(Resmi V Rajagopal1, Laxmi Priya .Dei2)
ISBN. 978-602-61920-0-4 International Seminar, Hindu Indonesia University
The Concept of the Healing in Region, Culture, Health Scinces and the Economical Prospective
(Resmi V Rajagopal1, Laxmi Priya .Dei2) MATERIALS AND METHODS
Systematic evaluation of all the Medical literatures, Ayurvedic text books, compilations, Research papers, thesis and abstracts. Expert opinions are also considered.
DISCUSSION
Ayurveda has mentioned the care and attention given to women in various phases of her life in detail. And a person without a progeny is described as a tree without any shadow or fruits.
[4]. Care should be given before marriage for a healthy progeny even right from the menarche.
The detailed rajaswala paricharya ( do’s and don’ts during menstruation days). Susrutacharya described the minimum age of male and female for marriage respectively 25 and 16. Since both partners are full of valour and vigour at this age, the child also posses the same qualities. Below this age if either she will not conceive or if at all conceives she will have intrauterine death of fetus if child born it will not live long or will have weak organs [5].
The couples are adviced to do the purifactory procedures as they provide high quality gametes. The coitus done with a women who did overeating, hungry, thirsty, frightened results in teratological effects [6]. Acaryacaraka clearly mentioned that the peacefull mind is the prime factor for conception. And the coitus is contraindicated in twilight, mid night or late night etc as it produce the low quality gametes. She should be from another family. This describes about the consaginous marriage and can avoid genetic disorders dominenent and dormant in the family carrying over to next generation. High rate of this marriages increases the frequency of autosomal recessive disorders.
The lady should be devoid of any congenital anomalies. All the Acharyas strictly advocate to avoid coitus on first three days of ovulatory period or atleast 7 days from the first day of menstruation. And conceiving on 12th day produces the baby with maximum qualities. After menstruation 4th day onwards the couple being purified by the detoxification with use of oleation, sudatory measures, emetics, purgatives and brought to normal dietetic should be given evacuative enema and nutritive enema. After these purifying methods man should use ghee and milk while woman should take sesame oil and black gram. [7].
The progeny will have the state of mind that which the couples have at the time of coitus, they should be calm and cool reciting vedic chants which can create positive vibrations in the body.
Through out the pregnancy she should be attend with the husband and those who provide her the maximum comforts. Pregnancy should be by choice not by chance.
Proper preparation of the parents is the basic need for healthy progeny. Antenatal care, right from the preconception to full term delivery will certainly play a key role in getting healthy progeny.
Planning for a Healthy Baby Starts before Pregnancy. The health of a baby is highly related to the health of parents. The most critical time for development occurs right after conception; often beforemothers know they are pregnant.
Pre conceptual councelling extended to: [8]
a) Reduce maternal and child mortality
(Resmi V Rajagopal1, Laxmi Priya .Dei2) b) prevent unintended pregnancies
c) prevent complications during pregnancy and delivery d) prevent stillbirths, preterm birth and low birth weight e) prevent birth defects
f) prevent neonatal infections g) prevent underweight and stunting
h) prevent vertical transmission of HIV /STI s
i) lower the risk of some forms of childhood cancers
j) lower the risk of type 2 diabetes and cardiovascular disease later in life.
• Managing maternal health conditions:
e.g., Sexually Transmitted Infections (STIs), diabetes, obesity
• Taking a multivitamin daily has been shown to reduce the risk of certain birth defects.
• Women planning a pregnancy or who could become pregnant should take a daily multivitamin containing 0.4-1.0mg of folic acid
• Folic acid promotes the development of the baby’s brain stem
• It is recommended that all woman of childbearing age regardless of pregnancy intentions, be informed about the benefits of taking a multivitamin containing folic acid
• If all women of childbearing age consume enough folic acid, it is estimated that as many as half of certain birth defects can be prevented, such as:
o Neural tube defects o Heart defects o Limb defects
Modifying risk factors:
e.g., Medication use, alcohol and tobacco use.
Gaining too much weight during pregnancy or being overweight before pregnancy puts women at risk of: [9]
o High blood pressure.
o Gestational Diabetes.
o Increased risk of Type 2 Diabetes and obesity later on in life for both mother and child.
o Stillbirth, miscarriage and preeclampsia.
o Increased risk of birth defects (i.e. neural tube defects).
o High birth weight baby.
o Complications during labour and delivery.
The benefits of regular exercise before, during, and after conception include: [10]
o Healthier pregnancy.
o Faster and easier labour; less need for induction.
o Returning to pre-pregnancy weight faster.
o Improved mood and sleep
o Reduced weight gain during pregnancy
(Resmi V Rajagopal1, Laxmi Priya .Dei2) o Fewer pregnancy discomforts such as backaches and swelling
o Decreased depression and anxiety o Control of gestational diabetes o Appropriate weight management.
The following immunizations are recommended to be up to date prior to conception:
After getting immunized a woman should wait at least one month before becoming pregnant.
o Rubella.
o Chickenpox.
o Hepatitis B.
If Hepatitis B is detected before pregnancy, the mother can be treated to ensure the baby will not be infected
o If Hepatitis B is detected during pregnancy, treatment should begin to protect any babies becoming infected should she become pregnant in the future
o Treatment should start for the baby to reduce the baby’s chance of getting Hepatitis B, beginning within two days of birth
STI during pregnancy can lead to fetal death, physical, and developmental disabilities.
o Women and their partners should be encouraged to be tested for STIs regularly, including HIV, and if positive, receive treatment for the benefit of their own health and that of future pregnancies
o Some STIs can be treated and some cannot. Steps can be taken to reduce the chance of passing on an infection from mother to baby.
o These diseases are transmitted through blood or body fluids and infected mothers can pass it on to their babies
Smoking heavily during pregnancy increases the risk of:
o Miscarriage
o Babies being born too small and too early o Sudden Infant Death Syndrome (SIDS)
o Asthma and other respiratory problems later in child’s life
It is important that certain health conditions are well managed before pregnancy to help promote and begin a healthy pregnancy.
• These include:
o Asthma o Diabetes o Heart Disease o High Blood Pressure o Hypothyroidism o Epilepsy
(Resmi V Rajagopal1, Laxmi Priya .Dei2) CONCLUSION
This helps to screen the high risk cases and improves the fertility rates. The physical, mental, social, and spiritual well being of the person, proper nutrition of the mother during pregnancy and practice of a wholesome regimen, play a prime role in achieving a healthy offspring.
Some health problems can be passed through the genes of a mother or father to a baby.
Genetic Counseling: may help to reassure and help with making informed decisions about getting pregnant by determining the probability of certain conditions. Certain workplace toxins have been associated with reduced fertility, still birth, miscarriage, low birth weight, and birth defects which should be avoided wisely. Women should be kept away from the chemicals used in their workplaces and also excess stress. By keeping attention from the early phases we can develop a generation with higher physical, psychological and spiritual goodness.
References
1Pre conceptional care: Maximizing the gains for maternal and child health by WHO. Department of Maternal, Newborn, Child and Adolescent Health. www.who.documents .com
2Pre conceptional care: Maximizing the gains for maternal and child health by WHO. Department of Maternal, Newborn, Child and Adolescent Health. www.who.documents .com
3Pre conceptional care: Maximizing the gains for maternal and child health by WHO. Department of Maternal, Newborn, Child and Adolescent Health. www.who.documents .com
4Ashtanga hrdaya Uttarsthan , vajeekran chapter Choukamba Orientalia Varanasi
5Susruta samhita sareersthan 10 th chapter verse no: 53 Choukamba Orientalia Varanasi.
6Caraka Samhita Sareersthan 8th chapter verse no: 6 Choukamba Orientalia Varanasi.
7Caraka Samhita Sareerasthan 8th chapter verseno: 4-7 Choukamba Orientalia Varanasi
8Pre conceptional care: Maximizing the gains for maternal and child health by WHO. Department of Maternal, Newborn, Child and Adolescent Health. www.who.documents .com
9Pre conceptionalcare power point presentation by Saskatchewan prevention institute copyright 2010.
10Pre conceptionalcare power point presentation by Saskatchewan prevention institute copyright 2010.
(I Wayan Redi Aryanta, I Putu Sudiartawan, Ni Luh Gede Sudaryati) ISBN. 978-602-61920-0-4 International Seminar, Hindu Indonesia University
The Concept of the Healing in Region, Culture, Health Scinces and the Economical Prospective