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MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES,

NASHIK
(From Academic Year 2010-11 & onwards)

Syllabus for MD (Ayurved) Final Examination

PRASUTI TANTRA & STRI ROG


PAPER - I
Garbhagarbhini Vigyanam
1. Shroniguha yoni Garbhashayadi samasta stri prajanangadinam prakrititah

rachana shariram. Applied anatomy of female Genito urinary system, pelvis and
Pelvic floor. Pelvic assesment and foetal skull.
2. Physiopathology of puberty. Artava, Rituchakra,
(Neuroendocrine control of menstrual cycle).

Stribijam

Pumbijam

cha.

3. Garbhadhanam (Prenatal counseling), Pumsavanam, Garbhopadanani, Garbhasya


shaddhatvatmakatvam, Garbhavakranti, Matrijadayobhavaha, Garbhabhivriddhi, role
of panchamahabhutas in the formation and development of fetus.
Garbhasyavayotpatti, Fundamentals of reproduction gamatogenesis, Fertilization,
Implantation and early development of human embryo.
4. Apara, Garbhodaka Jarayu,, Nabhinadi prabhrutyadinam nirmanam Karmani Vikarani
cha (Placenta, amniotic fluid, membranes and umbilical cord -their formation,
structure,
Functions
and
abnormalities),
Garbhasyaposhanam
Garbhasharirkriyavaishishtyam (Foetal physiology), Garbhalingotpatti, Garbha
varnotpatti Garbhasya masanumasika vriddhi (Foetal growth and development)
5. Bija Bijabhaga Bijabhagavayava janya, anya cha garbhanga vikarah (Birth
defects, Genetics and other teratologic abnormalities)
6. Garbhininidanm, Garbhakalina lakshanani, Matrigata parivartanani Dauhridam,
Physiological changes during pregnancy, Endocrinology related to pregnancy,
Immunology of pregnancy.
7. Garbha sapekshanidanm, Garbhiniparicharya swasthavrittam cha, Masanumasika
Pathya Apathyam cha. Ante Natal care, (examination investigation and management)
Garbha upaghatakara bhavah.
8. Garbhasankhya nirnay, Bahu apatyata cha(Multiple pregnancy)
9. Garbhavyapadani- Garbhasrava and Garbhapata (abortions), Upavishtaka, Nagodara

/ Upashushkaka, Lina garbha, Goodagarbha, Jarayu dosha, Antarmrita garbha


(Intrauterine Foetal death), Garbha shosha, Garbha kshaya,
Mithyagarbha
(pseudocyesis), Bhutahrita garbha, Raktagulma (Hydatidiform mole), Ectopic
pregnancy, I.U.G.R, causes, clinical features, complications and treatment.
10. Garbhini vyapadani - Garbhinyah Garbhajanya anyavikaranam nidan purvarupa, rupa

purassaram chikitsa cha. Early recognition differential diagnosis and prompt


management of pregnancy complications. Hyperemesis gravidarum, Pregnancy
Induced Hypertention, Pre-eclampsia, Eclampsia, Antepartum hemorrhage, Rhincompatibility.

Management of pregnancies complicated by medical, surgical or Gynecological


diseases in consultation with the concerned specialties by team approach.
a) Anaemia, pyrexia, Heart disease, Diabetes mellitus, Liver disorders, Respiratory
diseases, renal diseases, epilepsy, Hypertensive disorders.
b) Fibroids, Ovarian tumors, Carcinoma Cervix, Genital prolapse.
c) Recent advances in medical and surgical management.
Infections in pregnancy
Toxoplasmosis, Viral infections (Rubella, CMV, Hepatitis-B,
and
Herpes),
Syphilis and other sexually transmitted infections including
HIV Prevention of mother to child transmission of HIV infection
(PMTCT).
11. Jataharini related to garbhini avastha
12. Evaluation of Foetal and maternal health in complicated pregnancies by making use of
diagnostic modalities.
13. Prenatal diagnosis of fetal abnormalities and appropriate care. PNDT Act and its
Implications.
PAPER II
Prasava Vigyana
Prakrit prasav
1. Prasav paribhasha, Prasav kal, Prasava prarambha karanani, Prasava kalina
garbha sthiti, Avi, Sutikagara.
a)
b)
c)
d)
e)

Initiation and onset of parturition.


Examination and evaluation of patient in labour.
Physiology of labour.
Mechanism of labour.
Selection of place of delivery and labour room.

2. Prasava avastha evam paricharya


a) Stages of normal labour
b) Intrapartum maternal and foetal monitoring
c) Management of normal labour
Prasava vyapada
a) Etiopathogenesis, clinical features, prevention and
Garbhasanga, vilambita prasav & Mudhagarbha.
1. Prolonged labour
2. Cephalo pelvic disproportions
3. Malpresentation
4. Obstructed labour
5. Methods of Induction and Augmentation of labour

management

of

b) Complications of different stages of labour


c) Obstetric management of high risk Pregnancies- PET, Eclampsia, Diabetes,
cardiac disease, asthma, Epilepsy, Cases of APH, Multiple pregnancy,
Preterm, Post term and IUGR cases.
d) Still birth- diagnosis, complications and management

Jatamatra/ Navajata shishu paricharya


1. Examination and management of neonate.
2. Management of birth asphyxia.
3. Detection of congenital malformation in newborn and timely referral for
correction.
Sutika vignyana
1. Sutika Paribhasha, kala maryada, paricharya, normal puerperium.
2. Sutika vyadhi and their chikitsa; stana shotha, stana vidhradhi.
3. Stana sampat, Stanya utpatti, Srava, Stanya vriddhi, kshaya and dusti karana,
lakshan and its Chikitsa, Stanya pariksha .
4. Suppression of lactation
Obstetric shock and management
1. Raktadhana: blood transfusion and replacement of blood constituents.
2. Management of fluid & electrolyte imbalance in obstetrics.
Drugs used in obstetric practice, indications/contra indications, doses and side
effects

PAPER III
Stri Rog
1. Etiology, Pathogenesis, Signs, Symptoms and Treatment of disorders of
menstruation and Female reproductive and urinary system.
A)
B)
C)
D)
E)

Congenital malformations of female genital tract


Artav dushti, asrigdara, anartava and alpartav.
Genital infections including sexually transmitted infections.
Abnormal vaginal discharges.
Granthi, Gulma, Arbuda, Arsha, Yonikanda, and Neoplastic growth of female genital
organs.
F) Endocrinological disorders.
G) PCOS
H) Somarog.
2. Detailed study of yoni vyapad mentioned by different Acharyas with their
commentaries and all possible correlations with modern gynecological diseases.
3. Vandhyatva
A) Hetu, Bheda, Pariksha, and Chikitsa.
B) Detailed study of causative factors, Investigations with recent advances in
management of infertility, Adoption law.
4. Stanaroga
Detailed study of Stanashotha, Stanakilaka and stanavidradhi.
5. Measures of contraception
A) Ayurvedic view of Garbha nirodha and Garbhapatkara yogas.

B) Recent studies in the field of contraception in Ayurveda.


C) Temporary Contraceptions mechanical and medicinal.
D) National Health programme to improve maternal and Child health,
obstetrics and vital statistics (maternal and perinatal mortality).

social

6. Sthanik chikitsa
Detailed study of Uttarabasti, Pichu, Varti, Dhupan, Dhavana, Parisheka, Kalkadharana
etc.
7. Rajo Nirvritti - menopause , H.R.T, and geriatric health care

8. Study of modern diagnostic techniques and Investigations.


9. Important drugs used in Strirog.

PAPER IV
PrasutiStrirog-Shalya Karmani
General principles of Gynecological and Obstetric Surgeries. Analgesia and Anaesthesia
in Obstetrics and Gynaec operative procedures.
Operative Obstetrics
Decision making, techniques, diagnosis and management of surgical complications.
Dilatation and evacuation, Hysterotomy, Provision of safe abortion services selection of
cases, technique and management of complications, septic abortions, criminal abortions,
MTP Act.
Cervical encirclage.
Instrumental delivery (Forceps, vacuum extraction), Caesarean Section, Manual removal
of Placenta, Caesarean Hysterectomy.
Operative gynecology
Selection of cases, technique and management of complications of minor and major
gynecological procedures.
Dilatation and Curretage, Cervical cauterization.
Polypectomy, Myomectomy, Cystectomy, Oophorectomy.
Surgical sterilization procedures.
Abdominal and Vaginal Hysterectomy.
Surgical procedures for genital prolapse.
Surgical management of benign genital neoplasm.
Recent advances in Gynecology and obstetrics Diagnostic and therapeutics
Shock and its management, Blood Transfusion, Fluid and electrolyte imbalance, Fluid
therapy,
Medico-legal aspects ethics, communication and counseling in obstetrics and
Gynecology
Intensive care in Obstetrics and Gynecology.
Practical Training
Seminar presentations, teaching and vigorous training in IPD, OPD and department.
Practical knowledge and practice of all the relevant equipments, procedures, their
complications with management including emergencies.
Submission of dissertation on selected topic.

Reference Books
1.
2.
3.
4.
5.
6.
7.
8.

Related matter of Charak, Sushrut and Vagbhata


Kashyapa Samhita
Abhinav Prasutitantra
- Ayodhya Prasad Achal
Abhivan Stri Roga Vigyan
- Ayodhya Prasad Achal
Abhivan Stri Roga Vigyan
- Rajendra Prasad Bhatnagar
T/B of Gynaecology
D. C. Dutta
T/B of obstetrics
D. C. Dutta
Jeffcoates principles of Gynaecology
Malhotra
9. Willians T/B of Obstetrics

F. Cunningham
10. Critical care in Obstetrics
H. U. Doshi
11. Munro Kerrs Operative Obstetrics Thomas F. Baskett
12. Ian Donalds Practical Obstetric problems
13. Infertility in Practice Balen
14. Infertility Male & Female Insler
15. Shows T/B of Gynaecology Daftary
16. Dawns T/B of Obstetrics C. S. Down
17. Clinical Gynecologyic Endocrinology and infertility Speroff
18. Te lindes operative Gynecology Rock
19. High Risk pregnancy Steer
20. Berek and Novaks Gynaecology Berek
21. Practical guide to high risk pregnancy Elias
22. Primary Anaesthesia King
23. Charak Samhita
24. Ashtang Sangraha
25. Ashtang Hrudaya
26. Dravyaguna Samhita Prof. Priyavat Sharma
27. Sushrut Samhita
28. Sharangadhar Samhita
29. Kashyap Samhita
30. Bhavprakash Samhita
31. Yogratnakar
32. Harit Samhita

Scheme of Practicals
Teaching has to be done keeping in mind the goals & objectives to be achieved by medical
(Vaidyakiya) student.
AIMS :The aim of teaching P.G. students in Stri-Rog & Prasuti (Obstetrics & Gynecology) is that
1. He / She acquire thorough knowledge of ancient science which includes Basic principles,
Stri vishishta Sharir Rachana, Kriya, & Vikriti (Pathophysiology) & gain ability to apply &
manage optimally common conditions of it.
2. He/She shal update his / her knowledge with modern & advance techniques.
OBJECTIVES:At the end of course student shall be able to
a. Outline the Stri-Vishishta Sharira Rachana, Kriya & Vikruti (Pathophysiology) & common
condition affecting it.
b. Detect Prakrut Sagarbhavastha, Prasav, Sutika (Puerperium) & to manage the problems.
c. Achieve the aim of ayurveda of Shreyas Praja by decreasing maternal mortality &
mobidity.
d. Identification

of

Garbhopghatkar

Bhava

(Aaharata,

Viharata

&

Aushadhi)

in

Sagarbhavastha. Use, abuse & side effect of Aushadhi (Drugs) in Sagarbhavastha &
Rajonivrutti (Menopausal period.)
e. Shall know common diseases of Aatrav Vaha Strotas (Female reproductive system) &
describe principles of their management.
f.

Understand the principles of Garbhapataker Yog Methods of Nyaya vaidyakiya


Garbhjapat (Medical termination of pregancy), sterilization & their complications.

g. Describe the National programme of Maternal & Child Health & Family Welfare and their
implementation at various levels.
h. State the indications, techniques & complications of Surgeries like Udarpatanpurvak
Prasav (Caesarian section),Uderpatanpurvak & Apatyapath marge garbhashaya inrharana
(Abdominal & vaginal Hysterectomy), Garbhashaya swasthani sthapan shatrakarma (Sling
operation), Garhashaya Shodhan (D & E), Nyay Vaidyakiya Garbhapat (MTP)
Garbhashaya lekhan shastrakarma etc.
i.

He/ She shall have knowledge of Garhopdraves & its effect on Sagarbhavastha
Garbha, Prasav & Sutika Vastha & optimally management of it.

Total Practical Work has to be done in P.G. Course


He / She should have detailed knowledge of Sthanik karma related to Stri-rog & Prasuti. Snehan,
Swedana, Yonidhavana, Yonidhupan, Uttarbasti, Pichu, Kalka, Varti, Lepa.
Sr.
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Name of Practical

P/M

Garbhini Shoth (PIH)


Garbhajanya Vishamayata (Toximia in pregnancy), Eclampsia
Garbhini Pandu (Anaemia)
Aakshepak (Convulsions)
Garbhini Prameh (Diabetis)
Garbhini jwara (Fever)
Garbhini Hridrog (Heart Disease)
Garbhini Kamala (Jaundice)
Garbhini Chardi (Hyperemesis Graviderum)
Mukhastha Apara (Placenta Previa)
Garbhini Makkal (Abruptio Placenta)
Mutra-Krucchrata (Painful Micturation)
Atigarbhodak (Polyhydromnios)
RH- Isoimmunisation
HIV
Upavishtak
Nagodar
IUGR with Ologohydromnios
Leengarbha
Mrutagarbha (IUD)
Mudhagarbha
Garbhjastrav (Abortion in 1st trimester)
Garbhapat (Abortion is 2nd trimester)
Garbhashayetar Garbhadharana (Ectopic Pregnancy)
Purva Vamdeviya Prasav (Previous Caesarean Section)
Vilambit Prasav (Prolonged Labour)
Garbhasang (Obstructed Labour)
Prasavottar Raktastrav (PPH)
Kalatit Prasav (Post Datism)
Aparasang (Retrained Placenta)
Akal Prasav (Premature Labour)
Prakrut Prasav (Normal Labour)
Vikrut Prasav (Abnoi8rmal Labour)
a. Sphik Darshan (Breech Presentation)
b. Yamagarbha (Twins)
c. Matu- Udarabhimukha (Occipito Posterior)
d. Vaichitrayat Asankhya Gati (Different Presentations)
Garbha shanku dwara Prasav (Forcep delivery)
Ventous Delivery
Udarpatanpurvak Garbha Nirharan (Caesarean Section)
Muladhar Bheda (Perineal Tear)
Raktagulma & its Nirharana (Vesicular Mole & its evacuation)
Garbhashayamukha Samvruttikaran (OS Tightening)
Garbhashayamukha Vivruttikaran (Dilatation of Cervix)
Garbhashaya Shodhan (D & E)
Garhashaya Lekhan (D & C)
Garbhashayamukha Dahan (Cervical Cauterization)
Udarpatanpurvak Garbhashaya Nirharana
(Abdominal Hysterectomy)
Apatyapathmarge Garbhashaya nirharana
(Vaginal Hyhsterectomy)
Yoniarsha (Polyp)
Yomikanda (Bartholin Cyst)
Garbhashaya swasthani sthapan (Sling Operation)
Garbhashayastha Granthi Nirharan (Myomectomy)

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Antaphalastha Granthi Nirharan (Ovarian Cyst Removal)


MRP
HSG
Garbhashyastha Arbuda (Malignancy)
Desirable
Prasavottar Garbhashaya Nirharan (Obstertic Hysterectomy)
Vaginoplasty
Posterior Colpoperineorrhaphy
Tubal Recannualization
Purperial Psychosis
Contraceptives
Oral pills
IUCD insertion
IUCD removal
Tubal ligation

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During the study period a semiannual assessment report is to be forwarded by guide


through HOD & principal to MUHS about the observed progress. Student should not be allowed to
appear for examination if found not satisfactory by local academic committee.
At the end of the course student shall be able to
1) Recognition of early pregnancy complication & prompt management of it, considering aim
Paripurnatwaya & Anupghtaya of Garbhini Parichary e.g. Chhardi, Garbhastrav,
Garbhapat, Garbhashayetar Garbhadharana, Raktagulma, Bahuapatyata, Garbhajanya
Vishamayata, Mukhastha Apara, Atigarbhodak, Garbhodak Nunata, Kalatit Prasav etc.
2) Manage pregnancy complicated by medical , surgical or gyunaecoogical diseases with
speciality approach & recent advaces in medical & surgical management e.g. Garbhini
Pandu, Garbhini Hridroga, Garbhini Prames, Shwas, Mutrakrucchrata, Garbhashyastha
Granthi, Antaphalastha Granthi, Garbhashyamukharbuda, Yoni- bhransha etc.
3) Identify garbha Vyapad e.g. Upavishtak, Leenagarbha, Mrutagarbha, Garbhastrav & its
skilful management.
4) He/she should read & interpret imaging techniques e.g. CTG, HSG, USG.
5) Know PNDT act & its implementation, MTP Act, Adoption Law,
6) Use available diagnostic modalities & plan safe deliveries in evaluation of the fetal &
maternal health in complicated pregnancy.
7) Thorough knowledge of drugs used in Prasuti Strirog (Obs. & Gynaec) practice including
Prostaglandins, Pharmacognosis & Pharmacotherpeutics of drugs like Oxitocins,
Methylergometrin, Tocolytes etc.
8) Manage labour as per partogram, Obsterrical anaesthesia & analgesia, induction &
Augmentation of labour, Management of Mudhagarbha, Yoni Samvaran, Complication of
Prajanyishyamana Avastha, Prasavottar Raktastracva.
9) Manage Dushprajata & Yonidushti. Identify & recognition of surgical complications.
Decision making techniques & management of it. e.g. Vamadeviya Prasav, Garbha Shanku
Dwara Prasav, Prasavottar Garbhashaya Nirharan, Mudhagarbha Chedan Karma (Role of
distructive surgery), Parivartan (Version), Internal Iliac ligation.
10) Prevent, early detection & management of birth Trauma.
11) Early recognition of congenital malformations in new born & make timely referrals for
surgical corrections.

12) Know basic knowledge of Sahaj Vikruti of Artav- Vaha Srotas & Stana Rogas, Vyadhi
Vyavacched & Shastrakarma dgrChikitsa of Clinical conditions related to Sahaj vikruti &
Sandhan Karma in Strisoga (Reconstructive Surgery).
13) Evaluate & manage Vandyatwa (Infertility) Hetu with Adoption Law (Medico-legerl & Clinical
issues)
14) Prevent, diagnose & manage Artav-vaha srotas Sansargajanya Vyadhi e.g. Phirang,
Upadansha, HIV, HBsAg, VDRL, Ca Cx etc
15) Early diagnosis & management of Granthi & arbuda of Garbhashaya & Stana
16) Have knowledge of selection of cases. Techniques & management of Complications of
minor & major gynaecological procedures e.g. Udarpatanpurvak & Apatyapathamarge
Garbhashaya Nirharana (Abdominal & Vaginal Hysterectomy), Surgical procedures for
Yonibransha & Mahayoni (Genital Prolapse), manage complications like Nadi vrana in
Prathamavarta (VVF,RVF, bladder injuries & their repair).
17) Know advance techniques like screening for genital Arbuda, Cytology, Colposcopy,
Biochemistry support of pelvic organs, Surgical management of genital prolapse.
18) Update with knowledge of chromosomal abnormalities, Ambiguous sex at birth,
Endometriosis, Adenomosis, Hirsutism, PCOD, Repair of genital fistulae.
19) Perform Operative endoscopy, endoscopy, laparoscopy, hysteroscopy.
20) Practice Evidance based management.