ROLE OF KSHEERBASTI IN ASYMMETRICAL INTRAUTERINE GROWTH RESTRICTION: A CONCEPTUAL STUDY

Asymmetrical Intrauterine Growth Restriction (IUGR) refers to a form of fetal growth restriction where the fetus exhibits disproportionate growth, characterized by a normal or near-normal head circumference and a relatively smaller abdominal circumference. This type of IUGR is most commonly seen later in pregnancy, typically after 28 weeks of gestation. Although there are many causes but is mainly associated with placental insufficiency, which restricts the fetus's ability to obtain adequate nutrients and oxygen. In response, the fetus enters a state of "fetal adaptive growth," where essential organs like the brain are supplied with nutrients at the expense of non-essential tissues, contributing to the asymmetric growth pattern. In ayurvedic context, asymmetrical IUGR can be very well correlated with Garbhashosha. Ksheera Basti mentioned in Sushrut Samhita for Garbhakshaya can be considered as an effective management option in Asymmetrical IUGR.