Maternal and Child Health Care through Homoeopathy
© Dr. Rajneesh Kumar Sharma MD (Homoeopathy)
Dr. (Km) Ruchi Rajput BHMS
Homoeo Cure Research Centre P. Ltd.
NH 74- Moradabad Road
Kashipur (UTTARANCHAL) - INDIA
Ph- 09897618594
Article outline-
Introduction, Changes in Mother after Child Birth, Physiological Changes during Puerperium,
Pathological Changes during Puerperium, Psychological Changes during Puerperium, Maternal Care,
Neonatal Problems, Apgar Scoring, Neonatal Care, Homoeopathy and Postnatal Care, Bibliography
Introduction
Maternal and child health care or postnatal
care or the puerperial care is extremely
important to recover to the pre-pregnancy
health. The puerperium covers the 6 week
period following birth during which time the
various changes that occurred during
pregnancy revert to the non-pregnant state. The
first 24 hours after birth, or the immediate
puerperium, is a critical stage. This is the time
when the uterus has to contract well, in order
to stop the bleeding from the site of placental
attachment. It is also the initiation of
breastfeeding and bonding. Occasionally, this
is the time that most life threatening
complications of delivery manifest.
Changes in mother after child birth
1- Physiological changes during puerperium
a- Cardiovascular system
It reverts to normal during the first 2 weeks.
b- Lochia
For first 3-4 days, lochia comprises mainly
blood and remnants of trophoblastic tissue.
During days 3-12 the colour is reddish-brown
but then changes to yellow. Occasionally,
lochia may become red again for a few days
due to thrombi at end of vessels breaking.
c- Skin
During pregnancy the hormones changes cause
pigmentation and changes in the colour of
skin. As hormones normalize, healthy glow
returns. Acne sufferers may see their
complexions completely clear up. However
some women might suffer from a skin disease,
which causes a red rash that, breaks out around
the mouth and chin. Some women also
experience extremely dry skin
d- Hair
Because of the fluctuating estrogen and
progesterone levels, dramatic changes are seen
in hair. These changes sometimes last up to
two years.
e- Breast
Pregnancy and breastfeeding reduce chances
for breast cancer. However sagging increases
after childbirth because the skin of the breasts
becomes stretched and will continue to stretch
if breastfeeding is continued. Sometimes,
temporary leakiness may be seen, even if not
breastfeed.Many mothers suffer from sore or
cracked nipples 3-6 days after birth. These sore
nipples range from nipple tenderness, which
quickly goes away after the baby latches on.
f- Belly
Though abdominal muscles stretch to twice
their normal size during pregnancy, with
proper exercise these can be a flat tummy
again. Labour makes the stomach muscles
weak and since the internal organs become
displaced, backache can be a major problem,
and abdominal pain may also be experienced.
g- Bladder
During pregnancy because of the pressure of
the baby on the bladder tendency to urinate
more frequently is common. But after
pregnancy this problem is gone and by doing
pelvic floor exercises regularly it is fully
recovered. However pressure on the urethra
during delivery can make urination difficult
after delivery.
h- Sex organs
Vaginal wall which is initially swollen, bluish
and pouting, rapidly regains its tone although
remaining fragile for 1-2 weeks. Perineal
oedema may persist for some days.
After delivery of placenta, the uterus is at size
of 20-week pregnancy, but reduces in size on
abdominal examination by 1 finger-breadth
each day such that on the 12th day it cannot be
palpated. By end of puerperium it is only
slightly larger than pre-pregnancy.
The vagina regains its prepregnancy muscle
tone within the first few months and the cervix,
forced open during delivery, closes painlessly
over a period of 10 days. However intercourse
for the first time after pregnancy will probably
be slightly painful.
2- Pathological changes during puerperium
a- Perineum
If the perineum has been damaged and repaired
it may cause considerable pain requiring
analgesics and women may prefer to sit on a
rubber ring. If the perineum is painful, it is
important to check the sutures and check for
any signs of infection. Occasionally sutures
may need to be removed.
b- Micturition
It may be difficult in first 24 hours and may
occasionally require catheterisation. Around 1
in 10 women have urinary incontinence and
this usually takes the form of stress
incontinence. For most women this has
resolved after a few weeks. Pelvic floor
exercises should be taught and encouraged.
c- Bowel problems
Constipation may be a problem for a short time
and stool softeners may be useful.
Hemorrhoids may be more painful after the
birth than before. These can occasionally
appear for the first time perinatally and these
normally disappear within a few weeks.
d- Mastitis and cracked nipples
These may be due to failure to express milk
from one part of the breast and can be treated
by ensuring all milk is expressed and cold
compresses. This may be complicated by
infection with staphylococcus aureus making a
breast abscess. Sometimes the soreness can be
very painful and prevents mothers to
breastfeed their baby.
e- Backache
This may persist after the birth and affects
approx. A quarter of women, 50% of these
women suffered backache before pregnancy.
Pain may be considerable and last for several
months.
f- Postpartum haemorrhage
Primary postpartum haemorrhage is defined as
loss of more than 500ml of blood during first
24 hours. It may be associated with either an
atonic uterus or placental remnants. Some
cases are associated with laceration of the
genital tract, rarely uterine rupture or blood
coagulation defect. Secondary postpartum
haemorrhage is abnormal bleeding after 24
hours up until 6 weeks postpartum. Its usual
causes are poor epithelialisation of placental
site and retained placental fragment and/or
blood clots. Uterus is often found to be bulky
and tender with cervix open.
g- Postnatal anaemia
It is common.
h- Puerperal pyrexia
Defined as temperature 1000 f or above during
the first 14 days after delivery. Most cases are
due to anaerobic streptococci that normally
inhabit the vagina. Initially, infect placental
bed and then spread either into parametrium or
via uterine cavity to fallopian tubes and
occasionally pelvic peritoneum. Alternatively
may be breast infection or uti, or non-infective
cause such as thrombophlebitis or deep vein
thrombosis.
i- Thromboembolism
It is more likely to occur in women who are
overweight, over the age of 35 or have had a
caesarean section. Deep vein thrombosis is
indicated by low-grade fever, raised pulse rate
and feeling of uneasiness. Calf muscles are
tender and painful on firm palpation. Clinical
signs are unreliable and need confirmation
with colour doppler ultrasound. Pulmonary
embolus causes dyspnoea and pleural pain and
cyanosis may develop later. Friction rub heard
on chest. Diagnosis confirmed by lung
perfusion scan performed urgently as women
may die within 2-4 hours.
3- Psychological problems
'Third day blues': on days 3-5, a large
proportion of women become temporarily sad
and emotional; approximately 10% of women
suffer from postnatal depression which may
present at any time during the first year after
delivery. Many mothers begin to feel
depressed, increasingly despondent and
hopeless soon after the baby is born. They may
feel terribly miserable and sad for no particular
reason and may find that they spend a large
part of each day in tears. Sometimes the
mother may feel rejected by her partner,
family, friends, or even by the new baby; these
feelings usually have no foundation. The
depressed mother may feel permanently tired
and lethargic, unable to cope with household
tasks. She may give up bathing, dressing
properly or making-up. Sometimes, the care of
the baby is too much for the mother whilst she
is unwell and someone else must be found to
'take over' until she has recovered. The precise
cause of this is unknown and may involve
hormonal changes, reaction to excitement of
childbirth and doubts by the mother about her
ability to care for the child.
a- Postnatal psychosis
It is sometimes present with apparent
schizophrenia and usually begins abruptly at 5-
15 days initially with confusion, anxiety,
restlessness and sadness. There is rapid
development of delusions, e.g. Baby has died
or is deformed or hallucinations with
deepening melancholia.
b- Anxiety
A depressed mother may feel extremely
anxious about a variety of subjects and
situations. She may be worried about her
health, possibly having felt unwell since the
birth of the baby. She may experience severe
pain for which the doctor can find no
satisfactory explanation. This pain is often in
the head or neck. Other mothers suffer
backache and chest pains which they fear are
due to heart trouble. The mother may have a
number of minor medical complaints which
can cause undue distress. Anxiety may take the
form of unjustified worries about the health
and wellbeing of other members of the family,
especially the baby.
c- Panic
A depressed mother is often very confused by
everyday situations and may experience
feelings of panic. These feelings are
unpredictable and often very distressing. She is
unable to calm down.
d- Tension
Feelings of tension are often associated with
depression. The mother who experiences these
feelings finds them extremely distressing. She
is quite unable to relax however much she is
encouraged to do so. She may feel as if she is
about to explode when the tension is at its
worst.
e- Obsessional and inappropriate thoughts
A mother suffering from depression commonly
has some obsessional thoughts. These may be
about a person, a situation or about a certain
activity. Some mothers become very frightened
and believe that they may harm a member of
their family especially the baby.
f- Baby blues
The baby blues are a period of mild depression
which can occur about three or four days after
the baby is born. About 50% - 80% of all
mothers go through a patch of baby blues
which lasts for a few hours, or, at most, for a
few days and then it disappears. Symptoms of
baby blues are-
• Mild depression
• Being very emotional and upset
• Tearfulness for no apparent reason
• Being tense and anxious
• Difficulty sleeping
• Constant worry about minor problems
• Some mothers have pains for which
there is no medical cause
• Being unwell generally with no
apparent cause and symptoms
• Impossible to cheer up
• Most mothers who have the blues feel
very tired and lethargic most of the
time
Maternal care
a- Maternal activity
This is an important time for the women to be
encouraged to breast feed and learn to care for
her infant. Uterine contractions continue after
birth and some women suffer after-pains,
particularly when breast feeding, and may
require analgesics.
b- Exercise
The mother should start walking about as soon
as possible, go to the toilet when necessary and
rest when she needs to. She may prefer to stay
in bed for the first 24 hours or longer if she has
an extensive perineal repair.
c- Pelvic floor muscle exercises
The bladder may show incontinence of urine
after having a baby, particularly during a
cough, laugh or sneeze. Daily pelvic floor
exercises are essential to help with this
problem.
d- Rest
It is very important to have a good sleep or
rest.
e- Coping with changes
Post natal life is changed dramatically.
f- Support
Support and reassurance are essential,
particularly in the early days and weeks.
g- With Multiple births
The arrival of multiple newborns presents
certain medical, logistical, financial, and
emotional challenges for a family. But the
upswing in twins, triplets, quadruplets, and
more also means an increase in resources to
help those families. Often, parents who are
expecting multiples find that other families
who've been through the experience are a great
help.
h- Stretch marks
Stretch marks, also known as stria atrophica
and striae distensae, are tears in the dermis.
Stretch marks are thin reddish streaks that
usually occur on belly, breasts, thighs and
bottom. Stretch marks represent a flattened,
thin epidermis overlying gaps in the dermis left
by stretched or torn elastin fibers. There are
ways to remove them-
• Exercise
• Plenty of protein and foods rich in
vitamin c and vitamin e
• Massaging the body with olive oil or
vitamin e may help.
• Quit smoking. Tobacco is known to
cause skin to lose its elasticity.
i- Cracked nipples
To avoid nipple soreness, the following
measures may be taken-
• Correction of positioning and latch is
essential.
• Varying nursing positions for at least
the first week.
• Limiting the amount of time of nursing
on the sore nipple, always starting with
the side that is not sore.
• Use of bra pads, and changing them
frequently to keep nipples dry.
• Breastfeeding frequently and regularly
to avoid nipple confusion and sore
nipple.
• Massage a little hand expressed milk
into the nipples after finishing the
nursing, and letting them air dry.
• One can also express a little milk
before breastfeeding to regularize the
flow of milk.
• Use of nipple protectors as long as
nipples don't heal.
j- Sexual pleasure
Post-childbirth there will be changes in a
woman's sexuality. There are physical as well
as emotional changes in her. She may be
extremely exhausted and sleep-deprived. Her
pelvic nerves and muscles may also have been
damaged during delivery, lowering genital
sensitivity. Breastfeeding lowers levels of
estradiol, the hormone responsible for keeping
the urogenital tract lubricated and flexible
thereby decreasing her urge for sexual
pleasure. It also raises the prolactin hormone,
which suppresses sexual desire and lowers
testosterone. Thus post childbirth sex maybe
not is the first thing on her mind.
k- Problems faced by couples in their sex-life
after childbirth
It is normally seen that mothers are too tired of
nursing, feeding and looking after the baby
that they totally neglect their partners who in
turn feel undesired. Due to the physical
changes in the mother caused due to
pregnancy, mothers start feeling undesired
themselves and they shun away from their
partner. There are changes in a woman's
sexuality after the birth of the baby. There will
be some temporary changes in the shape and
sensitivity of the vagina; and sometimes
permanent changes in the shape and "look" of
the external genitals. This also causes
problems in sexual pleasure.
Neonatal problems
a- Umbilical cord
The stub of the umbilical cord is white,
translucent and shiny, right after birth. The
stump of the umbilical cord must be kept clean
and dry as it shrivels and, within a few weeks,
eventually falls off. A sticky material that
sometimes collects where the base of the
stump meets the skin should be cleaned. Care
should be taken for-
• Pus at the base of the cord
• Red skin around the base of cord
• Crying on touch the cord or the skin
next to it.
b- Umbilical granuloma
Occasionally, after the umbilical cord has
fallen off, the remaining area continues to be
moist and may swell slightly. This is called an
umbilical granuloma.
c- Umbilical hernia
If the baby's umbilical cord seems to push
outward when he cries, he may have an
umbilical hernia. This is not a serious
condition, and it usually heals by itself in the
first 12 to 18 months.
d- Care of the uncircumcised penis
One of the first decisions you will make for
your new baby boy is whether or not to have
him circumcised. If you have chosen not to
have your son circumcised, there are some
things you should be aware of and teach your
son as he gets older.
e- Foreskin retraction
The foreskin, which covers the head of the
penis, will separate from the glans. Some
foreskins separate soon after birth or even
before birth, but this is rare. When it happens
is different for every child. It may take a few
weeks, months or years.
After the foreskin separates from the glans, it
can be pulled back away from the glans toward
the abdomen. This is called foreskin retraction.
f- Smegma
When the foreskin separates from the glans,
skin cells are shed. These skin cells may look
like whitish lumps, resembling pearls, under The sunlight is a treatment for jaundice if the
the foreskin. These are called smegma. baby is normal. If the baby has a bad case of
Smegma is normal and nothing to worry about. jaundice the exposure to UV light in the
g- Neonatal jaundice hospital to speed up the recovery is essential.
Neonatal Jaundice is an excessive amount of Apgar Scoring
bilirubin in the blood. This yellowy substance The Apgar score is a standardised way of
can make the baby's skin appear yellow or very checking the health of a newborn baby. It was
tan. About 50 percent of all newborn babies named after its creator, Dr Virginia Apgar,
have a problem with jaundice. It is more Professor of Anesthesiology at Columbia
common in premature infants. While the baby University in the USA, who died in 1974. The
is still in the womb the mother, through the Apgar score was designed to assess a baby’s
placenta, rids the baby’s body of excess blood health quickly: the checks are conducted at one
cells. When the baby is out of the womb minute and 5 minutes after birth.
sometimes their liver is unable to get rid of the The score is based on 5 elements, which are
blood cells as fast as they build-up. As the liver sometimes named after the letters in Apgar’s
matures and catch up quickly to filtering out name: Appearance, which relates to the
the bilirubin, the jaundice is vanished. But if pinkness or blueness of the baby’s skin tone;
the baby can not eliminate it quickly, this can Pulse, which relates to its heart rate; Grimace,
be dangerous. Too much bilirubin can harm which tests the baby’s reflexes and response
brain cells. Another problem that jaundice can when the sole of its foot is stimulated; Activity,
indicate is the total absence of the ducts in the which checks the baby’s muscle tone; and
liver that drain the bile secretions; this is called Respiration, which assesses the rate of the
obstructive jaundice. This is why it is baby’s breathing. Each element is given a
important to monitor any baby with jaundice score of 0, 1 or 2 to provide a total score of 10.
carefully by doing bilirubin tests to find out the
level of bilirubin in the blood.
The Apgar newborn scoring system
Appearance Blue or pale skin tone = 0.
Pink body but blue fingers and toes = 1.
Completely pink = 2.
Pulse No heart rate detected = 0.
Slow heart rate (below 100 beats per minute) = 1.
Fast heart rate (more than 100 beats per minute) = 2.
Grimace No response when the sole of the foot is stimulated = 0.
Baby grimaces when the foot is stimulated = 1.
Baby cries when the foot is stimulated = 2.
Activity Baby is limp = 0.
Baby shows some muscle flexing in its feet and hands = 1.
Baby is active and can flex the muscles in its feet and hands = 2.
Respiration There are no signs of the baby’s breathing = 0.
Baby has only a weak cry and can’t seem to get enough air into its lungs = 1.
Baby is breathing well and can cry strongly = 2.
A score of 7 or more is considered normal. •Newborn should not be shaken whether
However, if the baby has a low score at one in play or in frustration.
minute and a normal score at 5 minutes, this, b- Bonding and soothing
too, is considered normal, particularly if the Babies, especially premature babies and those
birth took a long time. with medical problems may respond to infant
A low Apgar score gives a warning signal that massage. Certain types of massage may
the baby has hidden health problems, such as enhance bonding and help with infant growth
breathing difficulties or internal bleeding. and development.
Newborn care Babies usually love vocal sounds, such as
a- Handling a newborn talking, babbling, singing, and cooing. Some
Here are a few basics to remember: babies can be unusually sensitive to touch,
• Baby’s head and neck should be light, or sound, and might startle and cry
carefully supported. easily. Swaddling keeps a baby's arms close to
the body and legs snuggled together. Not only
does this keep a baby warm, but the
surrounding pressure seems to give most
newborns a sense of security and comfort.
Swaddling works well for some babies during
their first few weeks.
c- Diapering
• Diaper should be clean
• A fastener (if cloth is used) should be
used
• Diaper ointment should be used if the
baby has a rash
Diaper rash is a common concern. Typically
the rash is red and bumpy and goes away in a
few days with warm baths, some diaper cream,
and a little time out of the diaper. Most rashes
occur because the baby's skin is sensitive and
becomes irritated by the wet or poopy diaper.
d- Bathing
The baby should be given a sponge bath until:
• The umbilical cord falls off (1–4
weeks)
• The circumcision heals (1–2 weeks)
• The naval heals completely (1–4
weeks)
A bath two or three times a week in the first
year is sufficient. More frequent bathing may
be drying to the skin. Tub bath may be started
as the baby starts sitting.
e- Feeding and burping
A newborn baby needs to be fed every 2 to 3
hours. Some newborns may need to be
awakened every few hours to make sure they
get enough to eat. Babies often swallow air
during feedings, which can make them fussy.
This can be prevented by burping the baby
frequently.
f- Sleeping
It's important to place babies on their backs to
sleep to reduce the risk of sudden infant death
syndrome (SIDS).
Homoeopathy and Postnatal Care
ABDOMEN - DELIVERY agg.; during- Arn. bell. bry.
Cham. coloc. hyos. lach. nux-v. puls. sep. verat.
Abdomen - distended, tympanitic, inflated, etc. -
parturition,after- lyc. Sep.
ABDOMEN - ENLARGED - delivery; after- Coloc.
SEP.
ABDOMEN - INFLAMMATION - Peritoneum -
delivery; after- acon. bell. bry. Merc-c. pyrog. spig.
sulph. ter. ust. verat-v.
ABDOMEN - Large - abdomen large, from child birth-
Coloc. Sep.
ABDOMEN - PAIN - Inguinal region - delivery; during-
cimic.
ABDOMEN - PAIN - Umbilicus - Region of umbilicus -
delivery; during- IP. NUX-V.
ABDOMEN - PENDULOUS abdomen - delivery; after-
podo.
Albuminuria - pregnancy - during - and after delivery-
merc-c. pyrog.
Axillae - abscess - delivery, after- rhus-t.
BACK - DELIVERY; after - difficult delivery- nux-v.
BACK - DELIVERY; after- Phos.
BACK - PAIN - Coccyx - delivery; after- hyper. tarent.
BACK - PAIN - descends - delivery; during- Nux-v.
BACK - PAIN - Dorsal region - delivery; during- petr.
BACK - PAIN - extending to - Upward - delivery;
during- GELS. Petr.
BACK - PAIN - Lumbar region - delivery - after -
difficult delivery- Nux-v.
BACK - PAIN - Sacral region - delivery; after- phos.
BACK - PAIN - Sacral region - extending to - Down
legs - delivery; after- phyt.
BACK - PAIN - Sacral region - instrumental delivery,
after- HYPER.
BACK - PAIN - Sacroiliac symphyses - extending to -
Down region of sciatic nerves - delivery; during- Cimic.
bell. kali-p. lach. phos. sec.
BLADDER - PARALYSIS - delivery; no desire after-
ARS. canth. CAUST. ferr. Hyos. kreos. nux-v. phos.
zinc.
Bladder - paralysis - parturition, after- ars. caust.
BLADDER - URINATION - dribbling - delivery; after -
forceps delivery- thlas.
BLADDER - URINATION - dribbling - delivery; after-
Arn. tril-p.
BLADDER - URINATION - dribbling - involuntary -
delivery; after- Arn.
BLADDER - URINATION - dysuria - delivery - after -
forceps delivery- thlas.
BLADDER - URINATION - frequent - delivery; during-
cham.
BLADDER - URINATION - involuntary - delivery;
after- Arn. ARS. bell. caust. hyos. tril-p.
BLADDER - URINATION - urging to urinate - constant
- delivery; after- op. Staph.
BLADDER - URINATION - urging to urinate -
delivery; during- Kreos. nux-v.
BLADDER - WEAKNESS - delivery; after- ARS.
caust.
Bladder - weakness - parturition, after- ars. caust.
Blood vessels - inflamed, phlebitis - forceps delivery,
after- all-c. caul. CHAM. Hyos.
CHEST - ABSCESS - Axillae - delivery; after- rhus-t.
CHEST - Aggravation - weaning, after- puls.
CHEST - DELIVERY; after- Carb-an.
CHEST - HEMORRHAGE of lungs - delivery - during -
puerperal fever; in- ham.
CHEST - INDURATION - Mammae - delivery; after-
phyt.
CHEST - Mammae - weaning, effects of- Bell. Bry.
CALC. LAC-C. PULS.
CHEST - MILK - absent - delivery; after- acon. agn.
bell. bry. CALC. Caust. cham. coff. merc. Puls. rhus-
t. stict. sulph. urt-u.
CHEST - MILK - thin - watery; and - long after
weaning- Con.
CHEST - OPPRESSION - delivery; during- Chinin-s.
CHEST - PAIN - Heart – delivery- Cimic.
CHEST - PAIN - Mammae - delivery; after- CASTOR-
EQ.
CHEST - PAIN - Mammae - Nipples – weaning- dulc.
CHEST - SWELLING - Mammae - weaning, after- all-
s. puls.
Chest and lungs - haemorrhage - parturition, after- arn.
chin. puls.
Chest and lungs - haemorrhage - puerperal fever, in-
ham.
Childish, foolish - parturition, after- apis
Children infants - cyanotic, birth, from- borx. cact. dig.
lach. laur.
Children infants - suckling - die, early, birth after- arg-
n.
CHILL - Chill, etc. - concomitants - sensations and
generalities - puerperal signs- Sulph.
CHILL - SHAKING - delivery; during- caul.
Chlol. GELS.
Clarke J. H., Clinical Repertory (English) - Clinical - C -
convulsions – puerperal- pilo. thyroiod.
Clarke J. H., Clinical Repertory (English) - Clinical - L -
labour - puerperal fever- Merc-c. Pyrog.
Clarke J. H., Clinical Repertory (English) - Clinical - P –
parturition- calc-f.
Clarke J. H., Clinical Repertory (English) - Clinical - W
- weaning, complaints after- cycl. frag.
Clarke J. H., Clinical Repertory (English) -
Temperaments - intestines as if falling down, sensation
of, in pregnant or parturient women- podo.
Clarke J. H., Clinical Repertory (English) -
Temperaments - parturient women with sensation as if
intestines were falling down- podo.
Clarke J. H., Clinical Repertory (English) -
Temperaments - pregnant women - or parturient women
with sensation as if intestines were falling down- podo.
Clarke J. H., Clinical Repertory (English) -
Temperaments - women - pregnant - or parturient, with
sensation as if intestine were falling down- podo.
Clinical - Parturition pains- camph.
Clinical - Spasms puerperal- cic.
Coccyx - parturition, after- tarent.
CONDITIONS OF AGGRAVATION AND
AMELIORATION IN GENERAL - Lying-in women
(the puerperal state), agg.- Acon. Ant-c. ant-t. ARN.
asaf. asar. aur. BELL. borx. bov. BRY. CALC.
camph. canth. CARB-AN. carb-v. caust. CHAM.
Chin. cina Cocc. COFF. colch. coloc. CON. CROC.
cupr. dros. dulc. FERR. graph. hep. HYOS. Ign. iod.
IP. KALI-C. Kreos. lach. lyc. mag-c. mag-m. merc.
Mosch. mur-ac. nat-c. Nat-m. nit-ac. nux-m. NUX-V.
Op. ph-ac. Phos. PLAT. PULS. rheum RHUS-T. ruta
sabad. SABIN. SEC. SEP. sil. stann. stram. sul-ac.
Sulph. thuj. Verat. zinc.
Diarrhoea - fever – puerperal- pyrog.
Diarrhoea - parturition, after- coll. hyos. rheum
Diarrhoea - weaning, after- arg-n. CHIN.
DREAMS - CHILDBIRTH - delivery alone; she had to
conduct a- dendr-pol.
DREAMS - PREGNANT - being - terrified about
delivery- falco-pe.
EAR - DISCHARGES - birth, from- viol-o.
Ears - discharge, from - birth, from- viol-o.
Eclampsia - delivery, immediately after- aml-ns. ant-t.
EXTREMITIES - COLDNESS - Wrists - puerperal
fever- puls.
EXTREMITIES - CRAMPS - delivery; during- plat.
EXTREMITIES - CRAMPS - Fingers - delivery;
during- CUPR. DIOS.
EXTREMITIES - CRAMPS - Hips - delivery; during-
Cimic.
EXTREMITIES - CRAMPS - Legs - Calves - delivery;
during- nux-v.
EXTREMITIES - CRAMPS - Legs - delivery; during-
bell. cupr. mag-p. nux-v.
EXTREMITIES - CRAMPS - Toes - delivery; during-
cupr.
EXTREMITIES - MILK LEG - delivery; after- acon.
all-c. Arn. ars. Bell. calc. iod. lach. nux-v. puls.
RHUS-T. sil. sulph.
EXTREMITIES - NUMBNESS - delivery; during-
cupr.
EXTREMITIES - PAIN - delivery; after- caul. rhod.
EXTREMITIES - PAIN - Fingers - left - delivery;
during- dios.
EXTREMITIES - PAIN - Toes - delivery; during- dios.
EXTREMITIES - PARALYSIS - Lower limbs -
delivery; after- Caust. Plb. RHUS-T.
EXTREMITIES - WEAKNESS - Legs - delivery; after-
Caust. Rhus-t.
EXTREMITIES - WEAKNESS - Lower limbs -
delivery; after- caust. Rhus-t.
EYE - MOVEMENT - convulsive - delivery; during-
chinin-s.
EYE - PARALYSIS - Optic nerve - delivery; during-
aur-m.
FACE - DISCOLORATION - brown - spots - delivery;
after- crot-h.
FACE - ERUPTIONS - acne - Chin - delivery; after-
sep.
FACE - HEAT - delivery; during- Arn. Bell. Coff. Ferr.
Gels. Op.
FEMALE GENITALIA/SEX - ATONY of uterus -
delivery; during- indgf-a. lysi-r. op. pitu-gl. plb. sec.
vero-ab.
FEMALE GENITALIA/SEX - ATROPHY - Uterus -
delivery; during- caul.
FEMALE GENITALIA/SEX - COITION - aversion to -
delivery; since last- Lyss.
FEMALE GENITALIA/SEX - DELIVERY - after;
complaints - instrumental delivery- hyper. thlas.
FEMALE GENITALIA/SEX - DELIVERY - during;
complaints - delayed delivery- kali-p.
FEMALE GENITALIA/SEX - HAIR falling out -
delivery; after- nat-m. ph-ac.
FEMALE GENITALIA/SEX - INFLAMMATION -
Uterus - delivery; after- bell. Canth. Cham. lach. Nux-
v. oci-sa. Sabin. Sec. til.
FEMALE GENITALIA/SEX - LEUKORRHEA - acrid,
excoriating - delivery; after- Nat-s.
FEMALE GENITALIA/SEX - LEUKORRHEA -
delivery; after- bell-p.
FEMALE GENITALIA/SEX - LEUKORRHEA -
offensive - delivery; after forceps- calen.
FEMALE GENITALIA/SEX - LOCHIA - offensive -
delivery, after instrumental- calen.
FEMALE GENITALIA/SEX - MENSES - copious -
abortion or parturition, after- APIS chin. Cimic. helon.
kali-c. Nit-ac. Plat. Sabin. sep. sulph. thlas. ust. vib.
FEMALE GENITALIA/SEX - MENSES - copious -
forceps delivery; after- calen.
FEMALE GENITALIA/SEX - MENSES - return -
delivery; too soon after- tub.
FEMALE GENITALIA/SEX - MENSES - return -
delivery; too soon after - two weeks after delivery- tub.
FEMALE GENITALIA/SEX - METRORRHAGIA -
bright red - delivery; during- ip.
FEMALE GENITALIA/SEX - METRORRHAGIA -
coagulated - delivery; after- phos.
FEMALE GENITALIA/SEX - METRORRHAGIA -
dark blood - clots, with - delivery; during- sabin. tril-p.
FEMALE GENITALIA/SEX - METRORRHAGIA -
dark blood - fluid - delivery; during- sec.
FEMALE GENITALIA/SEX - METRORRHAGIA - hot
- delivery; during- ip.
FEMALE GENITALIA/SEX - METRORRHAGIA -
oozing - delivery; during- sec.
FEMALE GENITALIA/SEX - METRORRHAGIA -
painless - delivery; during- sabin.
FEMALE GENITALIA/SEX - METRORRHAGIA -
profuse - delivery; during- ip. tril-p.
FEMALE GENITALIA/SEX - PAIN - afterpains -
instrumental delivery, after- Arn. Hyper. Rhus-t.
FEMALE GENITALIA/SEX - PAIN - delivery; after-
arn.
FEMALE GENITALIA/SEX - PAIN - Ovaries -
delivery; after- LACH.
FEMALE GENITALIA/SEX - PAIN - Uterus - delivery;
after- cimic. rhod. til.
FEMALE GENITALIA/SEX - PROLAPSUS - Uterus -
delivery; after- bell. Helon. Nux-v. Podo. puls. Rhus-t.
sec. SEP.
FEMALE ORGANS - Puerperal infection- ars. bell. lyc.
op. pyrog. Rhus-t. Sec. Sulph.
FEMALE SEXUAL SYSTEM - Lactation - Milk - Too
profuse - to dry up during weaning- asaf. bry. Calc.
con. Lac-c. Puls. urt-u.
FEMALE SEXUAL SYSTEM - Lactation - Weaning, ill
effects- bry. cycl. frag. puls.
FEMALE SEXUAL SYSTEM - Lochia - Puerperal -
phlebitis after forceps delivery- all-c.
FEMALE SEXUAL SYSTEM - Menorrhagia - After
miscarriage, parturition- apis chin. Cimic. helon. kali-
c. Nit-ac. Sabin. sep. sulph. thlas. Ust. vib.
FEMALE SEXUAL SYSTEM - Uterus - Haemorrhage -
From - parturition, abortion- caul. cham. chin. croc. ip.
mill. nit-ac. Sabin. Sec. thlas.
Females - desire, sexual - increased - parturition, after-
chin. verat. zinc.
FEVER - Pathological types - puerperal fever- ACON.
ant-c. ARN. Ars. BELL. BRY. calc. carb-ac. carb-an.
CHAM. chin. Chinin-ar. cocc. Coff. COLOC. con.
croc. ferr. HYOS. ip. kali-c. kreos. Merc. NUX-V. Op.
phos. PLAT. PULS. PYROG. RHUS-T. Sabin. SEC.
SEP. stram. sulph. Verat. zinc.
FEVER - PUERPERAL FEVER- Acon. ail. ant-c. Apis
Arg-n. arn. ars. Bapt. bell. borx. Bry. Calc. camph.
canth. carb-ac. carb-an. carb-v. CARBN-S. cham.
chin. chinin-ar. Chinin-s. chlol. cimic. cocc. coff.
Colch. coloc. con. croc. CROT-H. dulc. ECHI. Ferr.
gels. Hydr-ac. Hyos. ign. ip. kali-br. kali-c. kali-chl.
kali-m. kali-p. kreos. LACH. LYC. med. Merc-c.
merc. mill. Mur-ac. nux-v. op. petr. Ph-ac. phos.
Phyt. plat. PULS. PYROG. raja-s. RHUS-R. RHUS-
T. sabal sabin. sal-ac. sec. SEP. sil. squil. staph.
stram. streptoc. SULPH. ter. thyr. verat-v. verat.
zinc.
FEVER - Puerperal fever- acon. pyrog. verat.
Fingers - felon, runaround, panaritium - parturition,
after- all-c.
Forceps delivery after- hyper. thlas.
GENERALS - AILMENTS from - weaning milk- arg-n.
BELL. bry. Calc. carb-an. chin. con. cycl. frag. lac-c.
lac-d. puls. urt-u.
GENERALS - CHILDREN; complaints in - nurslings -
dying soon after birth- arg-n.
GENERALS - COLLAPSE - delivery; during- ip.
GENERALS - CONVALESCENCE; ailments during -
delivery; after- arn. Graph. sep.
GENERALS - CONVULSIONS – puerperal- Acon.
ambr. Ant-c. ant-t. apis Arg-n. arn. ars. art-v. Atro.
BELL. benz-ac. canth. Carb-v. caul. caust. Cham.
Chinin-s. chlf. chlol. CIC. cimic. cinnm. Cocc. Coff.
croc. crot-c. Crot-h. cupr-ar. Cupr. Cycl. Gels. Glon.
Hell. Helon. hep. hydr-ac. HYOS. Ign. Ip. Jab.
KALI-BR. KALI-C. kali-p. Lach. Laur. Lyc. lyss.
mag-p. Merc-c. Merc. Mill. mosch. Nat-m. Nux-m.
Nux-v. oena. Op. passi. ph-ac. Phos. Pilo. Plat. puls.
Sec. sol-ni. STRAM. stry. tarent. Ter. thyr. verat-v.
Verat. zinc. ziz.
GENERALS - CYANOSIS - children; in - birth; from-
borx. cact. dig. lach. laur.
GENERALS - EMACIATION - children; in - newborns;
in - birth trauma; after- borx.
GENERALS - FAINTNESS - fever - during - agg. –
puerperal- cimic. Coloc.
GENERALS - FAINTNESS - hemorrhages; from -
delivery; after- Cann-s. Croc. IP. TRIL-P.
GENERALS - FAINTNESS – puerperal- cimic. Coloc.
GENERALS - FORMICATION - delivery; during- sec.
GENERALS - HISTORY; personal - birth trauma; of
-bell-p-sp. borx. nat-m.
GENERALS - INFLAMMATION - Blood vessels -
Veins - delivery; after forceps- all-c.
GENERALS - INFLAMMATION - cellulitis - delivery;
after- hep. Rhus-t. verat-v.
GENERALS - LASSITUDE - delivery; after- cupr.
GENERALS - PARALYSIS - delivery; after- PHOS.
RHUS-T.
GENERALS - PARALYSIS - paraplegia - delivery;
after- caul. caust. plb. Rhus-t.
GENERALS - QUIVERING - delivery; during first
stage of- cimic.
GENERALS - TWITCHING - delivery; during- cinnm.
GENERALS - TWITCHING - Upper part of body -
delivery; after- cic.
GENERALS - WEAKNESS - perspiration - from -
delivery; after- Samb.
GENITALIA - Female organs - childbed - puerperal
fever- ACON. BELL. BRY. CHAM. coff. Coloc.
Hyos. ip. merc. NUX-V. puls. RHUS-T. SULPH.
verat.
Guernsey W., Repertory of Haemorrhoids -
AGGRAVATION AND AMELIORATION - parturition
agg.- ign. KALI-C. lil-t. Mur-ac.
Hair - falling - parturition, after- carb-v. lyc. sulph.
ham.
HEAD - External - hair - falling out, from head -
parturition, after- hep. Lyc. sil. Sulph.
HEAD - HAIR - falling - delivery; after- Bell. Calc.
Canth. Carb-v. hep. LYC. Nat-m. Nit-ac. PLAT. Puls.
Sep. sil. SULPH. verat. zinc.
HEAD - INJURIES of the head; after - children; in -
delivery; from- carc. nat-s.
HEAD - PAIN - injuries; after mechanical - delivery;
during- carc.
Heart - forceps, delivery, after- cact.
Hydrocele - boys, of - birth, from- rhod.
Insanity, mania, craziness – puerperal- aur. bell. camph.
cimic. cupr. hyos. lyc. plat. puls. sec. stram. thuj.
verat-v. verat.
Lactation - milk - absent, scant - parturition, after- urt-
u.
Lactation - milk - weaning, after- con. Lac-c. puls.
Legs - weak - parturition, after- caust. rhus-t.
Leucorrhoea - offensive - forceps, delivery, after- calen.
Mammae - swelled - weaning, after- all-s. puls.
Master F., Hair Loss - HAIR - parturition after- CALC.
CANTH. CARB-V. HEP. LYC. NAT-M. Nit-ac. Sep.
sil. SULPH.
Melancholy - parturition, after- anac.
Menses - absent, suppressed, amenorhoea - weaning,
after- sep.
Menses - copious, profuse, excessive - forceps delivery,
after- calen.
Menses - intermittent, reappearing - parturition, after-
acet-ac.
MIND - Aggravation - puerperal state, in- sec.
MIND - ANSWERING - confusedly as though thinking
of something else - mania; in puerperal- puls.
MIND - ANSWERING - irrelevantly - delivery; after-
Thuj.
MIND - ANXIETY - delivery, during- Cham. cupr.
MIND - ANXIETY - fever - during - puerperal fever;
during- Plat.
MIND - BED - get out of bed; wants to - delivery;
during- cham.
MIND - BITING - mania; in puerperal- camph.
MIND - CHILDISH behavior - delivery; after- apis
MIND - COMPANY - aversion to - delivery; after-
Thuj. tritic-vg.
MIND - DELUSIONS - die - about to die; one was -
delivery; during- ACON.
MIND - DELUSIONS - dirty - sexuality is dirty -
delivery; since- berb.
MIND - DELUSIONS - insane - become insane; one
will - delivery; during- cimic. coff.
MIND - DELUSIONS - unreal - everything seems
unreal - hemorrhage after delivery; in- cann-s.
MIND - DESPAIR - delivery, during- Coff.
MIND - EATING - refuses to eat - children; in - birth
trauma; after- borx.
MIND - ESCAPE, attempts to - mania puerperalis, in-
Stram.
MIND - EXCITEMENT - heat - during heat; excitement
- puerperal heat- Cham. coff. Lach.
MIND - FEAR - poisoned - mania, in puerperal- Verat-
v.
MIND - GRIEF - delivery; during- ign.
MIND - HIDING - himself - mania, in puerperal- Puls.
MIND - HORRIBLE things, sad stories affect her
profoundly - thoughts during delivery; her- plat.
MIND - HYSTERIA - delivery; during
MIND - HYSTERIA - pregnancy and delivery; during
MIND - IMPATIENCE - delivery; during
MIND - INDIFFERENCE - fever, during - delivery;
after puerperal
MIND - INDIFFERENCE - fever, during - delivery;
after puerperal- kali-c.
MIND - INSANITY - delivery; during
MIND - INSANITY – puerperal- agn. Aur. bar-c. Bell.
bry. Camph. Cann-i. cann-s. cann-xyz. canth. Chlol.
cic. Cimic. crot-h. Cupr-act. Cupr. ferr-p. Hyos. Kali-
bi. kali-br. kali-c. kali-p. Lyc. merc. nat-m. Nux-v.
Petr. phos. Plat. Puls. Sec. senec. Stram. Sulph. thuj.
thyr. verat-v. Verat. zinc.
MIND - Insanity, irrational – puerperal- agn. aur. Bell.
canth. cic. Cimic. Hyos. nat-m. nux-v. phos. plat.
Puls. Sec. senec. Stram. Verat-v. Verat. zinc.
MIND - IRRITABILITY - delivery, during
MIND - JUMPING - wild leaps in puerperal mania-
Nux-v.
MIND - KISSING - mania puerperalis, in- Verat.
MIND - LOOKING - directions; in all - puerperal
mania; in- Puls.
MIND - MALICIOUS - delivery - after, puerperal-
cham.
MIND - MANIA - convulsions – puerperal- verat-v.
MIND - MANIA - fever, during - delivery, after,
puerperal
MIND - MANIA - fever, during - delivery, after,
puerperal- Kali-p.
MIND - MANIA – puerperal- agn. bell. Camph. Cann-
i. cimic. coli. hyos. Kali-br. kali-p. plat. puls. sec.
senec. Stram. verat-v. verat. zinc.
MIND - Mania – Puerperal- agn. bell. Cimic. hyos.
plat. sec. senec. Stram. Verat-v. Verat.
MIND - MANIA - singing, with - puerperal mania; in-
Plat.
MIND - Melancholia – Puerperal- agn. bell. Cimic.
nat-m. plat. Verat-v.
MIND - MISTAKES; making - calculating, in - cannot
calculate - delivery; after
MIND - MOOD - changeable - delivery; during- caul.
MIND - NAKED, wants to be - bares her breast in
puerperal mania- Camph.
MIND - NYMPHOMANIA – puerperal- bell. Chin.
kali-br. Plat. verat. zinc.
MIND - QUARRELSOME - delivery, during- CHAM.
MIND - QUIET disposition - delivery, after- Thuj.
MIND - RAGE - delivery, during- Bell.
MIND - RESTLESSNESS - delivery, during- Acon.
Camph. Cham. chlf.
MIND - SADNESS – puerperal- agn. Anac. arg-n.
Aur-m. aur. bell. Cimic. Con. foll. ign. Kali-br. Lach.
Lil-t. manc. nat-m. plat. Psor. Puls. SEP. SULPH.
thuj. Tub. Verat-v. Verat. zinc.
MIND - SENSITIVE - external impressions, to all -
delivery; during- Cocc. nux-v.
MIND - SENSITIVE - odors, to - delivery, labor,
during- nux-v.
MIND - SHAMELESS - delivery, during- verat.
MIND - SHRIEKING - convulsions – puerperal- ars.
Hyos. Iod. kali-c. Lach. plat. puls. stram.
MIND - STRIKING - convulsions, after - puerperal,
after- Glon.
MIND - SUICIDAL disposition - throwing - windows,
from - delivery; during- aur. Thuj.
MIND - SUICIDAL disposition - throwing - windows,
from - delivery; during - after, puerperal- Thuj.
MIND - THOUGHTS - birth; about- olib-sac.
MIND - UNCONSCIOUSNESS - delivery, during
-Chinin-s. Cimic. Coff. Gels. Lach. NUX-V. Puls.
SEC.
MIND - WEEPING - children, in - babies - birth - from
birth on- carc. syph.
MIND - WEEPING - delivery, during- Coff.
MOUTH - TREMBLING of tongue - delivery; after-
Crot-h.
NERVOUS SYSTEM - Convulsions - Concomitants -
Twitchings - worse upper body, continue after delivery-
cic.
NERVOUS SYSTEM - Insomnia - causes - weaning of
child- bell.
Ovaries - parturition; after- lach.
Paralysis - paraplegia - parturition, after- caul. caust.
plb. Rhus-t.
Pathogenetic - Parturition dragging- inul.
Pathogenetic - Parturition pressive- hura
PERSPIRATION - DEBILITATING - delivery; after-
samb.
PERSPIRATION - PROFUSE - delivery; after- samb.
Phlegmasia - forceps, delivery, after- all-c.
Piles, haemorrhoids - parturition, after- kali-c. lil-t.
Puerperal sepsis- arn. ars. echi. lach. Lyc. Op. phos.
Puls. Pyrog. RHUS-T. sec. SULPH.
Pulse - irregular - forceps delivery, after-cact.
RECTUM - CONSTIPATION - delivery; after- alum.
ambr. ant-c. arn. Bry. Coll. ham. lil-t. lyc. mez. NUX-
V. op. plat. sep. verat. zinc.
RECTUM - DELIVERY; after- gels. podo. ruta
RECTUM - DIARRHEA - fever – puerperal - carb-ac.
Pyrog. sulph.
RECTUM - DIARRHEA - weaning, after- arg-n.
CHIN.
RECTUM - HEMORRHOIDS - delivery; after- aloe
apis kali-c. lil-t.
RECTUM - HEMORRHOIDS - parturition agg.- acon.
Aloe bell. ham. Ign. KALI-C. Lil-t. Mur-ac. Podo.
Puls. sep. Sulph.
RECTUM - INVOLUNTARY stool - delivery; after-
hyos.
Rectum - parturition, after- gels. podo. ruta
Rectum - prolapsed - parturition, after- gels. podo.
RECTUM - PROLAPSUS - delivery; after- gels. Podo.
Ruta
Sacrum and region - forceps delivery, after- hyper.
Sacrum and region - parturition, after- hyper. nux-v.
phos.
Sadness, low spirits, mental depression - parturition,
after- thuj.
SKIN - ERUPTIONS - rash - delivery; during- Bry.
cupr. Ip.
SKIN - ERUPTIONS - weaning; after- dulc.
SKIN - Naevi, birth mark, etc.- ars. carb-v. fl-ac. Lyc.
phos. plat. Sep. Sulph. thuj.
SLEEP - COMATOSE - delivery; during- lach.
SLEEP - DISTURBED - delivery; after- lyc.
SLEEP - SLEEPINESS - delivery; after- phel.
SLEEP - SLEEPLESSNESS - children; in - weaning;
after- bell.
SLEEP - SLEEPLESSNESS - weaning child, on- bell.
SLEEP - YAWNING - parturition, after- Plat.
Sleepiness, by day - parturition, after- phel.
Sleeplessness - weaning of child, from- bell.
STOMACH - ERUCTATIONS - delivery; during- borx.
STOMACH - NAUSEA - delivery; during- ant-t. caul.
cham. Cocc. IP. mag-m. Puls.
STOMACH - PAIN - delivery; during- borx.
STOMACH - THIRST - delivery; during- Caul.
STOOL - Aggravation and amelioration – parturition-
Con.
Sweat - debilitating - delivery, after- samb.
Sweat - profuse, drenching - delivery, after- samb.
Thuj.
Unconscious, insensible - parturition, during- cimic.
coff. Nux-v. puls. sec.
Urination - difficult, painful, dysuria, strangury -
delivery, after- apis equis-h.
Urination - difficult, painful, dysuria, strangury - forceps
delivery after- thlas.
Urination - dribbling - forceps delivery, after- thlas.
Urination - involuntary - parturition after- arn. Ars.
URINE - ALBUMINOUS - pregnancy - during -
delivery; and after- Merc-c. ph-ac. Pyrog.
URINE - BLOODY - delivery; during- bufo loxo-lae.
Urine - retained in bladder - birth, at- Acon. apis
Uterus - burning - parturition, after- rhod.
Uterus - inflamed – puerperal- til.
Uterus - prolapse - forceps delivery, after- sec.
VISION - LOSS OF VISION - delivery; during- aur-m.
caust. cocc. cupr.
Weaning, ill effects of- bry. cycl. puls.
Wrists - cold - puerperal sepsis, in- puls.
Bibliography
A Handbook of Depression, Santosh K. Chaturvedi, vol.
1
Contraception, clinical knowledge summaries (2007)
Homoeopathy for Mother and Infant, Douglass M.
Borland
Nice clinical guideline; antenatal and postnatal mental
health: clinical management and service guidance (Feb.
2007)
Nice clinical guideline; antenatal and postnatal mental
health: clinical management and service guidance (Feb.
2007)
Postnatal care: routine postnatal care of women and their
babies, nice (2006)
Postnatal care: routine postnatal care of women and their
babies, nice (2006)
Postnatal depression and puerperal psychosis, sign
(2002)
Synthesis 9.2.1b
Text Book of Obstetrics, V. I. Vodyazhina p. 115- 121,
173- 205, 239- 252, 352- 363
Tutschek b, struve s, goecke t, et al; clinical
risk factors for deep venous thrombosis in
pregnancy and the puerperium. J perinat med.
2002; 30(5): p. 367-70. [abstract]