Garbha Vyapad - Fetal Pathologies

Syllabus – subtopics

1. aGarbha Srava, Garbha Pata - Nidana, Samprapti, Lakshana, Chikitsa
2. bAbortion, Medical Termination of Pregnancy Act (MTP Act)
3. cGarbha Vyapad – Nidana, Samprapti, Lakshana, Chikitsa
4. dIntrauterine Growth Restriction, Oligohydramnios, Polyhydramnios—Etiological factors, Clinical features, Management
5. eRh incompatibility, ectopic pregnancy, gestational trophoblastic disease
6. fAntarmruta Garbha – Nidana, Samprapti, Lakshana, Chikitsa
7. gIntrauterine Fetal Demise—Etiological factors, Clinical features, Management
8. hRaktagulma—Nidana, Lakshana, Chiktisa

Learning objectives

At the end of this topic the student should be able to… (NCISM Table 3)

• Define Garbha Srava and Garbha Pata. Explain Nidana, Samprapti, Lakshana, and Chikitsa.
• Define Abortion and describe classification with aetiological
• factors, clinical features, and investigations with medical and surgical management. ,L&PPT ,CD,CB L LAQ,P-CA SE,VV- Viva,CBA
• Demonstrate Dilatation & Curettage (D & C), Provisions of MTP act.Demonstrate cervical encirclage procedure (McDonald and Shirodkar procedure)
• Elaborate Nidana, Samprapti, Lakshana and Chikitsa of Garbha Vyapad - Upavishtaka Nagodara, Linagarbha, Makkala, Jarayu dosha.
• Define Intra Uterine Growth Restriction (IUGR). Enumerate aetiological factors, classification, clinical diagnosis, investigations & management.
• Identify and explain etiology, clinical diagnosis, investigations & management of Intra Uterine Growth Restriction, Oligohydramnios and Polyhydramnios.
• Describe Gestational Trophoblastic diseases and Rh incompatibility - pathophysiology and prevention.
• Identify Ectopic pregnancy. Explain causes, clinical features, differential diagnosis & management.
• Describe Antarmruta Garbha – Nidana, Samprapti, Lakshana, Chikitsa.
• Describe Intrauterine fetal demise (IUFD) - Definition, causes, diagnosis, management & complications.
• Diagnose and plan management of Intrauterine fetal demise.
• Explain Rakta Gulma - differential diagnosis and management.