GARBHINI MADHUMEHA AND ITS MANAGEMENT W.R.T GDM - A CONCEPTUAL STUDY
Dr. Manisha Gupta*, Dr. Suman Kumari, Dr. Ramesh M.
Diabetes anomalously impact on pregnant women through the threats its poses to maternal and fetal health. In Bhaisajya Ratnawali, it is mentioned that excessive use of atimadhura, atiguru, paryushita ahara & atibhojna will lead to ojomeha in garbhini. Acharyas have advised brumhana for garbhini and indicated hrudya, drava, madhura, snigdha aahara for her. All these increases kapha dosha which is also the main responsible dosha for madhumeha. Dushit kapha leads to dushti of dhatus and updhatus resulting in maternal and fetal complications. So, if garbhini takes kapha vardhak aahara vihaar other than indicated or prakriti virudh aahaar she may be diseased by madhumeha. The pregnant women should be treated just like a pot filled with oil, as slightest oscillation of such pot causes spilling of oil, similarly slightest excitement to the pregnant woman can initiate abortion. Acharya kashyapa has mentioned that physical & psychological disorders of a garbhini are similar to any other individual due to similarity in dosha and dushya, but their treatment differ in Garhbini. At the same time they contraindicated Atitrapana and Guru Ahaara to her. Her Dooshit Kapha lead to Dushti of Dhatus and Updhatus resulting in fetal complications. It can be prevented by screening them for their Prakriti and managed if diseased Garbhini madhumeha by Samshaman Chikitsa after studying their constitution and Dosh Dushya Dushti. Diabetes in a pregnant mother can either be a pre-existing or GDM. “Gestational diabetes mellitus” is defined as carbohydrate intolerance with onset or first recognition during present pregnancy. GDM usually presents late in the second or during the third trimester.[Full Text Article]