Effect of Pre-conceptional care in the management of Repeated Pregnancy Loss with TORCH Infection – A case report

Abstract

Introduction – Pregnancy is a complex phenomenon which includes physiological, psychological and social changes. RPL is a distressing condition that affects millions of women worldwide. RPL is defined as the loss of two or more consecutive pregnancies before 20 weeks of gestation. RPL can be correlated with Putraghni Yonivyapada and Garbhastravi Vandhya explained in Ayurvedic classics. Aim- To evaluate the effect of Pre-conceptional Ayurvedic protocol in RPL with TORCH infection. Methodology – A female patient aged 32 years having previous history of two pregnancy loss visited in the OPD of PTSR department, ITRA Jamnagar on September 2022. She took allopathic medications for 1 year. Her investigation revealed positive TORCH Pannel test and follicular study showed oligo-ovulation. Pre-conceptional care plan includes Shodhana Chikitsa followed by Shamana Chikitsa. Result – After 4 months of pre-conceptional care she conceived without any complications. Now she is having healthy pregnancy of 7 Months 22 days. Discussion - Putraghni is a Yoniroga characterised by repeated pregnancy losses due to the excessive use of Rooksha Ahara and Vihara which leads to Vata Prakopa further causing Shonita Dushti and Artava Dushti which in turn results in repeated loss of pregnancy. The overall TORCH infection positivity rate was 61.1%. Pre-conceptional care plays important role to stabilizing the previous disease conditions, to prevent any reproductive disease and to ensure that women enter pregnancy with optimal state of health which would be safe for both fetus and her. Keywords – RPL, TORCH, pre-conceptional care, Putraghni Yonivyapada, Garbhastravi Vandhya.