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Scope and Limitations of Homeopathy PowerPoint Presentation

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Description : This medical presentation titled "Scope and Limitations of Homeopathy" by Dr Uma Goyal, Obstetrician & Gynecologist, is about scope and limitations of Homeopathy in Obstetrics.

Tags : Alternative Medicine, homeopathy, Obstetrics, scope, limitation

Published on : Apr 22, 2021 | Views : 1460 | Downloads : 1

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Scope and Limitations of Homeopathy Dr Uma Goyal Obstetrician & Gynecologist (MS, FICOG, FIAMS, FICMCH, FNAMS) Former Head, LHMC & S.S.K. Hospital Senior Visiting Consultant, Holy Family Hospital New Delhi Email-drumag@hotmail.com, Mobile-9810583950
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Integration of various medical sciences India has the opportunity to provide the mix of the western and eastern healthcare systems A- Aryuveda Y- Yoga U- Unani S- Sidha H- Homeopathy
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Scope and limitations of Homeopathy in Obstetrics As I understand, students are taught about Obstetrics and Gynecology. This has been incorporated in their curriculum. Place of practical training to be decided
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Scope of Homeopathy in Adolescent Girls Girls from 15-19 years are: Mainly not covered by any system of medicine unless they have some specific problem But incidence of teenage pregnancy varies from 3-10%
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Problems Too early Too many Anemia Malnutrition As teenage girls are not mature to bear the stress of pregnancy and labour Anemia and malnutrition are very very common
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…….Problems >80% of these girls anemic Hb< 11 gms And this results in high maternal morbidity and maternal deaths This is totally preventable and treatable
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Scope of Homeopathy Homeopathy can play bigger and better role here by finding out details in history regarding diet etc and treat. Anemia and malnutrition are preventable Counseling for timing of pregnancy Correction of anemia and malnutrition before pregnancy
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Specific - All obstetrical emergencies All obstetric emergencies like ectopic pregnancies, vesicular mole, inevitable abortion, ante partum haemorrhage, severe diabetes, hypertension, eclampsia, abnormal lie, obstetrical labour or ruptured uterus first to be treated by an obstetrician only BUT There is a lot of scope of homeopathy treatment before or after the emergency is over
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24th September 2009 Antenatal Care 75-80% pregnant women are not in optimal state of health. Malnutrition and anemia is most common Objective of ANC Healthy mother Healthy child
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24th September 2009 High risk factors in History Age < 19 years > 35 years Parity Primi and more than5 Poor Diet Medical disorders like Diabetes, Hypertension, thyroid disorders H/o congenital malformation in early pregnancy H/o recurrent pregnancy H/o acute pain
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24th September 2009 On Examination Weight < 45 kg H/o P/V bleeding Anemia Oedema BP H/L Breasts State of pregnancy
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24th September 2009 Pelvic examination in first trimester is important Examples Abortion Ectopic pregnancy Vesicular mole
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24th September 2009 In abortion- especially Inevitable abortion Incomplete abortion Missed abortion Septic induced abortion Vesicular Mole- Degeneration of Ch Villi Acute ectopic pregnancy
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24th September 2009 In theory part In theory part, all these conditions may have been covered in lectures but these constitute obstetric emergencies and here treatment should be in consultation with Obstetrician as it requires surgical intervention Role of Homeopathy is limited
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24th September 2009 Emphasis Is to give them practical training so as these conditions are correctly diagnosed. Going through training manual, it has covered extensively all the problems in first trimester Question is how the practical training will be imparted??
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24th September 2009 For Second Trimester Important Points in H/o Recurrent pregnancy loss H/o bleeding P/V Here apart from routine examination rule out Incomplete Int Os by examination Low lying placenta is diagnosed by ultrasound
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24th September 2009 Incompetent Cervical Int Os Etiology Previous D&C Operation on cervix Congenital Others Treatment of this condition is surgical by passing the purstring suture No role of homeopathy treatment Homeopathy can play a role in cases where no etiological factor is found
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24th September 2009 Assessment of foetal growth If foetal growth is poor or lagging behind more than two weeks Cause must be investigated and treated ( Refer to Obstetrician) Homeopathy can play a role if no cause is found
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24th September 2009 Third Trimester Danger signs when the woman should report immediately Vaginal bleeding-Ante partum haemorrhage Swelling over feet, face and abdomen Severe headache Epigastric pain Convulsions High grade fever
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24th September 2009 ….…Third Trimester Breathlessness Sudden severe pain in abdomen All these conditions require immediate attention as obstetric emergency, hence to be referred to Obstetrician No scope for Homeopathy treatment but can be used after surgical intervention
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24th September 2009 Antenatal Care Going through the manual, I find that it has covered minute details of ANC, hence I condense my talk only to where I strongly feel that Case should be handled by Obstetrician
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24th September 2009 What gives me a pleasant surprise is that treatment recommended in Manual is the same as we recommend like Iron Calcium Folic Acid Supplementation throughout pregnancy and lactation Immunization Inj TT- against tetanus 2 doses Anti D- In Rh –ve patient
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24th September 2009 Total Antenatal Visits Minimum- Three If the progress is satisfactory then at the end of 36 weeks, plan for place of delivery
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24th September 2009 Place of Delivery Aim- Every normal delivery should be supervised because any time absolutely normal case may turn into emergency. Example- DTA, PPH PLACE Primary Health Centre District Hospital Tertiary Care Centre
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24th September 2009 Certain conditions where delivery should be conducted at tertiary level Unstable lie Big baby Multiple pregnancy Short stature< 4’10” Previous Lscs Placenta previa Accidental haemorrhage
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24th September 2009 …….Certain conditions where delivery should be conducted at tertiary level Eclampsia Severe heart disease Severe anemia H/o Post partum haemorrhage No scope for Homeopathy treatment, obstetrical intervention is required
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24th September 2009 All Primary Health Centres Normal pregnancy can be delivered (in which no complication) But- facilities for Instrumental delivery Anesthesia Blood transfusion Pediatrician should be available
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24th September 2009 And in case of Emergency Ambulance should be ready and attending Physician should know where to refer And at referred level- patient should be attended immediately
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24th September 2009 Conclusion By adding Homeopathic Physician in Maternal and Child Healthcare, we cover considerably major population where no medical facilities exist By covering adolescent age group, certain problems of that age can be corrected, before she gets pregnant. Thus she is in better physical and mental health It will certainly bring down maternal morbidity and will definitely make a dent in maternal mortality
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24th September 2009 …….At the end I can only suggest that a team should be formed at national level which includes Obstetricians, Homeopaths and Paramedics Select a village, do a survey of that area Find out the total population including female population from 15-45 years and children below 15 years Identify health service facilities available Health services should be provided by this team along with the existing health services
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24th September 2009 ……At the end This study should be continued for 12-18 months The results should be statistically analyzed Only such type of studies, will be a living document to show the effectiveness of the services provided
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24th September 2009 “ No country sends its soldiers to war to protect their country seeing to it that they will return safely, and yet mankind for centuries has been sending woman to battle to renew the human resources without protecting them” Fred Sain, Former President, IPPF
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24th September 2009 Regarding Delivery few unpleasant comments are always faced by Obstetrician Delivery can be conducted by Dai, so what is the big deal Delivery can be conducted by untrained person, why worry Delivery can be conducted by elderly person in the family or by mother in law, why bother Delivery can take place in the fields, what is the harm ANSWER to all these questions are that even today, we have such a high maternal mortality
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24th September 2009 ….Regarding Delivery few unpleasant comments are always faced by Obstetrician In developed countries like UK, delivery is conducted by a trained midwife Any maternal death in a developed country becomes national news and is audited by group of Obstetricians
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24th September 2009 My Experience with Homeopathy Cheers & Fears
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24th September 2009 Thank You !!! Email: drumag@hotmail.com Mobile: 9810583950