SELF CARE TO FEEL BEST DURING MENSTRUATION (RAJASWALA PARICHARYA): THE IMPACT OF LIFESTYLE MODIFICATION THAT ENHANCE FERTILITY

Out of various Paricharya mentioned in Ayurveda, Rajaswala Paricharya holds an important one. The Charya or code of conduct mentioned for a Rajaswala stree is termed as Rajaswala Parichara. Due to changing lifestyle, physical and mental stress, Mithya Aahar, Woman in reproductive age groups suffer from various conditions related to menstrual cycle like dysmenorrhoea, menorrhagia, irregular menses, PCOS, endometriosis, adenomyosis which increase incidence of infertility also Rajaswala charya is the most neglected part in the society. Acharyas mentioned Aaharas and Charyas which are indicated and contracted for maintaining the health. By the concept of Shuddha Shukra & Shuddha Aartava in the formation of Garbha its very clear that concept of Supraja Jananam i.e., healthy progency begins at the very level of preconceptional care or even before to that in the form of Rajaswala Paricharya. If it followed during menstruation it will get relief from conditions of menstrual abnormalities, infertility and to gain better healthy life of woman.

THE IMPORTANCE OF PRE-MARRIAGE PRECONCEPTIONAL CARE AND THE COUNSELING ROLE OF MIDWIVES

Introduction: Preconceptional care is an important opportunity to identify risk factors affecting the pregnancy process and to provide appropriate care. In this study; it was aimed to provide preventive health services related to reproductive health to couples who applied for marriage and to emphasize the importance of midwives in preconceptional care services. Method: The population of the descriptive study consisted of couples who applied to Izmir Bornova Municipality Marriage Office between June 15, 2016 and June 15, 2017. Sample selection was not made, all couples who agreed to participate and were given counseling formed the sample (n: 126). Data were collected through a questionnaire using face-to-face interview method, and their analyzes were presented in the SPSS 20.0 package program by making a percentage distribution. Results: The average age of women is 26.0±4.0 (min:18.0-max:42.0). It was determined that 91.2% of the participants planned pregnancy after getting married. 42.6% of those planning pregnancy use cigarette, 33.9% use alcohol, only 20.9% exercise regularly. 96.0% of the participants stated that consultancy should be given before getting married, 30.2% of them stated that this training should be given by experts and 19.0% by midwives. Discussion and Conclusion: In our study, where we evaluated the application for marriage as an opportunity and offered preconceptional counseling, it was determined that the participants planning pregnancy had risky lifestyle behaviors and wanted to receive formal training from experts. It is thought that preconceptional counseling, which will be given by midwives by expanding its scope within the scope of primary health care services, will contribute to harmony in marriage and the formation of healthy generations.

Acrochordons and autoimmunity: Significance of preconceptional counseling

BACKGROUND: Acrochordons are benign hypertrophic lesions of the skin of which the pathophysiology is unclear. OBJECTIVE: This study aimed to examine the association of acrochordons with autoimmune disorders in patients with a poor obstetric history. METHODS: This retrospective cohort involved 350 female patients with poor obstetric history who were included in a preconceptional care program to investigate risk factors for obstetric complications. These patients were further investigated for the co-existence of autoimmune disorders (defined by either a diagnosis of autoimmune diseases or autoimmune antibody positivity) and acrochordons. RESULTS: An autoimmune disorder was present in 55.7% (195/350) of the patients. The rate of acrochordons was significantly higher in patients with autoimmune disorders (n= 195) compared to the control group (n= 155) (8.21% versus 2.58%, respectively) (p= 0.043). When the autoimmune disease positive (n= 58) and autoimmune antibody-positive (n= 137) groups were separately analyzed, acrochordons were found more frequently in the autoimmune disease group (p= 0.004). However, there was no statistically significant co-occurrence of autoimmune antibody positivity and the presence of skin tags (p= 0.135). CONCLUSION: There may be immune system-related biological mechanisms underlying the pathogenesis of acrochordons. Preconceptional counseling is beneficial for women with poor obstetric history and acrochordons.

Role of Preconceptional Care In Ayurveda

Reproduction is one of the basic requirement of any species to continue it's existence in universe. Stage wise procedure are included in human reproduction leading to formation of new individual. In this finely calculated series of events any deviation can lead to drastic pathological condition. The preconceptional care in Ayurveda was described centuries back to get deceased free and good progeny by following the regimen and ritual. The reaserchers show that each seminal ejaculation in intercourse depletes the body energy of sperm for 1 month before conception was planned. The aim of Aharaniyama before conception was to evaluate the qualities of sperm and ovum. Thus, to get a Shreyashipraja, this study is to explore Ayurveda measures. Aims and Objects:- To collect the literary resources regarding preconceptional care in Ayurveda. Discussion: Ayurveda texts have included and deeply discussed about preconcrptional care fir good progeny and all those points are discussed further. Conclusion: A person with healthy body and healthy mind would also give birth to a healthy progeny. Ayurveda preconception measure helps to achieve the goal of preparing couple for a new life and to contribute towards healthy society.

Association of tea drinking and dysmenorrhoea among reproductive-age women in Shanghai, China (2013–2015): a cross-sectional study

ObjectivesTo investigate the association between tea drinking and dysmenorrhoea among women of reproductive age.DesignA cross-sectional study based on Shanghai Birth Cohort Study.SettingTwo preconceptional care clinics in Shanghai, China.Participants1183 women of reproductive age who sought preconceptional care were recruited from August 2013 to April 2015.Primary and secondary outcome measuresParticipants were asked if they had pelvic pain associated with menstrual bleeding during the past 12 months and to further grade the intensity of menstrual cramp as mild, moderate and severe. Multinomial logistic regression was performed to assess the association of tea drinking and dysmenorrhoea. Other information, such as demographic and lifestyle factors, was also collected and assessed in relation to dysmenorrhoea.ResultsThe prevalence of dysmenorrhoea was 57.8%, among whom 10.4% and 3.5% had moderate and severe dysmenorrhoea, respectively. Tea drinking was associated with a lower prevalence of dysmenorrhoea (adjusted OR [aOR]=0.68, 95% CI 0.50 to 0.93 for mild dysmenorrhoea; aOR=0.59 (95% CI 0.32 to 1.04) for moderate-to-severe dysmenorrhoea). Green tea and oolong tea appeared to have most reduction in the prevalence of dysmenorrhoea (for mild dysmenorrhoea: green tea: aOR=0.63 (95% CI 0.44 to 0.90) and oolong tea: aOR=0.60 (95% CI 0.35 to 1.03); for moderate-to-severe dysmenorrhoea: green tea: aOR=0.42 (95% CI 0.20 to 0.85) and oolong tea: aOR=0.34 (95% CI 0.11 to 1.09)).ConclusionsConsumptions of green tea and possibly oolong tea were associated with a lower prevalence of dysmenorrhoea.