AN EFFECTIVE AYURVEDA TREATMENT FOR A REPAIRED THIRD DEGREE INFECTED PERINEAL TEAR: A CASE REPORT

Perineal trauma can be considered as any type of damage to the female genitalia during labour, which occurs spontaneously or iatrogenically.The incidence of perineal trauma worldwide is 84.3% of which 95% of primiparous women and 43.9% multiparous women are associated with episiotomy.Among them about 0.6-11% results in third degree or fourth degree perinealtear. These injuries can result in immediate and long term complications likewound infection, perinealpain, faecalincontinence, faecal urgency and dyspareunia. The management modalities to cope up with this issue remains unsatisfactory. Ayurveda has a treasure of medicines which are highly effective in wound healing and pain management. The present case is a 27 year old woman, 8 days postpartum (P1L1A0) reported with a repaired third degree infected perineal tear whose Quality Of Life was29.6%impaired. On proper examination, clinical presentation of wound went parallel with the concept of dushtavrana mentioned in Ayurvedic classics. Hencean effective Ayurvedic treatment code for vranashodhana and vranaropana mentioned under the concept of dushtavrana has been planned for 10 days with a follow-up after 15 days. The patient reported appreciable improvement after treatment.