Line 112: |
Line 112: |
| === '''गर्भिणीपतिधर्माः ॥''' Duties of the Husband === | | === '''गर्भिणीपतिधर्माः ॥''' Duties of the Husband === |
| The first and foremost duty of the husband was to fulfil the wishes of his pregnant wife. <blockquote>गर्भिणीवाञ्छितं द्रव्यं तस्यै दद्याद्यथोचितम् । सूते चिरायुषं पुत्रमन्यथा दोषमर्हति इति ॥ (Sams. Ratn. 2.2)<ref name=":0" /></blockquote>According to Yajnavalkya, <blockquote>दौहृदस्याप्रदानेन गर्भो दोषं अवाप्नुयात् । वैरूप्यं मरणं वापि तस्मात्कार्यं प्रियं स्त्रियाः । । ३.७९ । (Yajn. Smrt. 3.76)<ref>Yajnavalkya Smrti ([https://sa.wikisource.org/wiki/%E0%A4%AF%E0%A4%BE%E0%A4%9C%E0%A5%8D%E0%A4%9E%E0%A4%B5%E0%A4%B2%E0%A5%8D%E0%A4%95%E0%A5%8D%E0%A4%AF%E0%A4%B8%E0%A5%8D%E0%A4%AE%E0%A5%83%E0%A4%A4%E0%A4%BF%E0%A4%83/%E0%A4%AA%E0%A5%8D%E0%A4%B0%E0%A4%BE%E0%A4%AF%E0%A4%B6%E0%A5%8D%E0%A4%9A%E0%A4%BF%E0%A4%A4%E0%A5%8D%E0%A4%A4%E0%A4%BE%E0%A4%A7%E0%A5%8D%E0%A4%AF%E0%A4%BE%E0%A4%AF%E0%A4%83/%E0%A4%AF%E0%A4%A4%E0%A4%BF%E0%A4%A7%E0%A4%B0%E0%A5%8D%E0%A4%AE%E0%A4%AA%E0%A5%8D%E0%A4%B0%E0%A4%95%E0%A4%B0%E0%A4%A3%E0%A4%AE%E0%A5%8D Adhyaya 3 Prayaschitta])</ref></blockquote>By not meeting the wishes of a pregnant woman, foetus becomes unhealthy ; it is either deformed or miscarried. Therefore, one should do as desired by her.<ref name=":13" /> As per Kalavidhi text,<blockquote>क्षौरं शवानुगमनं नखकृन्तनं च युद्धं च वास्तुकरणं त्वतिदूरयानम् ।उद्वाहमौ(औ)पनयनं जलधेर्वगाह आयुष्क्षयो भवति गर्भिणिकापतीनाम् इति ॥</blockquote>The husband after the sixth month of her pregnancy, should avoid cropping hair and nails, going in a funeral procession, participating in a war, building a new house, going abroad, marriage or Upanayana in the family, and bathing in the sea, as it would shorten the life of the husband of a pregnant woman.”<ref name=":13" /> | | The first and foremost duty of the husband was to fulfil the wishes of his pregnant wife. <blockquote>गर्भिणीवाञ्छितं द्रव्यं तस्यै दद्याद्यथोचितम् । सूते चिरायुषं पुत्रमन्यथा दोषमर्हति इति ॥ (Sams. Ratn. 2.2)<ref name=":0" /></blockquote>According to Yajnavalkya, <blockquote>दौहृदस्याप्रदानेन गर्भो दोषं अवाप्नुयात् । वैरूप्यं मरणं वापि तस्मात्कार्यं प्रियं स्त्रियाः । । ३.७९ । (Yajn. Smrt. 3.76)<ref>Yajnavalkya Smrti ([https://sa.wikisource.org/wiki/%E0%A4%AF%E0%A4%BE%E0%A4%9C%E0%A5%8D%E0%A4%9E%E0%A4%B5%E0%A4%B2%E0%A5%8D%E0%A4%95%E0%A5%8D%E0%A4%AF%E0%A4%B8%E0%A5%8D%E0%A4%AE%E0%A5%83%E0%A4%A4%E0%A4%BF%E0%A4%83/%E0%A4%AA%E0%A5%8D%E0%A4%B0%E0%A4%BE%E0%A4%AF%E0%A4%B6%E0%A5%8D%E0%A4%9A%E0%A4%BF%E0%A4%A4%E0%A5%8D%E0%A4%A4%E0%A4%BE%E0%A4%A7%E0%A5%8D%E0%A4%AF%E0%A4%BE%E0%A4%AF%E0%A4%83/%E0%A4%AF%E0%A4%A4%E0%A4%BF%E0%A4%A7%E0%A4%B0%E0%A5%8D%E0%A4%AE%E0%A4%AA%E0%A5%8D%E0%A4%B0%E0%A4%95%E0%A4%B0%E0%A4%A3%E0%A4%AE%E0%A5%8D Adhyaya 3 Prayaschitta])</ref></blockquote>By not meeting the wishes of a pregnant woman, foetus becomes unhealthy ; it is either deformed or miscarried. Therefore, one should do as desired by her.<ref name=":13" /> As per Kalavidhi text,<blockquote>क्षौरं शवानुगमनं नखकृन्तनं च युद्धं च वास्तुकरणं त्वतिदूरयानम् ।उद्वाहमौ(औ)पनयनं जलधेर्वगाह आयुष्क्षयो भवति गर्भिणिकापतीनाम् इति ॥</blockquote>The husband after the sixth month of her pregnancy, should avoid cropping hair and nails, going in a funeral procession, participating in a war, building a new house, going abroad, marriage or Upanayana in the family, and bathing in the sea, as it would shorten the life of the husband of a pregnant woman.”<ref name=":13" /> |
| + | |
| + | == Garbhini paricharya according to Ayurveda (Pre-natal regime) == |
| + | Ayurveda scholars have proposed a nine monthly diet plan and a specific month-wise regime for an expectant mother which is known as Garbhini paricharya. It is based on the growth of the fetus in the womb and at the same time ensures health of the mother at that stage of pregnancy and also future. Therefore garbhini paricharya refers to the pre-natal care suggested by Ayurveda. |
| + | |
| + | The conceived woman is advised to be treated with special care just like a pot filled with oil. As the slightest oscillation of such a pot causes spilling of the oil, similarly the slightest exertions or excitements to the pregnant woman can initiate adverse pregnancy outcomes.<ref>Charaka Samhita (Sharirasthanam Adhyaya 8 Sutra 22)</ref> Therefore utmost care of the pregnant woman is to be taken. |
| + | |
| + | === (TBE) Diet of a pregnant woman === |
| + | The diet (ahara) consumed by the pregnant woman gets transformed into the nutrient fluid (rasa) which is having a threefold action: |
| + | |
| + | a) Nourishing the body elements of the mother |
| + | |
| + | b) Providing nourishment to the growing fetus |
| + | |
| + | c) Helping the formation of breast milk. [Cha. Sa. Sharira Sthana 6/23] |
| + | |
| + | Whatever the diet consumed by the pregnant woman becomes congenial to the fetus. So, diet of a pregnant woman should be designed considering the place of living, time, season and digestive capacity. [Ka. Sa. Sutra Sthana 18/24,25] |
| + | {| class="wikitable" |
| + | !Month |
| + | !Dietary regimen |
| + | |- |
| + | |'''1st Month''' |
| + | |•Milk frequently in desired quantity (considering the digestive power and strength)* |
| + | •Sweet, cold and liquid diet** |
| + | |
| + | •Clarified butter extracted from the milk and medicated with Desmodium gangeticum (shaliparni) and Butea monosperma(palasha) along with water processed with gold or silver (boiled and cooled water)*** |
| + | |
| + | •Glycyrrhiza glabra(madhuyashti), Grewia asiatica(parushaka) and Madhuka indica(madhukapushpa) with butter and honey, sweetened milk ## |
| + | |- |
| + | |'''2nd month''' |
| + | |•Milk medicated with sweet (madhura)herbs* |
| + | •Sweet, cold and liquid diet** |
| + | |
| + | •Sweetened milk with Lilium polyphyllum(kakoli )## |
| + | |- |
| + | |'''3rd month''' |
| + | |•Milk with honey and ghee* |
| + | •Cooked rice of Shashtika variety along with milk.** |
| + | |
| + | •Mixture of cooked rice and pulse(krisara)## |
| + | |- |
| + | |'''4th month''' |
| + | |•Milk with 12 gm(one aksha) of butter.* |
| + | •Cooked rice (shashtika)with curd** |
| + | |
| + | •dainty and pleasant food mixed with milk/ butter/ meat of wild animals** |
| + | |- |
| + | |'''5th Month''' |
| + | |•Ghee prepared with butter extracted from milk.* |
| + | •Cooked rice (shashtika) with milk, ghee and meat of wild animals** |
| + | |
| + | •Rice gruel(yavagu)# |
| + | |
| + | •Rice cooked with milk and sweetened(payasa)## |
| + | |- |
| + | |'''6th Month''' |
| + | |•Ghee prepared from milk (ksheerasarpi) medicated with the herbs of madhura group* |
| + | •Ghee or rice gruel medicated with Tribulus terrestris(gokshura).** |
| + | |
| + | •Sweetened curd## |
| + | |- |
| + | |'''7th month''' |
| + | |•Ghee prepared from milk (ksheerasarpi)medicated with the herbs of madhura group* |
| + | •Ghee medicated with prithakparnyadi (vidarigandhadi) group of herbs** |
| + | |
| + | •A sweet dish called Gritakhanda.## |
| + | |- |
| + | |'''8th month''' |
| + | |•Rice gruel prepared with milk and mixed with ghee.* |
| + | •Unctuous gruels and meat soup of wild animals.** |
| + | |
| + | •A kind of sweet preparation called Gritapooraka.## |
| + | |- |
| + | |'''9th month''' |
| + | |•Meat soup with cooked rice and fat (preferably ghee), rice gruel mixed with large quantity of fat.*** |
| + | •Different types of cereals.## |
| + | |} |
| + | |
| + | === Contra indications during pregnancy (garbhopaghatakara bhava) === |
| + | |
| + | === Diet to be avoided === |
| + | |
| + | * Excessive heavy to digest, hot and pungent substances [Cha .Sa. Sharira Sthana 4/18] |
| + | |
| + | * Intoxicating substances like wine[Cha .Sa.Sharira Sthana 4/18] |
| + | |
| + | * Excessive use of meat[Cha.Sa. Sharira Sthana4/18] |
| + | |
| + | * Dried up, stale, putrefied and wet food. [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Those diet which obstructs body channels (vishtambhi) .[A.Hr.Sharira Sthana 1/44] |
| + | |
| + | * Polluted and incompatible food[Y.R. Ksheeradosha Chikitsa] |
| + | |
| + | * Pulses, edibles producing burning sensation (in abdomen), heavy or sour substances, edible tuber called surana, hot milk, garlic and onion.[Ha. Sa. Tritiya Sthana 49] |
| + | |
| + | === Activities to be avoided === |
| + | |
| + | * Harsh or violent activities [Cha.Sa. Sharira Sthana 4/18] |
| + | |
| + | * Ride over vehicle running on uneven path [Cha.Sa. Sharira Sthana 4/18] |
| + | |
| + | * Coitus [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Exercise [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Sleeping in day time [Su.Sa.Sharira Sthana 10/3] |
| + | |
| + | * Awakening in night [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Squatting posture of sitting(utkatakasanam) [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Suppression of natural urges [Su.Sa. Sharira Sthana 10/3] |
| + | |
| + | * Prolonged stay in hot sun or near fire[A.S. Sharira Sthana 2/60] |
| + | |
| + | * Fasting [A.S. Sharira Sthana 2/60] |
| + | |
| + | * Lifting heavy weight [A.Hr. Sharira Sthana 1/44] |
| + | |
| + | * Eating clay[Ha. Sa. Tritiya Sthana 49] |
| + | |
| + | === Amulet for pregnant woman === |
| + | |
| + | * The pregnant woman is advised to wear amulet made of Operculina turpethum (trivrit ) in her waist during pregnancy. After delivery she is advised to wear it over her head. [Ka.Sa. Khila Sthana 10/181] |
| + | |
| + | * For prevention of abortion, intrauterine death of fetus, premature delivery etc. a protection band (varana bandha) is also recommended which is to be done before 8th month. A special spiritual strategy called ‘matangi vidya” is recommended for such rituals by acharya Kashyapa. [Ka. Sa. Kalpa Sthana 6/80] |
| + | |
| + | In current clinical settings, these practices are not followed. However, the scientific studies on these practices may provide newer insights in preventive antenatal care. |
| + | |
| + | == Social dimensions of prenatal care == |
| + | The pregnant woman shall be well behaved with everyone. Respecting and treating the elders, priests etc. in good manner is recommended. [Su. Sa. Sharira Sthana 10/3], [ Ka. Sa. Sharira Sthana 5/15]. |
| + | |
| + | '''Behavior of husband and attendants:''' |
| + | |
| + | Affectionate and gentle behavior of husband and servants towards the pregnant woman helps in maintaining the healthy status of pregnancy. She should be pleased with things of her desire and those which are wholesome. [A. Hr. Sharira Sthana 1/43] |
| + | |
| + | '''Room settings:''' |
| + | |
| + | Her sleeping and sitting place should be covered with soft cushion or mattress. They should not be very high and should possess elevated upper portion for head rest to make it perfect and very comfortable. [Su. Sa. Sharira Sthana 10/3] |
| + | |
| + | The abode should be fumigated with fragrant drugs and it should be free from insects like mosquito etc. Vedic hymns should be recited by the people well versed in it and vocal and instrumental music should be played by the musicians. [Ka.Sa. Sharira Sthana 5/14] |
| + | |
| + | Effect of music on maternal psychology and fetal well being is a well explored area of research. |
| | | |
| == The Medical Basis == | | == The Medical Basis == |