Management of Garbhini Udarshoola (Preterm Uterine Contractions) through Ayurveda: A Case Report

Abstract

Introduction: Premature contraction of the uterus is the very first sign of premature labor, 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 labor (between 20 and 37 weeks).  Objective: To evaluate the clinical efficacy of oral administration of Shwadanshtradi Yoga in the form of ksheerpaka (⁓boiling in milk as per standard Ayurvedic procedure) in the management of Garbhini Udarshoola (⁓Preterm Uterine Contractions). Materials and Methods: A 28-year-old Primigravida, with Period of Gestation 32+4 weeks by LMP, presented to out-patient department (OPD) at All India Institute of Ayurveda, Delhi on January 24th, 2024, complaining of pain and tightness of abdomen and pain in lower back since 3 days which was slowly aggravating. On examination, one mild uterine contraction of 35 seconds was found in 10 minutes. Shwadanshtradi Yoga, containing Shwadanshtra (Tribulus terrestris Linn.), Madhuk (Glycyrrhiza glabra Linn.), Draksha (Vitis vinifera Linn.), Mlana (Barleria prionitis Linn.), was prescribed orally in the form of ksheerpaka for a period of 7 days to see its uterine relaxant activity. Result: Shwadanshtradi Yoga Ksheerapaka is found to be very efficient in subsidence of premature contractions. Conclusion: The Yoga can be used as an effective alternative tocolytic medicine, thus in preventing untimely deliveries and significantly reducing the perinatal mortality and morbidity. No adverse effects were noted during the trial period.