HOMEOPATHY FOR HEALTHY MOTHER AND HAPPY CHILD

Dr. Surendra Singh Rajpoot
BHMS. (Govt. Homeopathic Medical College and Hospital Bhopal) Swastik Homeo. Clinic Shahpura Bhopal http://homeopathysoftware.blogspot.com

AYUSH INTERVENTIONS

•WHY

MOTHER AND CHILD?

Maternal and child health care
Mother(15-44),child(5years) composes of total 31.6% of total population.

• Specific objectives• Reductionmortality,morbidity(mother and child) • Reproductive health • Psychological level

PRAISEWORTHY INITIATIVE OF AYUSH!

• The CCRH in itself is not sufficient
alone. • The induction of the interns and the roster duty in the PHC with proper documentation forwarded time to time to AYUSH.

UTILIDATION OF HOM. DOCTOR
• Decay in traditions and low status; first • • • • • •
choice is allopathy Vaidyas and their practice continues No integration within ISM&H Copying institutions of allopathy- relevance Larger hospitals ignore ISM&H doctors Urban Outreach missing Growth of Yoga in private sector

COMPARISONS
HOMOEOPATHY
1.Make up 2.Expiry date 3.Dosage 4.Mode of action Herbal and natural Life long Atomic form Root cause

ALLOPATHY
Chemical Expires Milligrams. Grams. Effect on the Disease, Not Root cause.

5.Route

Tongue mucosa

Stomach/IM Intravenous.

6.Absorption

Within seconds

Mins /Hours

7.Duration of action 8.Efficacy

Long acting/days/months 100% Efficient Single dose cures also.

4-8 hrs only Recurrences

9.Way to cure

Through Immune system Boosts own defense Permanent

Directly on organisms Temporary

10.Drug Resistance

Nil No C/S.

Usually becomes C/S always required Lot of interactions

11.Drug interaction

Safe with any other medication, no interaction. usually not required Always, with one remedy Always Friendly single remedy

Multiple drugs 13.Constitutional 14.Holistic approach 15.Fetus/Newborn 16.Multiple problems

A must. Never Never Risky Multiple drugs

BUDGETARY COMPARISONS
• Drug cost per – Rs 6.35 is low! • Misuse and side effects of antibiotics. • Constraints: Supply, Dispensing, Variety, •
Complex production, Packing quality Relative priority for state bureaucrats & politicians in funds, image, numbers

WAY FORWARD
• • • •
Induction for doctors and teachers Supply drugs to suit poor patients Strong PSU given cost and quality problems Educational and research focus, clinical experience, Internship in PHC • Clinical documentation • Integrated ISM hospitals for region • Standardisation and Enforcement

MOTHER AND CHILD HEALTH CARE TAKEN AS ONE UNIT BECAUSE• During antenatal, fetus is part of mother • Child health is related to maternal health • Certain disease creep in up during

pregnancy. • After birth child is dependent on mother for (6-9 months). • Post partum care is inseparable from neonatal and family planning • Mother the first teacher.

Main troubles during pregnancy in developing countries.
Malnutrition Infection Consequences of unregulated fertility

•Malnutrition
Intra uterine life is important •Infection Foetal growth Retardation,LBW,abortion,pu erperal sepsis,TORCH •Uncontrolled reproduction Spacing of pregnancy

ANTENATAL CARE OBJECTIVES
• • • • • • • •
Maintain health of mother “High Risk” cases Foresee complications prevent them Anxiety of dread of death Decreased MMR and IMR Child care,nutrition,hygeine,sanitation Family planning Under five clinic

HIGH RISK GROUP ARECARE TAKEN AS IT IS RISKY
• • • • • • • • •
Elderly primigravida Short stature Mal presentation APH,Threatened Abortion Eclampsia,Anaemia Twins Stillbirth,IUD,Placenta(manual removal) H/o previous caesarean section. CVS,kidney,diabetes

The content of MCH can be moulded to the local tradition,cultures and environmental conditions.

DETEMINANTS OF MMR
• • • • • • •
TOXAEMIA HAEMORRHAGE INFECTION UNSAFE ABORTION ANAEMIA MALIGNANCY ACCIDENTS

• AGE • PARITY • TOO CLOSE

PREGNANCY • POVERTY/ILLITERA CY/ • SHORT OF HEIGHT • POOR COMMUNICATION

•PROBLEMS
COMING TO THE MOTHER

STRESS AT ALL LEVELS

• Protective self defense-mechanism
strained/ low • Increased susceptibility to outside influences

EXTERNAL INFLUENCES

• Exposure to cold • Change in temperature, diet • Infection with microbes • Disapointment • Sensitive remarks

REACTION OF MOTHER
• Overwhelmed • May feel unable to cope
with situation

COMPLICATING FACTORS
• • •
Anemia Predisposition To Diabetes Psychological Issues

RESULT
• Unbearable After Pains • Postnatal Depression • Fever • Breast Complications • Lactation problems • Haemorrhage • Thrombosis

Morbidity Tiredness

MORBIDITY (PERCENT) REPORTED BY PUERPERAL WOMEN AFTER HOSPITAL DISCHARGE

8 wks. 59 38 25 24 23 22 21 20 16 15 2-7 87

2-18 months

54 20 7 20 15 15 17 7 8 1-8 76

Breast problems Anemia Backache Haemorrhoids Headache Depression Constipation Stitches broken down Vaginal discharge Others* At least one of the above

*Others include abnormal bleeding, urinary incontinence, hypertension, urinary

HOMOEOPATHY
• be an effective answer • used routinely • complications set in • BEFORE • IF • CAN

MINOR COMPLAIN IN STARTING OF PREGNANCY

Anorexia and strange tastes-sulphur will do the job

VOMITING ,NAUSEA
• • • • •
Start with Nux Vom-if vomiting is in the morning Ipecacunha-continued vomiting If both fails then pulsatilla(evening and at night) Kreosotum- with sweetish water Cucurbita pepo –efficient in the above complaint according to allen. • In case where no other remedy seemed of any avail-2 glob of sulphur for 24 hrs.

ABDOMINAL COLIC

• Labour pain-spasmodic,distressing wants
to get away from them,tearing down the legs,press upward • Chamomilla- anguish,anger with the labour pain.

CONSTIPATION
• At end of pregnancy this complain
develops,some exercise,a change in diet,taking fresh water is helpful • Nux Vom –3 or 4 days-sulphur-Bryonia • Sepia is helpful(constipation,during pregnancy,pain in rectum,sense of weight in anus >stool. • Lyc ,alumina are much efficient

FAINTING FITS
• Fainting fits without any cause –
Ignatia(melancholy women,hysteric women) • If with that there is debilitating losses then the drug of Carbo Veg,China etc

PILES
• Habitual constipation causes the complain • Puls,is the drug repeated for every 4 or 6
days(#blind haemorrhoids0 • NV is the final choice,in coffee drinkers.

COMPLAINS DURING PREGNANCY
• Oedema- 6th or 7th pregnancy subsides • Dyspnoea – last month of pregnancy
-NV/ China- Flatulence, distention after eating • Cough - with spurting of urine- Caust, Aco. • Urinary - Retention of urine- N.V., Puls • Toothache - Try giving some keynote symptom remedy-useless to give a second dose of the remedy.

• Mental aspect- Sleeplessness, Convulsion, fear of death, • • • • • • • • •

moral emotion. Sleeplessness- Bell,Chamo. Fear of death- Moaning with apprehension of impending death Apprehension- lest some misfortune should happen to him. Apprehension of impending death Moral emotion – opium-immediately (effect of fright an fear) Bell- fright causes-Convulsion Grief- Ignatia(Ph. Acid,staph) Violent anger- Cham. Excessive and sudden joy- coffea

Hydrometra
• • • • • • • • •
Stout lady with sulphur Ars with swelling of legs,face and thigh China-loss of blood

Fleshy moles
Sulphur-promotes expulsion of moles Morning sickness Haemorrhoids Chapped nipples Phlegmasia alba dolens cantharis/cal carb -expulsion of fetus -milk fever

The favorable period of treating chronic diseases is during pregnancy as she becomes sensitive and exhausted.

Crosserio –has advised that sulphur for 6 weeks,after which dose of calc for 6 weeks under a strict homoeopathic diet and regimen.will bring you a happy child.

NOW COME TO THE MISCARRIAGE(efficiently preventable)

• Predisposing/exciting causes • Some beginners imagine that medicine

prevent miscarriage in any constitution as the repertories recommend,but the best way to treat is to investigate the patients,to cure her in all the constitutional troubles.

Hence the treatment of wholistic approach is applicable.

Drugs may be thought of -

• Calc-profuse,premature,excess

leucorrhoea,painfulness of breast,colic,frequent congestion • I -Threatened miscarriage(hering) • CAMPHOR-abortion during epidemic influenza,feeble constitution,catarrhal discharges,cold feeling • Sabina-3rd month of abortion,-prescribe –3glob. for 48hrs during the week preceding the period when the menses ought to have set in –this has to be repeated until after the time when the previous miscrriages took place.

• Sepia,Puls-chill aversion to drinking, • Inspite of these where we cannot avoid the • • • • •
abortion then few premonitory symptoms are treated as belowArnica-blow with flooding of blood Ipec-cutting colic,hemorrhage with nausea Sabina-precursory symptoms during the first month of pregnancy with shuddering. Cham-restlessness,anger. Secale cor-womb is not active,passive haemorrhage.

DURING LABOUR
• To induce pain-Puls,Coff,NV. • Puls-one month of • Sometimes the pain continue without any
development • During labour according to Herring, Puls. can change the wrong lie of the fetus position in the fetus • If the bag of waters has not descended then puls is the remedy

• All things are going on normal,but the pains
are too violent and the patients fancies that she cannot tolerate themCoffea(nervousness,restless,overs ensitive) Excessesive labour pain,too long continuation of after pain. Dread of death with anguish and terror,primiparae who are attacked -Aco

• •

DIFFICULT AND PROTRACTED LABOUR

• The faulty passage like CPD is surgical
one hence it should not be treated in homoeopathy • Falling or protrusion of the umbilical cord • The excessive tenderness of the vulva prevent the dilatation to facilitate -Coffea

The condition such as

• Rigid os,-Act.Rac. • Wrong position of the foetus –Puls • Foetus,resistance of the neckpuls(hering II) • Pain regular but the bag of water is not descending-Puls

• The head size of the fetus which is big –
Puls or Secale in small doses can lead to the natural expulsion of the fetus • JAHR Says that child with enormous Head have been succesfully managed by him-case-cal/sul/sil(in consequence) • Inspite of pain the head is not coming the cord is short Puls or secale at every contraction works

Absent Pain-depends on the Constitutional Weakness,transitory Causes such as Passion,contrarieties-

• Secale-feeble and cachetic women exhausted by • • • •

haemorrhage Puls-pain setting slowly with inactivity of the uterus Opium-pain cease suddenly due to fright robust women Puls-in spite of discharge of Amniotic Fluid no pain or slow pain Some time disagreeable person,strong odours should be removed after which the labour will resume its natural course

Fainting ,convulsion,(eclampsia,pre-ecampsia) danger sighn treated cautiously)

• Drugs like Cicuta,Cupr.Ars,Cham,Bell,Ver.Vir • Oenan.croc-<during pregnancy;puerperal • • • •

eclampsia Hyos-Spasm of pregnant women;puerperal mania Convulsion- 1)Aco,Coff,Cham 2)Ign.,Hyo,Stram Haemorrhage-3 glob.of Arn-every 30 min will remove danger Puls-suppression of haemorrhage and evacuation of the uterine cavities

Placental delivery (retained placenta,adhesion of the placenta)

• Puls/sec/platina/crocus/china/Ipe
c/sab • Crocus-black viscid,with movement of fetus here and there • Sab-characteristic labour pain with bright red blood

Perineum care

• Perineal rupture-the parts can be
bathed with tepid arnica water • Crosserio-advices the application of strong mother tincture of Arn,for 6 weeks,it will heal the complain perfectly

CHALLENGE BEFORE NEW MOTHER
• Physical exhaustion after pains & lochia • Trauma of surgery • Uterine changes • Realization of new life • Lactation

Diseases during confinement

• prolapsed or inversion of the
uterus-Drugs like that of NV,sepia,thuja,platina can be thought to be prescribed • After pain-Act Rac,coff,NV,Cham,

LOCHIA
• Scanty and suppressed,red and cold or emotion
caused suppression-Aco • Suppression followed by diarrhoea,colic,headache,toothache-cham • Excessive and the colour is red then drugs of excess mens. Should be given like-china,secale and if white then treated as excess leucorrhoea drugs like that of puls,sepia,sulphur • NV when the patient is indulged in coffee or alcoholic or heating beverages

Milk Fever-if the woman does not nurses

• With great thirst,intensive
headache-Aco, • Breast becoming too much distended with milk-Bryo • Cessation of fever milk still continues to fill the breast-Puls

Restoration of health after confinement

• No particular treatment is required-good diet
and regimen will return the strength • Flooding,excessive sweats-6glob. of china every 12 hrs • Falling of the hair prominent complaineffectively treated with sulph,Calc • Another inconvenience women suffer who have several children is an enlargement of the abdomen,vulgarly termed as pot-bellied motherstreated by sepia,colo

PUERPERAL FEVERS • Bell-bowels griped with claws or nails • Rhus-cerebral or typhoid symptoms-return
• •
of bloody lochia Cham-caused by anger or exposure of the body to cold Hyos-frightful visions or loss of consciousness,frequent discharge of blood,convulsion and spasm of in the throat

MENTAL DERANGEMENT DURING CONFINEMENT
• The patient becomes sad,sinister forebodings and
shows a good deal of restlessness without any appreciable cause. • The delirium complicated with furious mania,nymphomania where in other cases we observe a deep,taciturn melancholy these things may last for 1-6 months and may have frequent relapses. • Cause of derangement-cold,fright,domestic trouble or other unpleasantemotions,sudden weaning,suppressed lochia,milkysecretion

• This can be easily cured –Aco(fear of death) • Anguish with thoughts of suicide,weakness • •
of memory and intellect-Aurum M Restless and uneasy nights,fear of ghosts,fright with desire to escape or to hide herself,paroxysm of rage and fury. Nymphomania –plat,sulp(forgets the names and words),Stram (with obscene gestures),hyos(furor,loss of modesty,desire to uncover)

Milk leg(Phlegmasia alba dolens)

• Ham,bufo, • Phlebitis-puerperal-All.Cepa • Panaritia in child bed-All.Cepa • Milk leg caused due to
mechanical injury i.e. mechanical- Arnica

LACTATION
• The Homoeopathic regimen prescribed by
hahnemann in his Organon is more particularly applicable to nursing females. A mother who avoids salt and young meat strong spices sausage meat acids and heating substances herb-teas, drugs, except such as are necessary on given occasion, in one word, everything that might injure the body and spirit of the4 child, and who contents herself in the place of all this with plain and healthy nourishment, will have the satisfaction of raising a healthy and vigorous offspring.

• Agalactia-Agnus,cal,can,thyroidinum
Ricinus –increases the quantity of milk in nursing women DysgalactiaMilk too serous not sufficiently nutritious-China/Merc Milk coagulates easily-Borax Child refuses to take milk without any appreciable cause-Cina,silicea Milk turns sour readily-Puls If the child vomits during nursing-Aethuja,silica Galactorrhoea-involuntary flow of milk-Puls,calc due to this complaint mammae swells,becomes knottedBryo

• Diseases of nipples-rat,graph,silicea

CARING OF NEONATES & INFANTS:
THE HOMOEOPATHIC WAY

Infant & Neonatal Care
1. Care of new born at birth. 2. Nutritional support. 3. Monitoring of growth & development. 4. Day to day care of minor ailments. 5. Early identification of serious
problems followed by management or referral.

prompt

A healthy new born is the outcome of a healthy pregnancy and delivery system.

Care of the new born
1. 2. 3. 4. 5. 6.
Well supported delivery system. Warmth. Cleanliness. Care of the umbilical stump (cord care). Care of the eyes. Congenital anomalies – rule out.

• Low birth rate babies need special

care. • Breast milk is the best nutrition for LBW babies. • In absence of breast milk they may be provided humanized cow’s / buffalo’s milk.

• Monitoring of growth & development

is essential for early identification of failure to thrive. • A baby doubles its weight by 6 months & triples by 1 year. • A standard growth chart as recommended by the Indian Academy of Pediatrics may be used for this purpose.

Prevention of diseases

1.Cleanliness. 2.Immunization. 3.Educating parents and
personnel.

Additional advantage of Homoeopathy

• Treatment of the mother – considering • •
miasmatic point of view. Enables the child from developing subsequent illness of infancy. Miasm concept is a unique scientific concept where Master Hahnemann in his time tried to explain genetics, genetic pathology and integrated the relationship.

Homoeopathy in child health

• Responsibility of the parents to

give birth of healthy,stout and disease free child(unless are cured) • Disease parents transmit hereditary disease dyscrasia to their offspring and the child is born with disease

Unregulated reproduction • Short interval of pregnancy causes
weakness and malnutrition of the mother hence the spacing of the birth i.e. the birth control is very much important • Malnutrition of the mother is important cause until this is checked the child will be LBW

Diet of the baby
• The mothers milk is more important

•Breast milk is the
best milk.
• Suitable substitute is important after weaning
and the suitable substitute.

• Accessory circumstances the social
environment the adjacent substances. • The mental happiness is necessary the balance of the body and mind may suffer from various ailments • Child psychology-failing to this the child may not be able to adjust with the society inspite of sound health

Surrounding environmental condition influences on-

ANTIMIASMATIC TREATMENT
• The Antimiasmatic treatment should be given to
the newly married couples from Hom.units:I believe many genetic diseases may be easily prevented or modified. • This treatment of miasm prevents the genetic diseases.(maximum diseases of the newborn aare genetic and impossible to treat in any system) • Hence free of miasmatic states free from genetic diseases and thus healthy child. • The turner syndrome 45xo is commonest abortus,it can be prevented by proper treatment.

• Maternity centres-latent miasmatic
condition of the mother becomes manifested during pregnancy and according to the symptoms the selection of AMT is much much feasible. • But the vague treatment may cause abortion

• Homoeopathy prevents toxemia and the • • •
child is free from conjunctivitis,convulsion,diarrhoea Parents are advised not to take excessive care or lack of care,excessive intake causes diarrhoea,breast milk prevents rickets, prolonged feeding causes infantile cirrhosis, hot or cold exposure also gives birth to many complaints

• Saving the child from infection • Child lack antibodies to prevent
specific infection,hom constitutional medicines deals with general immunity of the babies combats the infection of diseases of moderate severity,eghahnemannn prevented the scarlet fever,at konningsluter • Immunization-take the trends and recording of the statistical data.

COMMON AILMENTS
• • • • • •

• Apoplectic condition-mostly due to painful

labour-Aco,10-15 min,no improvement then antim.tart Asphyxia-muscular movements are wanting,china-antim t-lach Cyanosis-sulph,calc.digitalis Icterus- aco,antim t.,lupulus Ecchymosis and swelling of the head-arnica water,-Rhus- silicea Swelling of the breast-arnica,Red-Bell,supp-merc Umbilical hernia-NV/sulph not better in 6 months coccu.

• Stoppage of nose-NV/Samb • Asthma-ipecac,samb • Sleeplessness-coffea,ran bu • Crying with anger-Aco,cham • Crying with convulsion-Cham • Crying with fright-opium,ignatia • With crying the children are
furious,kicks-AntimT • Colic –cham,specific remedy

GASTRO INTESTINAL TROUBLE INCLUDING DENTITIONAL

a) Recurrent diarrhea, b) Constipation, c)Tendency of regurgitation of milk

• • • • • • • • • •

DIARRHOEA-Ipecac,chamo,dulc,bryo, Constipation-NV-if fails then opium,then sulph or alum Prolapsed-ignatia/NV Retention of urine-Aco Erysipelas-fatal then bellthenrhus Rash-ferver dry-aco with diarrhoea-ipecac with constipation-bryo Apthoe-sulph acid/merc/borax Convulsion-slight massage of camphor below trhe nose and above the upper lip Ignatia without any cause Bell-loss of consciousness Ipecac-children with oppression of the chest Opium-after fright The presence of worms leads to convulsion whensul,cina

DISEASES ASSOCIATED IN CHRONIC TROUBLES • Large head-calc,merc • Retardation in the closure of the fontanelle-sul,cal,silica • Deviation of spine-/muscular debility-pinus syl • Abdominal derangement-cal,

SKIN TROUBLES INCLUDING

• Cradle crab • Atopic dermatitis • Urticaria
• Erysipelas-fatal then bell and then Rhus • Rash-fever dry-aco
with diarrhoea-ipecac

Respiratory Tract Allergic Problems
a Hazard of Modern Life Style

• Allergic rhinitis • Sinusitis • Chronic pharyngitis • Tonsillitis • Asthma

SUSCEPTIBILITY TO COLD & COUGH AND DENTITION TROUBLES

Effective constitutional remedies – • Cal phos • Cal carb • Tuberculinum

CHILDHOOD ASTHMA

• Effective constitutional remedies – • Bryonia • Spongia • Bacillinum • Calcarea group • Kali groups

GENERAL PROTOCOL

• Orientation and Education camp
1. 2. 3. 4. Govt. officials; Block Development Officers; Teachers Parents Students

• Survey & Data collection process • Diagnostic & Case taking camps • Role of TEAM & Networking

RELEVANT ISSUES OF HOMOEOPATHIC TREATMENT
• Rural children exhibit a “Virgin • • • • •
susceptibility” which is advantageous for Homoeopathy. Tribal & Rural folk resistant to the Homoeopathic line of treatment as they were used to colourful tablets, Syrups & injections. But the “Sweetness of the pills” quickly became very popular among the children. Ease of administration in children made it very popular among the parents too. People are unaware of the scope and limitation of homoeopathy. Hence orientation & education was an

HOMOEOPATHIC STRATEGY
• Documentation on Standardized case records • Therapeutic Strategies • Monitoring • Follow up & Evaluation Plans • Aid Kit

Role of Constitutional Medicines:
DYNAMIC ACTION
IMPROVES IMMUNITY UPGRADES NOURISHMENT HEALTHY GROWTH & DEVELOPMENT

THANKS A LOT FOR PATIENCE EARS!

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