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•WHY
MOTHER
AND
CHILD?
Maternal and child health care
Mother(15-44),child(5years) composes of
total 31.6% of total population.
• Specific objectives-
• Reduction-
mortality,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 ALLOPATHY
Intravenous.
• 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 • AGE
• HAEMORRHAGE • PARITY
• INFECTION • TOO CLOSE
• UNSAFE ABORTION PREGNANCY
• ANAEMIA • POVERTY/ILLITERA
CY/
• MALIGNANCY
• ACCIDENTS • SHORT OF HEIGHT
• POOR
COMMUNICATION
•PROBLEMS
COMING TO
THE MOTHER
STRESS AT ALL LEVELS
• 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 (PERCENT) REPORTED BY PUERPERAL WOMEN AFTER HOSPITAL
DISCHARGE
Morbidity 8 wks. 2-18 months
Tiredness 59 54
Breast problems 38 20
Anemia 25 7
Backache 24 20
Haemorrhoids 23 15
Headache 22 15
Depression 21 17
Constipation 20 7
Stitches broken down 16 -
Vaginal discharge 15 8
Others* 2-7 1-8
At least one of the above 87 76
*Others include abnormal bleeding, urinary incontinence, hypertension, urinary
HOMOEOPATHY
• CAN
• be an effective answer
• IF
• used routinely
• BEFORE
• complications set in
MINOR COMPLAIN IN
STARTING OF
PREGNANCY
Anorexia and strange
tastes-sulphur will
do the job
VOMITING ,NAUSEA
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 below-
• Arnica-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 them-
Coffea(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 neck-
puls(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-
• 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
• Trauma of surgery
• Uterine changes
• Lactation
Diseases during confinement
• 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
Dysgalactia-
Milk 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 knotted-
Bryo
• 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 prompt
management or referral.
A healthy new born is
the outcome of a
healthy pregnancy and
delivery system.
Care of the new born
1. Well supported delivery system.
2. Warmth.
3. Cleanliness.
4. Care of the umbilical stump (cord
care).
5. Care of the eyes.
6. 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
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 when-
sul,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
• Therapeutic Strategies
• Monitoring
DYNAMIC
ACTION