Sushruta Samhita

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अथातो मूढगर्भचिकित्सितं व्याख्यास्यामः ||१||

sanskrit

Now we shall discourse on the treatment of difficult malpresentation of the fetus and difficult labor.

english translation

hindi translation

athAto mUDhagarbhacikitsitaM vyAkhyAsyAmaH ||1||

hk transliteration

यथोवाच भगवान् धन्वन्तरिः ||२||

sanskrit

As said by Lord Dhanvantari.

english translation

hindi translation

yathovAca bhagavAn dhanvantariH ||2||

hk transliteration

नातोऽन्यत् कष्टतममस्ति यथा मूढगर्भशल्योद्धरणम्; अत्र हि योनियकृत्प्लीहान्त्रविवरगर्भाशयानां मध्ये कर्म कर्तव्यं स्पर्शेन, उत्कर्षणापकर्षणस्थानापवर्तनोत्कर्तनभेदनच्छेदनपीडनर्जूकरणदारणानि चैकहस्तेन गर्भं गर्भिणीं चाहिंसता, तस्मादधिपतिमापृच्छ्य परं च यत्नमास्थायोपक्रमेत ||३||

sanskrit

There is nothing more difficult than the surgical extraction of a fetus in abnormal presentation. Here, the procedure is performed by touch, within the vagina, spleen, intestines, and uterus. The fetus should be removed using techniques such as pulling, pushing, repositioning, cutting, and dividing, all with one hand, without causing harm to the fetus or the mother. Therefore, after consulting the chief and taking utmost care, one should proceed with the intervention.

english translation

hindi translation

nAto'nyat kaSTatamamasti yathA mUDhagarbhazalyoddharaNam; atra hi yoniyakRtplIhAntravivaragarbhAzayAnAM madhye karma kartavyaM sparzena, utkarSaNApakarSaNasthAnApavartanotkartanabhedanacchedanapIDanarjUkaraNadAraNAni caikahastena garbhaM garbhiNIM cAhiMsatA, tasmAdadhipatimApRcchya paraM ca yatnamAsthAyopakrameta ||3||

hk transliteration

तत्र समासेनाष्टविधा मूढगर्भगतिरुद्दिष्टा; स्वभावगता अपि त्रयः सङ्गा भवन्ति- शिरसो वैगुण्यादंसयोर्जघनस्य वा ||४||

sanskrit

In summary, there are eight types of abnormal fetal presentations mentioned. Additionally, three forms of obstruction occur naturally due to the misalignment of the head, shoulders, or the lower part of the body.

english translation

hindi translation

tatra samAsenASTavidhA mUDhagarbhagatiruddiSTA; svabhAvagatA api trayaH saGgA bhavanti- ziraso vaiguNyAdaMsayorjaghanasya vA ||4||

hk transliteration

जीवति तु गर्भे सूतिकागर्भनिर्हरणे प्रयतेत | निर्हर्तुमशक्ये च्यावनान् मन्त्रानुपशृणुयात्; तान् वक्ष्यामः ||५||

sanskrit

If the fetus is alive, one should attempt to deliver it naturally. If delivery is not possible, the physician should listen to the expulsion mantras, which we will now describe.

english translation

hindi translation

jIvati tu garbhe sUtikAgarbhanirharaNe prayateta | nirhartumazakye cyAvanAn mantrAnupazRNuyAt; tAn vakSyAmaH ||5||

hk transliteration