Premature contraction of the uterus is the very first sign of premature labour, which is followed by progressive changes in cervix such as effacement and dilatation. Four or more uterine contractions with or without pain per hour is a major biophysical predictor of preterm labour. According to the WHO statistics, every year, an estimated 15 million babies are born preterm and this number is rising. Although tocolytic agents are used to suppress premature contractions and prevent preterm labour, it is not proven to be efficacious in preventing preterm birth or reducing neonatal mortality or morbidity. As per Ayurveda, Akala Prasava (preterm labour) results due to the malfunctioning of Apana Vata (a type of Vata Dosha which is responsible for the excretory action). Basti (medicated enema therapy) is considered the best for managing the deranged Apana Vata. Basti is also indicated in Garbhini Paricharya (routine antenatal care) after completion of seven months of pregnancy. In this present case study, Shatavaryadi Ksheerapaka Basti (medicated enema prepared along with milk) was administered in a 28 year old second gravida patient of 33 weeks gestation with premature contractions, wherein isoxsuprine hydrochloride proved to be ineffective. Per-rectal Basti with 450 ml Shatavaryadi Ksheerapaka administered for 2 consecutive days was found to be effective in preventing the uterine contractions and further advancement to preterm labour. The drugs in Shatavaryadi Ksheerapaka Basti possess antioxytocic and vasodilating properties which may effectively curtailed the progress of premature contractions.

Background: Low birth weight (LBW) is a major public health problem which needs to be addressed. The maternal factors play a major role in the child’s weight. The main aim is to identify the risk factors in the mother and appropriately manage so as to reduce the effects on children. Aim was to study the maternal risk factors influencing the weight of the baby in a tertiary care hospital at Pondicherry.Methods: A total of 225 babies were included in the study. Birth weight was recorded within 30 minutes after birth. Mother’s details were collected using a questionnaire. The collected data was analyzed using statistical package for the social sciences (SPSS) version 21.Results: A total of 225 babies and their mothers were enrolled in the study where 124 were males and 101 were females. 204 were term and 21 were preterm. Mean age of the mothers was 22.52±3.33 years, mean weight noted was 62.94±10.09 kg and mean height was 160.1±7.15 cm. The study showed associations between birth weight and mother’s age, weight, height, hemoglobin (Hb) %, birth interval, income, bad obstetric history and complications.Conclusions: This study concluded that maternal factors are associated with birth weight owing to mother’s age, weight, height, anemia, birth interval, bad obstetric history with complications and family income. This calls for better management of mothers at the initial stages of pregnancy to reduce LBW and morbidity and mortality. Health education and large-scale awareness programs implementation can reduce and prevent this public health problem.

The term retained products of conception (RPOC) refers to intrauterine tissue that develops after conception and persists after medical and surgical pregnancy termination, miscarriage, and vaginal or cesarean delivery. Approximately half of the conceptions are not even recognized 10- 15% is lost during 1st trimester and additional 2-3% is lost in later pregnancy. The word abortion means expulsion from the uterus of the product of conception before the fetus is viable. This period of viability is different in different views. In modern medicine the period of viability is taken as 7 months. In Ayurveda this abortion is mentioned with the name of Garbhasrava or Garbhapata. A 30 yr old female patient came to NIA opd with a complaint of heavy bleed continously since 1 month. On examination it was found, she has taken MTP pill from local clinic. D and C was done though she was getting her bleed continously. Then, she came to NIA opd for futher management and was given Dashmool Kwatha, Ajmodadi Churna, Triphala Guggulu and Prataplankeshwar ras for 7 days. Then the patient was advised for USG which revealed no retained product of conception.