Abstract

Dr. Shilpa J.*, Dr. Anupama V. and Dr. Papiya Jana

ABSTRACT

Prasramsini yoni vyapad or Second degree uterine prolapse in Garbhini is uncommon. Prasramsini yoni vyapad, a pittaja yonivyapad presents with syandhana and kshobhana of yoni. This can be compared to second degree uterine prolapse, where the cervix slips down to the level of introitus. This occurs due to the weakness of the supporting ligaments and muscles of pelvic floor, which is not able to support the pelvic organs. The condition may first manifest during pregnancy or may pre exist. The main risks for pregnant women with POP are preterm labour, urinary retention, urinary infection, sepsis, cervical laceration, uterine rupture and even maternal death. High parity is one of the strongest risk factor for POP development. Prasramsini yoni vyapad in Garbhini is not mentioned in classics. According to Acharya Susrutha, Vesavara is the treatment mentioned for Prasramsini Yoni vyapad,[4] here is an attempt made to treat Garbhini with the same. A Garbhini who is in her eighth month came with the complaint of mass protruding per vagina post micturition and defecation along with intermittent lower abdominal pain was managed by Yoni prakshalana with Panchvalakala kwatha, yoni abhyanga with Dhanvantaram taila,[5] Ksheera sweda and then Veshavara bandha. Internal medications were also given. The patient got relieved of symptoms and also it improved her quality of life.