The below mentioned conditions are all characterized with repeated still births. The explanation of these conditions in Ayurveda treatises appears to be a description of repeated still births. The reason from modern perspective could be infection or genetic abnormality. They are –
Nakini Jataharini – explained by Kashyapa
Jataghni Yonivyapad – explained by Vagbhata
Putipraja – mentioned under congenital anomalies of genital organs
All these conditions explain only one condition, intrauterine death of fetus.
The pathogenesis of intrauterine death of fetus is the same as that of abortion. Due to the above mentioned etiological factors the fetus gets detached from its bonds just like a fruit gets detached from the tree and falls down.
The fetus thus having got detached from its bonds, transgressing the uterus descends into the hollow spaces between liver, spleen and bowels and irritates the abdominal cavity.
The apana vata getting obstructed or moving abnormally due to this irritation produces pain in the pelvic region, region of urinary bladder, flanks, belly and vagina / uterus. It causes distension of abdomen, retention of urine and feces. It also expels the young fetus from the uterus along with bleeding.
Signs and Symptoms
According to Master Charaka (Charaka Samhita Shareera Sthana 8/30)
Stimita stabda udara – still and stiff abdomen
Atata udara – stretched abdomen
Shita udara – cold abdomen
Ashma antargatam iva – stony hard abdomen / feeling as if a big stone is located inside the abdomen
Aspandano garbhah – disappearance of fetal movements
Adhika shulam – severe pain
Na cha avi pradurbhavanti – the labor pains do not start
Yonih na prasravati – absence of discharges from vagina
Akshini asya sraste bhavatah – eyes become lax / drooping of eyelids
The woman should be prescribed the below mentioned things according to her strength after the extraction or expulsion of immature / dead fetus. They will help in cleansing of uterus, alleviation of pain and provide strength. They are –
Other alcoholic drinks
The woman later should be given with fat free, strengthening and satiating rice gruel and appropriate diet. These will protect her health and replenish her with health and energy. These dietetic regimens should be continued till the kleda i.e. moisture of the doshas and tissues is cleared.
Following this, unctuous substances, enemas and specific diet medicated with appetizing, longevity providing, strengthening, anabolic, and sweet and vata suppressing herbs should be prescribed. Click to Consult Dr Raghuram Y.S. MD (Ayu)