Managing Obstetrics Problems Homoeopathically

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• Managing Obstetrics Problems Homoeopathically

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Obs (to aid) stare (a woman)

• Through stages of pregnancy, parturition and
  postnatal care
• Homoeopathic management is to restore a state of
  mental and physical well being to experience
  positive health
• This demands knowledge of nature of disease and
  stage and type of pathology, knowledge of
  remedial forces by appreciating characteristics ,
  understanding scope of our science and
  understanding susceptibility

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She is the Susceptibility

• She can be the gentle preserver
• She can be unpredictable
• She can unleash a fury
• She can heal
• She can prove fatal
• Mankind respects her inner sensitivity
• He however fears her reactivity

• During pregnancy it is noted (in Kents
  observation) that susceptibility is usually high
  However it needs to understood from case to case
  , keeping in mind , reactivity , vitality, nature
  of disease which can be functional or structural
  , the predisposing soil and the dominant
  miasmatic activity

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Homoeopathic management of simple morning
sickness

• Case of 28 years came with diagnosis of simple
  morning sickness
• She had severe vomiting only in the morning and
  with burning
• In the absence of any other characteristics and
  the two above symptoms
• SYMPHORICARPUS RACEMOSA 30 was given patient
  recovered in few doses

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An approach to management of hyperemesis gravida

• Case of primi gravida age 30 years
• Diagnosed as twin pregnancy
• Came with severe hyperemesis,vomiting without any
  triggering modality almost throughout day
• Twice admitted for auxiliary aid (IV drip)
• Also had back pain, dyspepsia, sinusitis

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Case unfolds .

• Patient has an irritable temperament
• She is industrious
• Done her masters in economics working in I.I.M
• Not keen on pregnancy
• Preoccupied with work

• Craving sweets
• ltbefore menses
• lt during menses
• ltnausea travel while
• Back pain ltrest
• Stomach burning after eating
• Chilly

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Case management

• Sepia 200 infrequent doses
• Allow patient to introspect intra and
  interpsychic forces contributing to poor
  adaptation
• Interventional therapy to understand impact of
  childhood stresses
• Monitoring diet , B.P , Blood tests for anemia
• Antenatal exercises (yoga)
• Support and reassurances from husband

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The process of cure is a gentle unfolding of
layers homoeopathic physicians facilitate
healing..patient delivered twin male babies

• Approach to case depends
• Understanding
• characteristics
• Understanding nature and stage of disease and
  pathophysiology
• Understanding degree of correspondence of remedy
  selected
• Understanding philosophy of individualization
• Understanding susceptibility
• Identifying similimum(remedy , potency posology)

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Importance of bonding

• Research and data analysis by psychologists like
  Bolby, Zukov have proved the importance of
  acceptance ,bonding in the eventual growth of an
  empowered child mentally and physically
• Interventional psychotherapy may prove helpful
  in mothers who may have had traumatic experiences
  in past contributing to present mental state

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Case of nutritional iron deficiency anaemia

• 26 years female came with pregnancy of 12weeks
• Her present haemoglobin reading was 8gms
• In past too patient has attacks of anaemia
• Case defined mental disposition showed patient
  to be obstinate hypersensitive, fretful and
  anxious
• Her physical generals were chilly , craving
  pungent
• She had anxious dreams She also had dyspepsia lt
  pulses since childhood
• Ferrum Met 30 and then 200 infrequent doses
  ensures Hb levels went up in three weeks to 10
  and then stabilized to 12
• Again in third semester when there is a
  physiological drop in Hb levels (here 10.5) Ferr
  met 200 was given in frequent doses and Hb
  stabilized at 11.5 till delivery and patient was
  followed up to six months after delivery(with
  regular monitoring of haemotocrit levels)
• She also required diet rich in iron and folic
  acid

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Homoeopathic management in cases of anaemia

• Case of 24 year lady
• 34th week of gestation
• Sudden drop in hemoglobin levels (7gms)
• Presents with severe weakness and exhaustion (on
  auxiliary aid transfusions-PACKED CELS
• Based on characteristic generals and pace and
  pathology of anemia china 30 given in freq doses
• patient completed here term and delivered a
  female baby (Hb levels went up to 10 and then
  stabilized at 11.5gms till delivery)

• Management depends on
• Understanding types of anemia
• Scope of our system in these and need for
  auxiliary aid
• Role of investigation (haematocrit values, CBC ,
  peripheral smear 1/mth)
• Ensure sound prognosis without complications
  (like sepsis, stillbirths with help of ULTRA
  SONOGRAPHY )
• Understanding susceptibility, miasm and
  appreciation of similimum

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Diet during pregnancy

• Total calories 2500
• Hb usually maintained 10-12 gms
• 10 -12 glasses of water
• Keep every meal balanced
• Small and frequent intervals

• Milk 3-4 glasses
• Proteins dals , fish egg
• Ghee/butter -2 spooons
• Vegetables green and starchy
• Cereals rice /wheat three to four bowels
• Fruits

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Homoeopathic management of metabolic disorder
---hypothyroidism

• Patient age 29 years second gravida ,came in her
  4th month , with tsh readings at 11,antibody
  titres were normal
• She was anxious and keen to get a male child
• She had strong family history of hypothyroidism
• She had increased hair fall since few weeks and
  excess weight gain

• On deeper understanding of case
• Patient had issues of rejection in childhood
• She also was a witness to her brother being more
  cared for
• She is sensitive , irritable and anxious
• She has craving sweets , menses staining and
  dreams anxious

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The joy of giving and receiving abundance of
love

• Patient was given MAG CARB 200
• Her T.S.H stabilized after four weeks to 3.5 and
  subsequently 2.5 after delivery
• It was also important for physician to be
  empathetic and guiding, and address deeper issues
  of bonding so that she is prepared to receive a
  child without gender distinction (an increasing
  social issue)
• Her repeat tests of t3 t4 and free t4 and T.S.H
  right through pregnancy ensured the levels were
  maintained even after delivery during lactation

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Important aspects of management

• Primary hypothyroidism with normal antibody
  titres usuallay have good prognosis
• Once in four weeks investigations T3, T4, TSH and
  antibody titre and free T4 are important
• Towards third trimester it is important to take
  aid of ultra sound investigations to assess
  foetal growth

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Homoeopathic management of type 2 NIDDM

• Lady age 25 years primi gravida
• She came with diagnosis of gestational diabetes
  in second trimester
• Her fbs was 260 and ppbs 150
• She had weakness since few weeks

• Case defined
• Her mental state showed her to be sensitive ,
  introvert and experiencing hurt vexation and
  grief
• She had craving salt and hot patient
• There was also strong family history of type 2
  diabetes

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Management of case

• Case was given Natrum mur 200 infrequent doses
• Her sugar levels stabilized after few weeks which
  was P.P.BS around 140 and F.B.S 105
• These tests were followed after delivery for one
  year to ensure they were in normal limits
• Along with this patient was kept on strict diet
  and exercise
• Husband recognized need for change and support to
  play both for present and future
• Thus approach to metabolic disorders considering
  nature of disease , and prognosis on maternal and
  foetal health indicates need for deeper acting
  remedies like constitutional remedies in
  moderate potency and infrequent doses ,with care
  on auxiliary aids, and need for regular
  investigations

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Role of yoga

• Has proved beneficial in reducing subjective
  distress symptoms during first trimester like
  APD, backpain
• Has proved beneficial in management of metabolic
  diseases like diabetes and systemic like
  hypertension
• Antenatal exercises have proved beneficial in
  normal labour and usually it is done with the
  husband to help support
• Yoga especially pranayamas, meditation have
  helped support positive mental health

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Homoeopathy in induction of labour

• Case of young lady in labour was not getting
  pains despite on drips
• She was posted for c section
• Caulophyllum 30 a remedy from plant kingdom that
  has specific action on uterine muscles was given
  in frequent doses
• Patient delivered normally a male baby in next 12
  hours

• Patient age 23 years was already on treatment
  with Natrum Mur before conception
• She developed rigid os despite having good
  contractions
• Natrum Mur 200 few doses ensured patient had
  labour pains and delivered her baby normally

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Homoeopathy for post delivery care of mother

• Case of 22 year lady has been my patient since
  her 16th year, seeing her timidity, anxiety and
  weeping tendency with aversion to sweets and
  obesity and chilly patient she was given
  Graphites
• I saw her after some years immediately after
  her delivery, she had delivered a male baby, and
  within two days developed severe cracks in
  nipples .She was given Graphites 200 and
  recovered with few doses
• After few weeks She developed haemorrhoids which
  were painful and bleeding, seeing the remedy
  relationship she was given nitric acid 200
• Patient recovered with few doses ,subsequently
  was healthy through period of lactation

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Strengths of Homoeopathy in managing obstetric
problems i

• Cost effective , safely administered
• Highly beneficial to a number of conditions in
  pregnancy
• Ensures safe and easy delivery
• Effective post partum lactation
• An integrated and holistic approach which uses
  remedial forces and working in teams of O.B.G
  consultants, dieticians, physiotherapist and
  counseling and preparing patient for motherhood,
  delivery and breast feeding and role of parenting
  (importance of aphorism 3 and judgment of a
  homoeopathic physician )
• Above all homoeopathic physician is a friend,
  philosopher and guide to ensure an empowered
  mother stands a better chance to help children
  reach their potenial

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Types of Cases
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Types of Treatment and Success Rate
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Thank you

• Dr Latha Devarajan -M.D
• CONSULTING HOMOEOPATHIC PHYSICIAN
• POSITIVE HEALTH CARE CENTRE
• Centre for homoeopathy
• Centre for yoga
• Centre for visiting dietician and child
  psychologist
• CHARITABLE CLINIC COORDINATOR
• Dr M..L.Dhawale memorial Institute managed
  by I.A.S.H Bangalore
• Address No 37/1 5th main, fifth block
  Jayanagar ,Bangalore 560041
• Phone landline 26631115
• Email drlathadevraj_at_gmail.com