Randomized controlled trial to evaluate efficacy of Sukhaprasavkar Lepa with Dinoprostone gel in the management of Prakrut Prasav with special reference to Induction of Labour.

In developed countries, up to 25% of all deliveries at term now involve induction of labour. In developing countries, the rates are generally lower. The study revealed the prevalence of induction of labor in India to be 9%, which is very low in comparison to the rate of other institutions in developed countries. Bishop’s score after cervical ripening significantly predicted success of induction and induction was eight times more likely to succeed if the Bishops score was Favorable. WHO Global survey on Maternal and Perinatal Health, which included 373 health-care facilities in 24 countries and nearly 300000 deliveries, showed that 9.6% of the deliveries involved labour induction. 

Our Acharyas have described antenatal care (Garbhini Paricharya) for nine months of pregnancy and has mentioned the use of enema (Anuvasan Basti) and vaginal tampon (Yoni Pichu) of medicated oil prepared with drugs mentioned in Madhur Sakandh 10 (group of drugs) during ninth month. Also, they described various methods for sukhaprasava during labour; one of them is application of herbal paste (Sukhprasavkar Lepas) at the onset of labour for easy and safe delivery.

The study was designed to evaluate the effect of medicated pastes applied on and around umbilicus named as Sukhprasavkar Lepa described by Bhavaprakash and Yogratnakara for evaluating effect on progress of labour, cervical dilatation, Bishop’s score, duration of stages of labour and pattern of uterine contractions for augmentation of labour.