardiac di sorder), akshepaka (convulsions), swasa (dysnoea), kasa (cough), chardi (vomiting) and jwara (fever) etc., disord ers and also all abnormalities of amnion such as unusual friability, amnionitis, cyst, amnion nodosum, amniotic ad hesions along with poly-hydramnios and oligo-hydramnios.

Assessment of Severity of Haemolytic Disease of the Newborn at Time of Birth

A new cord blood factor has been suggested as a measure of the seventy of haemolytic disease of the newborn at birth. One hundred and seventy three cases of Rhesus iso-immunisation have been classified as mild, moderate and severe according to the readings of Optical Density Difference of bilirubin in the liquor amnii and correlated with the cord blood haemoglobin, cord blood serum bilirubin, and the new cord blood factor. The new cord blood factor gave the best correlation.