Untimely Labour | Disorders Of Foetus

The classification of abnormalities of passage and general disorders are given below 
 

1. Garbhakosa- prasanga
2. Makalla
3. Yonisamvarti or yonisamvarna
4. Yonibhramsa
5. Yonisanga
     

• Over clinging of foetus in the uterus or attachment of foetus in other than its normal place.
• Rupture of uterus sometimes is seen in cases of obstructed labour and is considered to be one of the serious complications even today.
• Apannata of garbhakosa or diseased state of uterus can be either due to rupture of uterus occurring at the time of delivery or congenital anomalies such as uterus arcuatus, didelphis, septate etc. or else due to fibroid uterus, which produce obstruction during labour.
   

• Accumulation of blood in uterus during labour before delivery of the child or intrapartum haemorrhage.
• Makkalla has been subdivided into two i. E. developing during pregnancy and during puerperium.
• The foetus afflicted with physical and psychological diseases produces pain in abdomen, which is known as garbhamakkalla.
• Makkalla is characterized with spasmodic contraction of uterus.
• Intrapartum haemorrhage and itanic or irregular uterine contractions are one of the important causes of difficulties in management of obstructed labour.
   

• Due to use of dietetics capable of vitiating vata, excessive coitus and awakening in the night, vata dosha is increased and contracts the yonimarga (vaginal canal) of the pregnant woman.
• This very vayu after obstructing the vaginal orifice moves inwards obstructing the aperture of asaya (cervix of uterus)and troubles the foetus situated inside the uterus.
• Foetus dies due to obstruction of its mouth and respiration.
• This aggravated vayu causes feeling of ligature or tightness in the cardiac region; also shallow respiration (breathing) along with obstruction to the heart of pregnant woman kills her. This dreaded disease is known as yonisamvarana, which is always fatal.
   

• Abnormal perception by cognitive organs 
• Convulsions or tremours (due to excessive trouble, insomnia or toxaemia), dyspnoea, Giddiness,
• Foul smelling expiration (smell of ketone bodies due to marked catabolism in absence of nourishment)
• Excessive cooling of body due to improper functioning of circulatory system.
• Absence of appearance of blue vessels over the abdomen indicate loss of physical and psychological power in which conditions, obstructed labour becomes incurable.
   

• Use of basti (oleation is contraindicated)
• Extraction of foetus by the surgeons
• Treatment same as retained placenta.