Prasuti Tantra & Stree Roga Syllabus – BAMS Third Professional

• Introduction to Prasuti Tantra and Stree Roga. Origin of word "Stree" with nomenclature. (Vayobheden Stree sangya)
• Tryavarta Yoni and anatomical insights of Garbhashaya with marma, peshi
• Artavavaha and Stanyavaha Srotas
• Anatomy of Female internal and external genital organs with applied aspects
• Streeshroni (Female Pelvis) -Types, Diameters and Obstetric significance

• Shuddha Artava & Shuddha Shukra Lakshana
• Tridosha & Panchamahabhoota in Rutuchakra
• Practices of Rajaswala Paricharya and its potential effects on reproductive health
• Rutukala, Rutumati Lakshana and Rutumati Paricharya with significance
• Highlights on Beeja Nirmana - Oogenesis, Spermatogenesis
• Rutuvyatita Kala
• Phases of Menstrual cycle. Importance of HPO axis in menstrual regulation

• Garbhakara Bhava, Garbhadhana, Garbhavakranti, Garbha Samskara, Pumsavana Samskara for achieving Shreyashi-praja
• Apara (Placenta) and Garbha Nabhinadi (umbilical cord), Garbhodaka (amniotic fluid)
• formation with abnormalities
• Garbha Poshana
• Fetal nourishment and Fetal circulation
• Masanumasika Garbha Vriddhi
• Garbhashayantara Garbha Sthiti (Fetus-in-utero)
• Lie, Attitude, Presentation, Presenting part, Denominator, Position

• Garbhini Nidana – Garbhini Lakshana, Garbha-Upaghatkara bhava, Garbha Vikruti
• Physiological changes and Diagnosis of Pregnancy
• Garbhini Paricharya, Prajasthapana gana
• Antenatal care – Objectives, Immunization, Examination, Investigations and Management with contemporary National protocol
• Demographic statistics related to Obstetrics

• Garbha Srava, Garbha Pata - Nidana, Samprapti, Lakshana, Chikitsa
• Abortion, Medical Termination of Pregnancy Act (MTP Act)
• Garbha Vyapad – Nidana, Samprapti, Lakshana, Chikitsa
• Intrauterine Growth Restriction, Oligohydramnios, Polyhydramnios—Etiological factors, Clinical features, Management
• Rh incompatibility, ectopic pregnancy, gestational trophoblastic disease
• Antarmruta Garbha – Nidana, Samprapti, Lakshana, Chikitsa
• Intrauterine Fetal Demise—Etiological factors, Clinical features, Management
• Raktagulma—Nidana, Lakshana, Chiktisa

• Garbhini Vyapad – Aruchi, Hrillasa, Chardhi, Vibanda, Atisara, Arsha, Parikartika, Udavarta
• Vaivarnya, Kandu, Kikkisa, Pandu, Garbhini Jwara, Shotha
• Hypertensive Disorders in Pregnancy
• High risk Pregnancy
• Prasava poorva rakta srava (Ante Partum Hemorrhage) – Causes, Classification, Clinical features, Management

• Sutikagara and Labour Room setup, Labour Room Protocol according to contemporary National Health Guidelines
• Drugs commonly used during Labour (Uterotonics, Tocolytics, Analgesics, Ergot Alkaloids and Anesthetics) - Guidelines for use with Pharmacotherapeutics
• Prasava Paribhasha, Prasava Hetu, Prasava Kala
• Causes of onset, Physiology and Diagnosis of Labour
• Anatomy of Fetal Skull and Clinical Pelvimetry
• Prajayini, Upasthita Prasava and Asanna Prasava
• Stages of Labour and Mechanism of Labour
• Avi, Grahishoola, Prasuti maruta and Garbha Sthiti Parivartana during Prasava Kala
• Prasava Paricharya - Monitoring with Partograph and management of Labour
• Episiotomy
• Intrapartum Fetal Monitoring techniques, Non Stress Test, Fetal Distress
• Jatamatra Paricharya (Immediate care & Resuscitation of Newborn)

• Nidana, Samprapti, lakshana and Chikitsa of Akala Prasava (Preterm labour)
• Post term pregnancy
• Garbha Sanga, Vilambita Prasava
• Obstructed and Prolonged labour
• Apara sanga - Nidana, Lakshana and Chikitsa
• Post Partum Haemorrhage - Causes, Clinical features, Complications and Management

• Nirukti, Samprapti, Bheda, Gati, Chikitsa of Moodhagarbha
• Abnormal Presentations – Breech, Persistent Occipito Posterior Position
• Cephalo Pelvic Disproportion (CPD)
• Moodhagarbha Upadrava – Garbhakosha-parasanga, Makkala, Yonisamvarana
• Obstetric Emergencies with timely referral - Cord prolapse, Genital Tract Injuries during labour,
• Uterine-inversion, Amniotic fluid Embolism, Obstetric Shock, Uterine Rupture
• Induction and Augmentation of Labour and Assisted Labour Techniques. (Forceps, Vacuum, Caesarean Section)

• Sootika, Sootika-kala, Sootika Paricharya
• Puerperial changes, Postpartum care
• Contraception
• Sootika Vyapad – Nidana, Samprapti, Lakshana, Chikitsa
• Puerperial Disorders

• Stanya, Stanya Sampat
• Physiology of Lactation, Breast feeding techniques
• Stanya dushti, Stana Shotha, Stana Vidradhi
• Mastitis, Breast abscess

• Development of female reproductive system from Mullerian duct and its anomalies
• Neuroendocrinology of reproduction
• Anatomy and Physiological aspects of Puberty and Menopause

Instruments commonly used in Prasutitantra (Obstetrics) and Stree Roga (Gynaecology) procedures and surgeries

• Types of Yantra (Blunt instruments) and utilization-i) Sandansha Yantra (Pincer like or dissecting forceps) – * Annigraha – plain non toothed forceps * Sannigraha – Toothed forceps ii) Swastika Yantra (Cruciform like Forceps) -Allies forceps, Vulsellum, Sponge holding forceps, Cheatle’s forceps, Kocher’s forceps, Babcock’s forceps, Needle holder, Artery forceps, Ovum forceps, Green armytage forceps, Cervical punch biopsy forceps. iii) Shalaka Yantra (Rod like instruments) - Uterine sound, Hegar’s dilator, Uterine curette, Endometrial biopsy curette, Agnikarma Shalaka, Anterior vaginal wall retractor iv) Dvi Tala Yantra (Scoops or spoon-shaped instruments) - Sim’s speculum, Endometrial curette, Cusco’s speculum, Doyen’s retractor, Obstetric forceps v) Nadi Yantra (Tubular instruments) -Yonivranekshana yantra, Leech Wilkinson’s HSG cannula, Rubin’s cannula, Suction cannula, Uttarabasti cannula, Vaginal douching syringe, Basti yantra
• Type of Shastra (Sharp instruments) and utilization-i) Kartari Shastra (Scissors) - Atimukha Shastra (Episiotomy Scissors), Mandalagra Shashtra (Umbilical cord cutting Scissors), Shararimukha Shastra (Mayos scissors / Simple scissors, suture removing scissors) ii) Vriddhipatra Shastra – Scalpel iii) Suchi Shastra – different type of needles

• Gynaecological History taking
• General and systemic examination
• Breast examination, Per abdomen, Per speculum, Per vaginal, Per rectal examination

• Ashtartava Dushti
• Anartava (Amenorrhoea)
• Poly Cystic Ovarian Syndrome (PCOS)
• Artava Kshaya (Oligomenorrhoea, Hypomenorrhoea)
• Artava Vruddhi (Polymenorrhoea)
• Asrugdara (Abnormal Uterine Bleeding)

• Anatomical & Physiological changes in Genital organs during Menopause
• Rajonivrutti Janya Lakshana (Menopausal Syndrome)
• Management of Menopausal syndrome
• Role of Rasayana in Menopausal syndrome

• Yoni vyapad - Bheda, Nidana, Samprapti, Lakshana, Upadrava, Samanya & Vishesha Chikitsa
• Udavarta, Vandhya, Vipluta, Paripluta, Vatala, Rudhirakshara, Vamini, Sramsini, Putraghni, Pittala,
• Atyananda, Karnini, Acharana, Aticharana, Shleshmala, Shandhi,
• Phalini, Mahati, Soochivaktra, Sarvaja, Antarmukhi, Shuska, Arajaska, Lohita kshaya, Upapluta
• Dysmenorrhoea, Pruritus Vulvae, Endometriosis, Adenomyosis, Pelvic Inflammatory Diseases,
• Pelvic organ prolapse, Cervical erosion and Ectropion, Dyspareunia, Vaginismus, Presacral neuralgia, Constitutional nymphomania, Effluvium seminis - Causes, Clinical features, Investigations and Management

• Nirukti and Bheda of Vandhyatwa
• Female and Male factors of infertility
• Infertility Evaluation - Semen Analysis, Hormonal assays, Follicular study, Ultrasonography & Hysterosalpingography
• Chikitsa of Vandhyatwa – Shodhana, Shamana and Sthanika upakrama
• Assisted Reproductive Techniques

• Pap smear
• Colposcopy
• Cervical biopsy
• Endometrial biopsy
• Hysterosalpingography
• Ultrasonography
• Hysteroscopy
• Laparoscopy
• Magnetic Resonance Imaging
• Computed Tomography scan

• Modalities
• Sthanika Upakrama - Yoni Dhavana, Yoni
• Prakshalana, Yoni Pichu, Yoni Varti, Yoni Lepana, Yoni Avachurnana, Yoni Purana, Yoni Dhoopana, Dahana, Ksharkarma, Uttarbasti

• Yonikanda, Yoni Arsha
• Benign lesions of reproductive system - Fibroid uterus, Bartholin cyst, Endometrial and Cervical polyp, Ovarian cyst, Tubo ovarian mass
• Arbuda
• Premalignant & Malignant lesions of Uterus, Cervix, Endometrium & adnexa - Aetiology, Evaluation, Staging, Management
• Preventive aspects of Malignancies
• Vaccination for cervical cancer

• Upadamsha, Firanga, Puyameha - Nidana, Samprapti, Lakshana, Chikitsa
• Sexually Transmitted Infections.- Causative microorganisms, Pathology, Clinical features, Investigations and Treatment

• Shweta pradar - Nidana, Lakshana and Chikitsa
• Differential Diagnosis of Abnormal Vaginal Discharge and management

• Clinical Anatomy of Breast
• Stana Keelaka, Stana Granthi - Nidana, Samprapti Lakshana, Bheda, Upadrava & Chikitsa
• Fibroadenoma Breast
• Stanarbuda - Breast carcinoma
• Aetiology, Clinical features, Diagnosis, Staging, Prevention & Management

• Sterilization methods of Instruments, Equipments and Labour - OT complex
• Garbhashaya Mukha Vistrutikarana evam Lekhana (Dilatation & Curettage)
• Garbhashaya Mukha Dahana (cauterization)
• Vandhya karana (Sterilization) – Tubectomy & Vasectomy
• Udaramarga Garbhashaya Nirharana (Abdominal hysterectomy)
• Yonimarga Garbhashaya Nirharana (Vaginal hysterectomy)
• Arbudanirharana (Myomectomy)
• Granthinirharana (Cystectomy)
• Arshanirharana (Polypectomy)

• Vishista-Phalashruti (Specific indication) of following formulations
• Churna Kalpana - Pushyanuga Churna, Shatpushpa Churna, Shatavari Churna, Nagakeshara Churna
• Ghrita Kalpana - Phalaghrita, Kashmaryadi Ghrita, Vidaryadi Ghrita
• Taila Kalpana - Dahtakyadi Taila, Shatpushpa Taila, Jatyadi Taila, Narayana Taila
• Asava and Arishta - Ashokarishta, Kumaryasava
• Rasa aushadhi - Rajahpravartini Vati, Pratapalankeshwar Rasa, Garbhapala Rasa, Pushpadhanva Rasa
• Kwatha - Nyagrodhadi kwatha, Dashmoola Kwatha, Panchavalakala Kwatha
• Paka Kalpana - Sobhagya Shunthi Paka, Puga Khanda/ Puga Paka
• Avaleha - Jeerakavaleha, Kushmandavaleha

• Family planning
• Reproductive and Child Health
• 'Janani Suraksha Yojana'
• 'Janani Shishu Suraksha Karyakram'
• 'Pradhan Mantri Surakshit Matritva Abhiyan'
• 'Mission Indradhanush'
• 'Menstrual Hygiene Scheme'
• 'LaQshya programme'

• Medical ethics
• Medical record documentation – Informed Consent, Birth & Death registration, Issuing Medical Certificate
• Audit in Obstetrics and Gynaecology