Effect of Ksheer Basti in Garbha Kshaya (Late-Onset Intrauterine Growth Restriction): A Case Report

Abstract

Intrauterine Growth Restriction (IUGR) is a major contributor to perinatal morbidity and mortality, characterized by the inability of the foetus to achieve its expected growth potential. In Ayurveda, it may be correlated with Garbha Kshaya due to impaired Garbha Poshana. Ksheera, with its nourishing and Brimhana properties, may offer an Ayurvedic rationale for supporting fetal growth. A 20-year-old primigravida with a singleton pregnancy was diagnosed with fetal growth restriction on ultrasonography. Her blood pressure was 100/60 mmHg, hemoglobin 11.3 g/dL, random blood sugar 83 mg/dL, and TSH 2.2. Ultrasonography dated 15/05/2026 revealed an estimated fetal weight of 2038 g and an amniotic fluid index (AFI) of 8.6 cm, with reduced fetal abdominal circumference for gestational age. Doppler findings were normal. Along with routine iron and calcium supplementation, Ksheera Basti using cow’s milk was administered on alternate days for seven sittings. Approximately 300 mL of milk was boiled and reduced to 250 mL, cooled to a tolerable temperature, and administered rectally. No adverse effects were observed. Follow-up ultrasonography on 08/06/2026 showed an estimated fetal weight of 2641 g and AFI of 12.6 cm, with normal Doppler findings. The patient delivered vaginally on 19/06/2026, with a birth weight of 3.0 kg with satisfactory Apgar . NICU admission was not required. This case describes a favourable outcome following Ksheera Basti; however, its efficacy and safety for IUGR require further systematic evaluation. The present case suggests improvement in fetal growth and amniotic fluid following Ksheer Basti with routine antenatal care, with its Guru, Snigdha, Madhura, Brimhana, and nourishing properties potentially supporting Garbha Poshana and Vata balance; however, controlled clinical studies are needed to establish its efficacy and safety in IUGR.