Effect of Bala Taila Matra Basti and Yoni Pichu in the ninth month of pregnancy on facilitating normal vaginal delivery: A Case series

Abstract

Background: Global Caesarean section rates are rising with concerns of overuse in pregnancies. Ayurveda recommends Garbhini Paricharya [Antenatal Care] with Matra Basti[Oil Enema] and Yoni Pichu[Vaginal Tamponing] with Bala Taila in the ninth month of pregnancy to ensure natural delivery. Objective: To evaluate the effect of Matra Basti and Yoni Pichu with Bala Taila in Primigravida on cervical changes, progress of labor, and delivery outcomes. Methods: A Prospective case series was done with four primigravida females (aged 18-35 years) with single live intrauterine gestation > 36 weeks, and willing to participate with written informed consent. All patients received MatraBasti (60ml) and Yoni Pichu (30ml) with Bala Taila for seven days under aseptic conditions on OPD basis. Routine antenatal checkups monitored maternal vitals, obstetric examination, fetal heart monitoring. After 7 days basti, assessment was done when natural labor started. At admission Modified Bishop’s score, Cervical changes, Duration of labor stages and delivery outcomes (APGAR score at birth, 5min and 10 min) documented. Results: All demonstrated positive cervical ripening with elevated Bishop’s scores. The initial phase of labor extended to 9 hours, whereas subsequent phase lasted for 7-12 minutes. Participants underwent uncomplicated normal vaginal deliveries. Third stage was uneventful with placental delivered within 5-7 minutes. Neonatal results were favorable, with birth weight between 2740 and 3102 grams and good APGAR scores. Conclusion: Matra Basti and Yoni Pichu with the use of Bala Taila appears effective in cervical ripening, improving labor progress, and inducing successful vaginal delivery.