A randomized open labelled controlled clinical study to evaluate the efficacy of Haritakyadi Yoga in the management of Garbhini vibandha W.S.R constipation during pregnancy.

Vibandha is not described as a separate disease in our Samhitas. It is described under symptoms of many diseases like Ajeerna, Samadosha, Koshthaashrita vata, Gudagata vata, Pakwasyagata vata.

The term Vibandha is mentioned with different context to Pureesha like Malasanga, Viddgraha, Vishtambha, Malabadhata, Stabhapureeshata. It occurs due to Vikruti of Apana vata and the Srotas involved is Pureeshavaha Srotas.

Gastrointestinal disorders are frequently experienced during pregnancy. As far as gastrointestinal complaints go, constipation is the most frequent, second after to nausea. During pregnancy upto 40% of women experience constipation symptoms at some point.

The word Constipation comes from Latin word ‘Constipare’ which means – To press or crowd together. It refers to persistent,difficult, infrequent or seemingly incomplete defecation.

It is defined as infrequent passage of hard stool. Patient may also complain of straining, a sensation of incomplete evacuation and either perineal or abdominal discomfort.

It is a symptom, not an illness.

Constipation is quite common ailment during Pregnancy. Atonicity of the gut due to effect of Progesterone, diminished physical activity and pressure of the gravid uterus on the pelvic colon are the possible explanations.Emotional disturbances, Iron supplements, disturbed sleep are the other causes which leads to Constipation. Suppression of defecation urge is also a very important cause of Constipation.

It may cause backache and abdominal discomfort. Regular bowel movements may be facilitated by regulation of diet by taking plenty of fluids, vegetables and milk or prescribing stool softners at bed time. There may be rectal bleeding, painful fissures or haemorrhoids due to hard stool.