Fetal Growth Restriction: Ayurveda Treatment for Optimizing Fetal Growth – A Case Report

Authors

  • Reshma Salimani KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.
  • Jyoti Gayakawad KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.
  • Moon Moon Saint Sahara Ayurvedic mecial college Bhatinda Punjab, India.
  • Shashidhar Naik KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

DOI:

https://doi.org/10.70066/jahm.v13i5.1782

Keywords:

Fetal Growth Restriction, Garbhashosha, Ayurveda, Ksheera Basti, Matra Basti, Rasa Dhatu, Vata Dosha, Garbha Poshana,

Abstract

Fetal growth restriction (FGR) is a significant complication in pregnancy, leading to increased perinatal morbidity and mortality. In Ayurveda, FGR is described as Garbhashosha or Vatabhipanna Garbha, characterized by as Akukshi Poorana (Uterine size smaller than expected for gestational age) and Manda Garbha Spandana (Reduced fetal movements), often caused by imbalances in Matruja Rasa Dhatu and Vata Dosha. A 27-year-old primigravida at 31weeks 4 days of gestation presented for a routine antenatal check-up. She reported normal perception of fetal movements and had no active complaints. Clinically, she exhibited mild pallor and a fundal height smaller than expected for her gestational age, suggesting potential FGR. Ultrasonography confirmed the FGR. The patient was treated with Brihmana Chikitsa including Ksheera Basti, Matra Basti and oral medications aimed at nourishing the Matruja Rasa Dhatu and balancing Vata Dosha to support the fetal growth. Significant improvement was observed in fetal growth as evidenced by an increase in estimated fetal weight and improved fetal biometry and a normal doppler study.

Author Biographies

Reshma Salimani, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Assistant Professor, Department of Prasuti Tantra evum Stree Roga. KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Jyoti Gayakawad, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

PG Scholar, Department of Prasuti Tantra evum Stree Roga, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Moon Moon, Saint Sahara Ayurvedic mecial college Bhatinda Punjab, India.

Assistant professor,Department of Panchakarma, Saint Sahara Ayurvedic mecial college Bhatinda Punjab, India.

Shashidhar Naik, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Assistant Professor, Department of Kayachikitsa-Rasayana evum Vajikarana, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

References

Melamed, N., Baschat, A., Yinon, Y., Athanasiadis, A., Mecacci, F., Figueras, F., Berghella, V., Nazareth, A., Tahlak, M., McIntyre, H.D., Da Silva Costa, F., Kihara, A.B., Hadar, E., McAuliffe, F., Hanson, M., Ma, R.C., Gooden, R., Sheiner, E., Kapur, A., Divakar, H., Ayres-de-Campos, D., Hiersch, L., Poon, L.C., Kingdom, J., Romero, R. and Hod, M. (2021), FIGO (International Federation of Gynecology and Obstetrics) initiative on fetal growth: Best practice advice for screening, diagnosis, and management of fetal growth restriction. Int J Gynecol Obstet, 152: 3-57. https://doi.org/10.1002/ijgo.13522

American College of Obstetricians and Gynecologists. Fetal growth restriction. Practice Bulletin No.227. Washington, DC: ACOG; 2021

Cunningham FG, Lenovo KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM et al. Williams Obstetrics. 26th ed. New Delhi: McGraw Hill Education (India); 2022.

Dutta DC. DC Dutta’s Textbook of Obstetrics. 9th ed. New Delhi: Jaypee Brothers Medical Publishers; 2019.

Sushruta. Sushruta Samhita with Nibandhasangraha commentary by Dalhana. Edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Orientalia; 2019. Shareerasthana Chapter 4, Shloka 58.

Sushruta. Sushruta Samhita with Nibandhasangraha commentary by Dalhana. Edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Orientalia; 2019. Shareerasthana Chapter 10, shloka 58.

Tiwari P. Textbook of Prasuti Tantra. 2nd ed. Varanasi: Chaukhamba Vishvabharati; 2011. Garbhavyapad; p.359 - 361.

Sushruta. Sushruta Samhita with Nibandhasangraha commentary by Dalhana. Edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Orientalia; 2019. Shareerasthana Chapter 4, Shloka 58.

Sushruta. Sushruta Samhita with Nibandhasangraha commentary by Dalhana. Edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Orientalia; 2019. Sutrasthana Chapter 21, shloka 5.

Sushruta. Sushruta Samhita with Nibandhasangraha commentary by Dalhana. Edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Orientalia; 2019. Shareerasthana Chapter 3, shloka 31.

Singh R. Asparagus racemosus: a review on its phytochemical and therapeutic potential. Nat Prod Res. 2016 Sep;30(17):1896-908. doi: 10.1080/14786419.2015.1092148. Epub 2015 Oct 13. PMID: 26463825.

Sharma, Komal & Bhatnagar, Maheep. (2011). Asparagus racemosus (Shatavari): A Versatile Female Tonic. International Journal of Pharmaceutical & Biological Archives. 2. 855-863.

Maurya Bhavnaet al. Validation of classical pharmacology of Sida cordifolia Linn. (Bala)ISSN: 2456-3110 Maurya Bhavna, Mishra H.S., Agarwal Ajay Kumar. Validation of classical pharmacology of Sida cordifolia Linn. (Bala) through reverse pharmacology. J Ayurveda Integr Med Sci 2024;2:204-212.http://dx.doi.org/10.21760/jaims.9.2.32

Dwivedi S, Chopra D. Revisiting Terminalia arjuna - An Ancient Cardiovascular Drug. J Tradit Complement Med. 2014 Oct;4(4):224-31. doi: 10.4103/2225-4110.139103. PMID: 25379463; PMCID: PMC4220499.

Amalraj A, Gopi S. Medicinal properties of Terminalia arjuna (Roxb.) Wight & Arn.: A review. J Tradit Complement Med. 2016 Mar 20;7(1):65-78. doi: 10.1016/j.jtcme.2016.02.003. PMID: 28053890; PMCID: PMC5198828.

Govinda Das Sen. Bhaishajya Ratnavali with Siddhipradha Hindi translation by Prof. Siddhinandan Mishra. Varanasi: Chaukhamba Surabharati Prakashana; 2016. Chapter 12, shloka 30.

Yadav V, Duvey B, Sharma S, Devi B. Amla (Emblica officinalis) - Medicinal food and pharmacological activity. Int J Pharm Chem Sci. 2014;3:616–9.

Deshmukh A, Usha D. In vitro Effect of Tinospora cordifolia on PMN Function Update Ayurveda-94, Bombay, India; 24th-26th February. 1994:63.

Khandelwal DA, Donga SB, Dei L. Clinical efficacy of Punarnava Mandura and Dhatri Lauha in the management of Garbhini Pandu (anemia in pregnancy). Ayu. 2015 Oct-Dec;36(4):397-403. doi: 10.4103/0974-8520.190700. PMID: 27833367; PMCID: PMC5041387.

Charaka. Charaka Samhita with Vidyotini Hindi Commentary by Pt. Shastri KN, Dr. Chaturvedi GN. Varanasi: Chaukhamba Bharati Academy; 2020. Chikistasthana Chapter 8, shloka 111-113.

Patil SF, Shetty S, Tejaswi PS. Pharmaceutico-Analytical Assessment of Jeevanthyadi ghrita - A Polyherbal Ayurveda Formulation and its Potential Benefits. Pharmacog Res. 2023;15(3):591-600.

Yogaratnakara. Yogaratnakara with Vidyotini Hindi Commentary by Vd. Shrilaxmipatishashri. Varanasi. Chaukhamba Prakashana.2010. Jwaradhikara, Shloka 211.

Syama Maniyankutty & Aswathi R S: Effect of Laghu Malini Vasanta Rasa In Pregnancy – A Review Study. International Ayurvedic Medical Journal {online} 2021 {cited February, 2021.

Additional Files

Published

2025-06-19

How to Cite

Salimani, R., Gayakawad, J. ., Moon, M., & Naik, S. (2025). Fetal Growth Restriction: Ayurveda Treatment for Optimizing Fetal Growth – A Case Report. Journal of Ayurveda and Holistic Medicine (JAHM), 13(5), 161-167. https://doi.org/10.70066/jahm.v13i5.1782

Issue

Vol. 13 No. 5 (2025): Journal of Ayurveda and Holistic Medicine (JAHM)

Section

Case Report

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Copyright (c) 2025 Dr Reshma Salimani, Dr Jyoti , Dr Moon, Dr Shashidhar A Naik

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