Shatavari Taila Pichu and Matra Basti with Pippalyadi Nabhigata Lepa for Sukhprasava: A Case Report

Abstract

In Ayurveda, Sukhprasava (easy, natural childbirth) is the desired outcome of labour, as prolonged and
painful labour often results from anxiety, inadequate uterine contractions, cervical rigidity, and modern
lifestyle changes. This case report describes a 24-year-old primigravida at 39 weeks of gestation with a
Bishop score of 5 who received Shatavari Taila Yoni Pichu (intravaginal tampon), Shatavari Taila Matra
Basti (60 ml per-rectal oil enema), and Pippalyadi Nabhigata Lepa (umbilical paste
containing Pippali, Vacha, and Eranda Taila) during active labour. Following the interventions, the
Bishop score increased from 5 to 10, the first stage of labour lasted 6 hours, the second stage 35 minutes,
and the third stage 10 minutes; APGAR scores were 8/10 at 1 minute and 9/10 at 5 minutes, with no
maternal or fetal adverse events. The combined Ayurvedic protocol improved cervical ripening,
regulated Apana Vata, shortened labour, and promoted Sukhprasava without complications, though
larger studies are warranted.