Astanga Hrudaya
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गर्भस्य हि गतिं चित्रां करोति विगुणोऽनिलः। तत्रानल्पमतिस्तस्मादवस्थापेक्षमाचरेत्॥३६॥
Caution for conditional extraction of removing the dead impacted fetus: Aggravated anila (vata), produces different kinds of fetal postures. Hence the intelligent physician should adopt appropriate methods (to pull out the fetus) neither less, nor more, depending on the condition.
english translation
garbhasya hi gatiM citrAM karoti viguNo'nilaH। tatrAnalpamatistasmAdavasthApekSamAcaret॥36॥
hk transliteration by Sanscriptछिन्द्याद्गर्भं न जीवन्तं मातरं स हि मारयेत्। सहात्मना, न चोपेक्ष्यः क्षणमप्यस्तजीवितः॥३७॥
Importance of immediate extraction of the dead fetus: The dead fetus should be cut (and pulled out quickly), because along with it, it will kill the mother also; even a second should not be ignored after its death.
english translation
chindyAdgarbhaM na jIvantaM mAtaraM sa hi mArayet। sahAtmanA, na copekSyaH kSaNamapyastajIvitaH॥37॥
hk transliteration by Sanscriptयोनिसंवरणभ्रंशमक्कल्लश्वासपीडिताम्। पूत्युद्गारां हिमाङ्गी च मूढगर्भां परित्यजेत्॥३८॥
Rejection of woman having impacted fetus along with complicated conditions: The woman who has impacted fetus associated with contraction and prolapsed of the vaginal tract, makkalla(pain post partum, puerperal pain), dyspnoea, foul smelling eructations and cold body should be refused.
english translation
yonisaMvaraNabhraMzamakkallazvAsapIDitAm। pUtyudgArAM himAGgI ca mUDhagarbhAM parityajet॥38॥
hk transliteration by Sanscriptअथापतन्तीमपरां पातयेत्पूर्ववद्भिषक्। एवं निर्हृतशल्यां तु सिञ्चेदुष्णेन वारिणा॥३९॥
Aparapatana – extracting the placenta: The non-descending apara (placenta) should be pulled out by the same methods (described earlier) by the physician. After the foreign body (in the form of placenta) is expelled, the entire body should be sprinkled with warm water and anointed / massage with oil.
english translation
athApatantImaparAM pAtayetpUrvavadbhiSak। evaM nirhRtazalyAM tu siJceduSNena vAriNA॥39॥
hk transliteration by Sanscriptदद्यादभ्यक्तदेहायै योनौ स्नेहपिचुं ततः। योनिर्मृदुर्भवेत्तेन शूलं चास्याः प्रशाम्यति॥४०॥
Tampon soaked in fat (ghee or oil) should then be inserted into the vagina; by this the vaginal tract becomes soft and her pain subsides.
english translation
dadyAdabhyaktadehAyai yonau snehapicuM tataH। yonirmRdurbhavettena zUlaM cAsyAH prazAmyati॥40॥
hk transliteration by Sanscript