Clinical Evaluation of Kebuka oil in the Management of Cervical Dystocia
Sipika Swati, Prateek Agarwal and Neelam
Journal Title:International Journal of Ayurveda and Pharmaceutical Chemistry
Labour (Childbirth, Delivery, Parturition, Confinement etc.) is a physiologic process during which the products of conception (i.e., the fetus, membranes, umbilical cord and placenta) are expelled outside of the uterus. This is achieved with changes in the biochemical connective tissue and with gradual effacement and dilatation of the uterine cervix as a result of rhythmic uterine contractions of sufficient frequency, intensity and duration. In cervical dystocia,cervix fails to dilate. Cervical dystocia if not diagnosed and treated can lead to maternal/fetal morbidity and even the mother’s mortality. According to Ayurveda, the whole process of Prasava is completely based on Prasuti Maruta or Apana Vayu. It has got precise role in stimulation, regulation of myometrial contractions and expulsion of fetus in normal labour. Kebuka (Costus speciosus) due to its tikta – kashaya property, aggravates vata. Kebuka acts through its garbhashaya sankochak prabhava. It helps in easy delivery because one of the most common cause of garbhasanga (cervical dystocia) is inadequate uterine contraction. Kebuka rhizomes are rich in diosgenin starch, which is hygroscopic in nature, due to which it absorbs water and soften the cervix. This study has revealed a highly significant effect of Kebuka taila in cases of cervical dystocia. In this study only functional cervical dystocia has been included in which increase in uterine contraction gives positive results.