
bharatatil garbhpat

vaidyakeey garbhpat (emm. tii. pii.) kayada, 1971 lagoo jhalyamule bharatat garbhpat vividh paristhitinmadhye kayadeshir jhaala aahe. mahilanna surakshit aanee kayadeshir garbhpat seva midavyat yasathi yaa kayadyantargat vaidyakeey garbhpat niyam, 2003 jaaree karnyat aale hote.
2021 madhye, emm. tii. pii. kayada 1971 madhye kahee sudharanansah emm. tii. pii. durusti kayada 2021 manjur karnyat aala, jase qee garbhanirodhak apayashachya aadharavar mahilanna surakshit garbhpat seva ghenyachi parvanagi, mahilanchya vishesh shreninsathi garbhadharanechi maryada 24 aathvadyanparyant vadhavane aanee garbhadharanechya 20 aathvadyanparyant aavashyak asalelya eka garbhpat seva pradatyache mutt. garbhpat aata garbhadharanechya 24 aathvadyanparyant keela jaau shakato kaaran emm. tii. pii. durusti kayada 2021 24 september 2021 pasoon rajpatrat adhisuchanedware lagoo jhaala aahe. garbhpat sevecha kharch purnapane sarkarchya sarvajanik rashtriy aarogya vima nidhi, ayushmann bharat aanee karmchanyanchya rajya vimyadvare cover keela jaato, jyat shastrakriya garbhpatasathi package darr nishchit keela jaato jyamadhye sallamasalat, upchar, rugnalayat dakhal hone, aushadhe, ultrasound aanee pathpurava upcharancha samavesh aahe. vaidyakeey garbhpatasathi, package darr nishchit keela jaato jyamadhye sallamasalat aanee yuu. ess. jee. samavisht aahe.
garbhpatanche prakar.
jevha ekhadi stree seva pradatyakadun swechhene garbhpat karoon ghete, tevha tyala prerit garbhpat mhanatat. utsfurt garbhpat, jyala garbhpat asehi mhanatat, too mhanje 20 vya aathvadyapurvi strichi garbhadharana nasht hone. asha prakarcha garbhpat sharirik aanee bhavnikdrushtya vednadayak asoo shakato.
2017 paryant, garbhpat surakshit aanee asurakshit mhanoon dvividh vargikaran hote.
asurakshit garbhpat hii jaagtik aarogya sanghatnene (jeey) ashee vyakhya kelee aahe qee, "jyaa vyaktikade aavashyak prashikshan nahee kinwa kiman vaidyakeey manakanche palan naan karananya vatavaranat garbhpatachi prakriya kelee jaate."tathapi, garbhpat tantradnyan aata surakshit hott asatana, surakshit, qamee surakshit aanee kamitakami surakshit asha teen-stariy vargikaranane tyachi jaaga ghetali aahe, jyamule asurakshit garbhpat asalelya vividh paristhitinchya varnpatanche adhik sookshm varnan karata yete aanee dhokadayak, aakramak paddhatinche vadhatya pramanat badal aupcharik aarogya pranalichya baher misoprostolchya vaparasah kele jaate.
bharatatil garbhpat kayada.
1999 purvi (bharatiy dand sanhita, 1860).
1971 purvi, bharatiy dand sanhita, 1860 chya kalam 312 antargat garbhpatala gunhegari tharvanyat aale hote, jyat tyache varnan jaanunbujun 'garbhpatas karanibhoot' asalyache kele hote. mahilecha jeev vachavanyasathi garbhpat karnyat aala asel tarr apavad vagalata, too dandaniy gunha hota aanee mahila/puravathadaranna gunhegari tharvanyat aale hote, jyane swechhene ekhadya mool asalelya mahilecha garbhpat keela, tyala teen varshanchya turungwas aanee/kinwa dandacha samna karava lagla aanee sevecha laabh ghenanya mahilela saat varshanchya turungwas aanee/kinwa dandacha samna karava lagla.
1960 chya dashakat, jevha 15 deshanmadhye garbhpat kayadeshir hota, tevha bharatat garbhpatachya kayadeshir chaukativar vicharvinimay suru karnyat aala. garbhpatanchya vadhatya sankhyemule aarogya aanee kutumb kalyan mantralayala (emm. oo. etch. eff. doubleu.) satarkatecha ishara denyat aala aahe. heey lakshat gheuun bharat sarkarne 1964 madhye shantilal shaah yanchya netrutvakhali eka samitee sthapan kelee, jee bharatasathi garbhpat kayadyacha masuda tayar karnyasathi soochana gheuun aalee. yaa samitichya shifarashi 1970 madhye swikarlya gelya aanee sansadet vaidyakeey garbhpat vidheyak mhanoon mandanyat aale. heey vidheyak august 1971 madhye vaidyakeey garbhpat kayada mhanoon manjur karnyat aale, joou sripati chandrasekhar yanni lihila hota.
bharatat garbhpat ghadanyachya ghatana.
2018 madheel eka abhyasat assa andaj vartavanyat aala aahe qee 2015 madhye bharatat 1.56 kotee garbhpat jhaale. tyapaiki eka lakshaniy praman asurakshit asanyachi apeksha aahe. asurakshit garbhpat heey matamrutyuche tisare sarvat mothe kaaran aahe, jyamule darroj 10 mahilancha mrutyu hoto aanee hajaro mahila aajarancha samna karatat. mahilanchi see. aii. see. sevanparyantchi upalabdhata balkat karanyachi aanee tyanna bhedasavanare mrutyu aanee apangatva rokhanyachi garaj aahe.
garbhpat moolyankan prakalpacha eka bhag mhanoon 2002 madhye bharatatil prerit garbhpatavar shevatcha mothya pramanavar abhyas karnyat aala hota. yaa prakalpacha eka bhag mhanoon kelelya abhyasanusar bharatat darvarshi 64 laakh garbhpat hotat.
vaidyakeey garbhpatacha kayada, 1971.
vaidyakeey garbhpat (emm. tii. pii.) kayada, 1971 bharatat see. aii. see. seva upalabdh karoon denyasathi kayadeshir chaukat pradan karato. garbhadharanechya 20 aathvadyanparyantchya vividh paristhitinsathi garbhpatachya samaptila khalee tapshilvar parvanagi aaheh
emm. tii. pii. kayada nirdisht karato-(i) garbhadharana kona karoo shakate; (ii) garbhadharana kevha houu shakate; aanee (iii) garbhadharana kuthe houu shakate. emm. tii. pii. niyam aanee niyam, 2003 pradata aanee suvidhesathi tapshilvar prashikshan aanee pramanpatra aavashyakta; aanee garbhadharanechya surakshit aanee kayadeshir samaptisathi ahwal aanee dastaivajikaran aavashyakta pradan karatat.
joou garbhadharana sampavu shakato.
emm. tii. pii. kayadyanusar, garbhadharana keval nondanikrut vaidyakeey vyavsayik (aar. emm. pii.) dwarech sampavali jaau shakate, joou khaleel aavashyakta purn karatoh
(i) bharatiy vaidyakeey parishad kayadyakhali manyataprapt vaidyakeey patrata aahe
(2) jyache naav rajyachya vaidyakeey nondanimadhye nondavale aahe.
(3) jyala emm. tii. pii. niyamannusar strirogshastra aanee prasutishastratil assa anubhav kinwa prashikshan aahe
jethe garbhadharana sampushtat yeu shakate.
serve sarkari rugnalayanna purvanirdharitapane see. aii. see. seva puravinyachi parvanagi aahe. khasgi kshetratil suvidhanna matra sarkarchi manjuri aavashyak aahe. teen teey paach sadasyansah jilha staravar sthapan kelelya jilha stariy samitikadun (dii. ell. see.) manjuri magitali jaate. emm. tii. pii. niyam, 2003 nusar emm. tii. pii. seva puravanyasathi khajgi jaagechi manjuri ghenyasathi khaleel form vihit kele jaatatah
garbhpatachya samaptisathi sammati aavashyak aahe.
emm. tii. pii. kayadyachya tartudinnusar, jyaa mahilechi garbhadharana radd kelee jaat aahe, fakt tichi sammati aavashyak aahe. tathapi, alpavayin vyaktichya babatit I.eae. 18 varshanpeksha qamee vayachi kinwa mansik aajaar asaleli stree, palakanchi sammati (emm. tii. pii. kayada palak mhanje alpavayin mulachi kalji ghenari vyakti ashee vyakhya karato. yacha arth assa nahee qee keval palakanna sammati dene aavashyak aahe.) samaptisathi aavashyak aahe. emm. tii. pii. niyam, 2003 asey suchavatat qee sanmatichi nond form see varr khalee tapshilvar kelee jaane aavashyak aaheh
garbhpatachya samaptisathi aavashyak matey.
emm. tii. pii. kayadyat tapasheel denyat aala aahe qee 12 aathvadyanparyantchya garbhpatasathi, ekach nondanikrut vaidyakeey vyavsayik (aar. emm. pii.) chey mutt aavashyak aahe aanee 12 teey 20 aathvadyandarmyanchya garbhpatasathi done aar. emm. pii. chey mutt aavashyak aahe. tathapi, samapti eka aar. emm. pii. dware kelee jaate. emm. tii. pii. niyam, 2003, khalee tapshilvar namood kelyapramane form I varr nondavale jaanare aar. emm. pii./ess. chey mutt vihit karatatah
emm. tii. pii. kayada, sudharana, 2002.
vaidyakeey garbhpat (emm. tii. pii.) kayada 1971,2002 madhye sudharit karnyat aala, jenekarun adhik changlya prakare amalbajavani karata yeil aanee visheshtah khajgi aarogya kshetratil mahilansathi pravesh vadhel.
emm. tii. pii. niyam, 2003.
emm. tii. pii. niyam adhik changlya prakare lagoo karnyas aanee visheshtah khajgi aarogya kshetratil mahilansathi pravesh vadhavanyas madat karatat.
emm. tii. pii. kayada, 2014 madhye prastavit sudharana.
surakshit garbhpat seva midvanyat mahilanna bhedasavana aavhananchi sarkarne dakhal ghetali aanee 2006 madhye emm. tii. pii. kayadyachya vidyaman tartudincha aadhava ghenyasathi eka tadnya gut sthapan karoon masuda durusti prastavit kelee. surakshit garbhpat sevanmadhye pravesh balkat karnyasathi dhorane olakhanyasathi 2006-2010 pasoon tadnya gut baithakanchi malika aayojit karnyat aalee hotee. 2013 madhye eka rashtriy sallamasalat aayojit karnyat aalee hotee, jyat anek bhagdharak upasthit hote, jyat emm. tii. pii. kayadyat sudharananchya garjevar bharr denyat aala. 2014 madhye, emm. oo. etch. eff. doubleu. neey vaidyakeey garbhpat garbhadharana durusti vidheyak 2014 sarvajanik kele. emm. tii. pii. kayadyatil prastavit sudharana pramukhyane deshatil mahilansathi surakshit aanee kayadeshir garbhpat sevanchi upalabdhata vadhavnyavar aadharit hotya.
puravathadar aadhar vadhavaneh surakshit aanee kayadeshir garbhpat sevanchi upalabdhata vadhavanyasathi, ayurved, siddha, yunani kinwa homeopathymadhye padvi asalelya vaidyakeey vyavsayikancha samavesh karoon kayadeshir emm. tii. pii. pradatyancha aadhar vadhavanyachi shifaras karnyat aalee aahe. bharatiy aushadh pranalichya (aay. ess. emm.) yaa shreninmadhye prasutishastradnya aanee strirogshastra (oo. bii. jee. aine.) prashikshan aanee garbhpat seva tyanchya padvi abhyaskramat aahet. sadeteen varshanchi padvi asalelya aanee bharatiy paricharya parishademadhye nondanikrut asalelya paricharikanna garbhpat sevansathi kayadeshir pradatyanchya aadharamadhye samavisht karanyachi shifaras dekhil karnyat aalee aahe. yavyatirikt, uchch cases loaded seva vitaran kendranvar tainat asalelya sahayyak paricharika suinincha (aii. aine. emm.) keval emm. emm. aii. chey kayadeshir puravathadar mhanoon samavesh karanyachi shifaras dekhil karnyat aalee aahe. yaa shifarshinna done bharatiy abhyasanche samarthan aahe, jyat assa nishkarsh kadhala gela aahe qee garbhpat paricharika aanee ayush vyavsayik surakshitpane aanee prabhavipane puravu shakatat.
garbhpatasathi garbhadharanechi maryada vadhavanyachya tartudih garbhachya vikrutichya karanastav 20 aathvadyanpeksha jaast kaal garbhpatasathi garbhadharanechi maryada vadhavanyachi shifaras kelee jaate. jarr garbhala gambhir garbh vikrutee asalyache nidan jhaale tarr garbhadharanedarmyan konatyahi velee garbhpat upalabdh karoon denyat yacha parinam hoil. yavyatirikt, vareel shifarshinchya pudhe, balatkar aanee vivahetar sambandhatun vachalelya, avivahit mahila (avivahit, ghatasfotit kinwa vidhva) aanee itar asurakshit mahilancha (apang mahila) samavesh asalelya asurakshit shreninmadhil mahilansathi surakshit garbhpat sevansathi garbhadharanechi maryada 24 aathvadyanparyant vadhavanyacha prastav aahe. emm. tii. pii. niyamanmadhil sudharana tyach tapashilanchi vyakhya kartil.
mahilansathi kayadeshir garbhpat sevanmadhye vadhah sadhyachya swarupat haah kayada kahee operational adthale ladato jeey mahilanna surakshit aanee kayadeshir garbhpat sevanmadhye pravesh maryadit karatat. yaa sudharananmadhye pudhil baabee prastavit karnyat aalya aaheth
emm. tii. pii. durusti kayada, 2021.
29 janewari 2020 roji bharat sarkarne pahilyanda emm. tii. pii. durusti vidheyak 2020 sadar kele, jeey 17 march 2020 roji loksabhet manjur jhaale. eka varshanantar, heey vidheyak rajyasabhet thevanyat aale aanee 16 march 2021 roji emm. tii. pii. durusti kayada 2021 mhanoon manjur karnyat aale. sudharana khalilpramane aaheth
emm. tii. pii. niyam, 2021.
sarkarne 12 aktoobar roji kelelya sudharanannusar naveen niyam jaheer kele. durusti kayadyanusar sudharit niyam khalilpramane aaheth
vaidyakeey mandalat khaleel goshtincha samavesh asel.
vaidyakeey garbhpat kayadyala 50 varshe ulatoonahi garbhpatala gunhegari darja dilela nahee. bharatiy dand sanhita, 1860 (aay. pii. see.) garbhpatala ('prerit garbhpat') kalam 312 antargat faujdari gunha banavate. emm. tii. pii. kayada yaa kayadyala apavad aahe. kayada nondanikrut vaidyakeey vyavsayikanna kahee atty ghaloon sanrakshn deto jyaa antargat teey garbhadharana radd karoo shakatat. shivay, emm. tii. pii. kayadyat visheshtah garbhavati "striya" namood kelya aahet, tyamule garbhpat seva trutiyapanthiy vyakti, lingbhed aanee ling anuroop nasalelya, tasech mahila mhanoon olakh nasalelya itar ling vaividhyapurn olakh asalelya lokansathi praveshyogya naheet.
sarkarche dhoranatmak aanee karyakramatmak hastakshep.
emm. tii. pii. kayada 1971 bharatat garbhpatachya prerit sevanchya tartudisathi kayadeshir chaukat pradan karato. tathapi, sevanchi prabhavi amalbajavani sunishchit karnyasathi manke, margdarshak tattve aanee manak parichalan prakriya aavashyak aahet.
emm. tii. pii. kayadyachi amalbajavani sunishchit karnyasathi aanee mahilanna see. aii. see. seva upalabdh karoon denyasathi bharat sarkarne anek upayayojana kelya aahet. tyapaiki kahee samavisht aaheth
garbhpatasathichya vaidyakeey paddhati (emm. emm. aii.).
emm. emm. aii. hii aushadhanchya sanyojanacha vapar karoon garbhpatachi samapti karanyachi eka paddhat aahe. yaa aushadhanna bharatachya aushadh niyantrak mahasanchalakanni bharatat vaparasathi manyata dilee aahe. emm. emm. aii. laa see. aii. see. seva midvu ichchinanya mahilansathi nivadichi eka paddhat mhanoon jaagtik staravar manyata midali aahe. jagbharatil mahila, garbhpatasathi surakshit seva midavatana, tee tyanna dett asaleli gopaniyata aanee surakshitata lakshat gheuun, 'emm. emm. aii.'.................................................................................................................................................................................................................................. tathapi, aushadhanchya anupalabdhatemule sampoorn bharatat surakshit garbhpat honyas adthala nirman jhaala aahe. foundation phaur reproductive health services india (eff. aar. etch. ess. india) neey sahaa bharatiy rajyanchya bajarpethanmadhye garbhpatasathichya vaidyakeey aushadhanchya uplabdhatevar eka sanshodhan ahwal prakashit keela. yaa ahavalat asey soochit kele gele aahe qee sumare 56 takke rasayanshastradnyanni yaa aushadhancha satha aanee vikrimadhye niyamak adthale nondavale aahet.
shivay, emm. tii. pii. kayadyatil sanyojan aanee emm. aii. aushadhanchya vaparasathi dii. see. jee. aay. chee manjuri hii samasya aanakhi tivra karate. emm. tii. pii. niyam manyataprapt pradatyala tyachya/tichya davakhanyat emm. aii. aushadhe lihoon denyachi parvanagi detat (emm. tii. pii. niyam 2003 chya kalam 5 chey spashtikaran). tarr, kendriya aushadh manak niyantran sansthene (see. dii. ess. see. oo., dii. tii. aii. bii.-dii. see. see. vibhag) dinank 9 august 2019 roji jaaree kelelya labeling margdarshak tattvanmadhye mhatale aahe qee, "chetavanih emm. tii. pii. kayada 2002 aanee emm. tii. pii. niyam 2003 antargat nirdisht kelyapramane keval seva pradatyachya dekharekhikhali aanee vaidyakeey suvidhet utpadan vaparale jaeel". emm. tii. pii. niyam 2003 asey sangat nahee qee utpadan keval vaidyakeey suvidhemadhye vaparale pahije. sarvasamaveshak garbhpat kaljih prashikshan aanee seva vitaran margdarshak tattve 2018, aarogya aanee kutumb kalyan mantralay, bharat sarkar asey sangate qee emm. aii. aushadhe hii grahakadvare pradatyachya vivekbuddhinusar gharee vaparali jaau shakatat. tathapi, yaa labeling margdarshanacha arth assa lavala jaat aahe qee emm. aii. aushadhe kirkol bajarat vikali jaau shakat naheet. see. dii. ess. see. oo. chey margadarshan emm. tii. pii. chya niyamanche ullanghan karate, jeey emm. aii. aushadhanchya prescriptionla parvanagi dete.
aar. emm. aine. see. aii. upkramansathi samudayik jamvajamav.
samudayik aarogya karmchari samuday aanee aarogya vyavastha yanchyatil daree bharoon kadhatat. aasha aarogya sevanvishayi mahitichi tartud karnyat, aarogya suvidha aanee aarogya suvidha yanchyat sambandh prasthapit karnyat, samudayik staravaril aarogya seva pradan karnyat aanee eka karyakarta mhanoon, aarogya hakkambaddal lokanchi samaj nirman karnyat aanee mahilanna sarvajanik aarogya suvidhanmadhye tyanche haqq upalabdh karoon denyat mahattvapoorn bhoomika bajavtat. rashtriy aarogya pranali sansadhan kendrane (aine. etch. ess. aar. see.) manyataprapt samajik aarogya karyakartyansathi (aasha) prashikshan package vikasit karnyasathi emao. etch. eff. doubleu. sobat jawalun kaam kele aahe jenekarun tyanna samuday staravar mahilanna aavashyak mahitee pradan karata yeil aanee suvidhanshi sampark sadhata yeil. emm. oo. etch. eff. doubleu. aanee aine. etch. ess. aar. see. yanni vikasit kelele aasha prashikshan module heey rashtriy aarogya abhiyanantargat, sambandhit vishayanvaril mahitee aasha yanna pradan karnyasathi eka pramukh ghatak aahet. see. aii. see. aanee sambandhit vishayanchi mahitee satpaiki teen modulesmadhye upalabdh aaheh
see. aii. see. varr sanvad sadhane.
aine. etch. emm. antargat see. aii. see. seva haah matru aarogya karyakramacha avibhajya ghatak aahe. tathapi, garbhpat sevanchya vaidhatebaddal tasech upalabdhatebaddal purush aanee striyanmadhye jagrukta khoop qamee aahe. aay. dii. eff. neey dekhil garbhpat kayadeshiratebaddal purush aanee striyanmadhye jagrukta nirman karnyasathi abhyas kele aahet aanee tyat jagrukta aanee kayadeshirata qamee asalyache aadhalun aale aahe. jaree kahee lokanna garbhpatasandarbhat tyanchya kayadeshir hakkanchi jaaniv asali, taree tyanna garbhpat seva kuthe miloo shakatat yachee tyanna kalpana nasate. garbhpat sevanchi hii anupalabdhata pramukhyane naitik aanee rajkiy aadharavar aahe. tasech, aapatkalin paristhitit kinwa baal aajari asalyachya prakarananmadhye garbhpat sevambaddal kinwa garbhpat karnyachya paryayababat mahilanna sahaj mahitee puravali jaat nahee.
aakadevari.
jaagtik staravar darvarshi 56 dashalaksh garbhpat hotat. dakshin aanee madhya ashiyamadhye, 2010 teey 2014 darmyan andaje 1 kotee 60 laakh garbhpat jhaale, tarr ektya purv ashiyamadhye 1 kotee 30 laakh garbhpat jhaale.
garbhpatanchi nond jhalelya sankhyechya aanee bharatat honanya andajit garbhpatanchya ekoon sankhyechya andajanmadhye lakshaniy farak aahe. etch. emm. aay. ess. chya ahavalanusar, bharatat jhalelya utsfurt/prerit garbhpatanchi ekoon sankhya 2016-17 madhye 970,436,2015-16 madhye 901781,2014-15 madhye 901,839 aanee 2013-14 madhye 790,587 hotee. bharatat darroj daha mahila asurakshit garbhpatamule mrutyumukhi padatat. gatishil swarupacha deta yethe aarogya vyavasthapan mahitee pranali (etch. emm. aay. ess.) portalvar upalabdh aahe.
guttmacker institute, newyork, international institute phaur population sciences (aay. aay. pii. ess.), mumbai aanee population council, navee dilli yanni garbhpatachya ghatanancha andaj lavnyasathi bharatatil pahila abhyas keela. yaa abhyasache parinam december 2017 madhye lancet global health jarnalmadhye 'bharatatil garbhpat aanee anpekshit garbhadharanechi ghatana, 2015' yaa shirshakachya eka lekhachya swarupat prakashit karnyat aale hote. yaa abhyasacha andaj aahe qee 2015 madhye bharatat 1.56 kotee garbhpat jhaale. yapaiki 3.4 laakh (22 takke) aarogya suvidhanmadhye jhaale, 1.15 kotee (73 takke) suvidhanchya bahereel vaidyakeey paddhatindware kele gele aanee 5 takke itar paddhatindware kele gele asavet. abhyasat pudhe asey aadhalun aale qee, prati 1000 mahilanmage 47 garbhpatanche praman, jeey 15-49 varshe vayache aahe. garbhpat seva pradan karnyasathi sarvajanik aarogya pranali balkat karanyachi garaj abhyasat adhorekhit kelee aahe. yaat emm. tii. pii. kayadyat sudharana karoon aanee puravathadaranchya payacha vistar karoon tasech aushadhe aanee purvathyachi upalabdhata suvyavasthit karoon, allopathy nasalelya puravathadaransah prashikshit puravathadaranchi upalabdhata sunishchit karane samavisht asel. see. aii. see. seva midvananya mahilanchya dekhbhalicha darja majboot karnyachya prayatnat see. aii. see. seva puravanyasathi khajgi kshetratil suvidhanna manjuri denyachi prakriya suvyavasthit karane aanee samupadeshan aanee garbhpatanantarchya garbhanirodhak seva balkat karane heey aanakhi eka dhoran aahe.
yaa abhyasapurvi, bharatat darvarshi garbhpat honyachya ghatanancha shevatcha upalabdh andaj 'garbhpat moolyankan prakalp-bharat' chaa hota. sahaa rajyanmadhye 380 garbhpat suvidhancha (jyapaiki 285 khajgi hotya) haah bahu-kendra abhyas hota. abhyasat asey aadhalun aale qee "bharatat darr 100,000 loksankhyemage sarasari chaar aupcharik garbhpat suvidha (vaidyakiyadrushtya patra, parantu garbhpat karnyasathi pramanit nasatanahi) aanee pratyek suvidhemadhye sarasari 1.2 pradata hote". ekoon aupcharik garbhpat puravathadaranpaiki 55 takke strirog tadnya hote aanee 64 takke suvidhanmadhye kiman eka mahila puravathadar hotee. abhyasat pudhe asey aadhalun aale qee mahilanni garbhpat karanyachi keval 31 takke karane emm. tii. pii. kayadyantargat parvanagi asalelya karananmadhye hotee, itar karane mhanje avanchhit garbhadharana, aarthik karane aanee garbhatil avanchhit laingik sambandh.
garbhpat paddhati.
hatane nirvat aakanksha.
manual vacuum aspiration (emm. vhee. aii.) hii 'garbhpatasathichi eka surakshit aanee prabhavi paddhat aahe jyamadhye hatane pakadalya jaananya plastic espiratorchya vaparadvare garbhashayachya samagriche nishkasana karane samavisht aahe', jee 'qamee raktastrav, qamee rugnalayat rahane aanee bhool deuun sodananya aushadhanchi qamee garaj' yanchyashi sambandhit aahe. garbhpatachi hii paddhat garbhpatachya lavkar samaptisathi shifaras kelee jaate.
vidyut nirvat aakanksha.
vidyut nirvat aakanksha (eae. vhee. aii.) hii emm. vhee. aii. sarkhich aahe, kaaran tyat suction paddhaticha samavesh aahe, parantu emm. vhee. aii. madheel hatane chalana pampaivaji, suction tayar karnyasathi pahila vidyut pump vaparato.
vaidyakeey garbhpat.
vaidyakeey garbhpat mhanje aushadhandvare garbhadharanecha ant karane. hii eka "avanchhit garbhadharana sampavanyachi aakramak nasaleli paddhat aahe jee striya anek thikani aanee anekada tyanchya swatachya gharat vaparu shakatat". miffepristone aanee misoprostol hii bharatat vaparnyasathi manjur keleli done aushadhe aahet.
bharatat, garbhpatachya samaptisathi yaa aushadhancha (miffepristone aanee misoprostol) vapar nauu aathvadyanparyant manjur keela jaato. hii paddhat mahilansathi surakshit garbhpat sevanmadhye pravesh vadhavu shakate kaaran tee pradatyanna emm. vhee. aii. kinwa itar garbhpat paddhati vyavharya nasalelya thikani see. aii. see. seva deu dete.
vistar aanee curates.
1971 madhye bharatat garbhpatala gunhegari ghoshit kele gele tevha upalabdh asalele ekmev garbhpat tantra mhanje dialation andd curates (dii andd see) paddhat. hii dinankit paddhat eka aakramak vaidyakeey prakriya aahe jyasathi 'dhatuchya curetcha vapar karoon garbhadharanechi utpadane kadhanyasathi bhool deuun vaparane' aavashyak asate, jyamule anekada raktasrav kinwa garbhashayachya sansargacha dhoka asato. jyane aanee figone eka sanyukt shifaras jaaree kelee jyat mhatale hote qee yogyaritya susajj rugnalayanni curates sodoon dyave aanee hatane/vidyut aakanksha paddhati swikaravyat.
garbhpatasathi sutty.
garbhpat rajes kayadeshir manyata denara bharat haah pahila desh hota.
prasooti laabh kayada 1961 madhye asey mhatale aahe qee garbhpat jhalyas, strila tichya garbhpatanantarchya divashi lagechach sahaa aathvadyansathi pagari sutty milanyacha haqq asel. mahilanni garbhpatasathi purava sadar karane aavashyak aahe aanee garbhpatachi janivpurvak samapti (garbhpat) vagalali jaate.
yavyatirikt, garbhpatamule udbhavananya aajaar asalelya mahilanna, hajar jhalyavar, sambandhit vaidyakeey purave sadar kelyavar eka mahinyaparyant pagari sutty milanyacha dekhil haqq asel.
asurakshit garbhpatanchi karane.
bharatatil jawalpas 56 takke garbhpat asurakshit shreneet yetat. vividh samajik, aarthik aanee vahatukvishayak adthalyanmule grameen bhagasah deshatil bahutansh mahilansathi asurakshit garbhpat haah eka samanya paryay aahe. kalank haah aanakhi eka pailu aahe joou mahilanna manyataprapt suvidhanmadhun garbhpat karnyas pratibandhit karato.
matru aanee prajnan aarogya sudharanyasathi bharatane vyapak prayatna kele asale taree, tethil shahari aanee grameen loksankhyemadhye vyapak bhaugolik vishamata aahe. sudharit aarogya saksharta, sudharit aarogya seva aanee swachchatesah vividh samajik-paryavaraniy aanee sanskrutik staranvaril hastakshep, sudharit maata aanee prajnan aarogyachya dishene nyayya pragatisathi dhorane aanee karyakram tayar kartana aanee tyanchi amalbajavani kartana laksh dene aavashyak aahe.
asurakshit garbhpat heey deshatil matechya mrutyuche tisare pramukh kaaran asoon, asha serve mrutyunpaiki darvarshi aath takke mrutyu hotat, jyat darroj 13 mahilancha mrutyu hoto. manyataprapt garbhpat kendrambaheril garbhpatasathi mahilanchi nivad karnyat anek ghatak yogdan detat, jyat khaleel goshtincha samavesh hotoh
garbhpat karoo ichchinanya mahilanche profile.
garbhpat seva midvu ichchinanya mahilanchya samajik-aarthik profilever aanee bharatatil madhya pradeshatil sarvajanik aarogya suvidhanmadhye garbhpat seva midvanyachya kharchavar laksh kendrit karananya client profile abhyasat asey disun aale aahe qee, "sarvajanik aarogya suvidhanmadhye garbhpat jhalelya 57 takke mahila garib hotya, tyanantar 21 takke madhyam aanee 22 takke shrimant hotya. madhyamik patalichya suvidhanpeksha adhik garib mahilanni prathamik aarogya patalivaril suvidhanmadhye (58 takke) aanee garbhpatachya nantarchya guntaguntisathi (67 takke) upasthit asalelya mahilanmadhye prerit garbhpatapeksha jaast kalji ghetali."pudhe, abhyasat asey aadhalun aale qee mahilanni garbhpat sevanmadhye pravesh karnyasathi paise kharch naan karanyachi kabuli dilee kaaran tyaa sarvajanik suvidhanmadhye vinamulya aahet. garib mahila, prathamik staravaril suvidhanna bhet detana 64 (yuu. ess. dii. 1) aanee shahari rugnalayanna bhet detana 256 (yuu. ess. dii. 4) pramukhyane vahtook aanee annasathi kharch karatat, asey nondavale gele. abhyasane assa nishkarsh kadhala qee "madhya pradeshatil prathamik staravar surakshit garbhpat sevanchya sudharit upalabdhatemule garibanmadhil surakshit garbhpat sevanchi garaj purn honyas madat jhaali aahe, jyamule akheris asurakshit garbhpatamule matamrutyu aanee vikrutee qamee honyas madat hoil".
surakshit garbhpat aanee pocso kayada.
laingik gunhyanpasoon mulanche sanrakshn (pocso) kayada mulachi vyakhya athara varshanpeksha qamee vayachi konatihi vyakti mhanoon karato aanee laingik shoshanache vividh prakar paribhashit karato, jyat bhedak aanee gair-bhedak hallah, tasech laingik chhal aanee ashlilata yancha samavesh aahe. yaa kayadyat gunhyachya gambhiratenusar shrenibaddha kelelya kathor shikshesah kamal janmathepechi kathor shiksha aanee dandachi tartud aahe.
haah kayada jaree mulanche jeevan aanee hakkanche rakshan karat asala taree too 'sahmatine kelele laingik sambandh' aanee gunha yaat farak karnyat apayashi tharato aanee 'lavkar lagn' yaa 'kaala' kshetravar dekhil laksh dett nahee. nirdharit vayapeksha qamee vayachya vyaktinsobat konatihi laingik kriya.eae. 18 varshe haah vaidhanik balatkar manla jaato. haah kayada gunha aanee sammati yaat farak karnyat ayashasvi tharalyamule, kishoravayin mulansathi laingik aanee punarutpadak aarogya sevanchya praveshat too eka motha adthala nirman karato.
shivay, yaa kayadyat ahwal dene anivarya aahe aanee tase naan kelyas turungwas kinwa dandacha dand houu shakato. yaa garajecha kishoravayin mulanchya laingik aanee punarutpadak aarogyavar (ess. aar. etch.) parinam hoto, kaaran yamule garbhanirodhak, laingik sankramit sansargansathi vaidyakeey madat ityadi vividh ess. aar. etch. seva nakarlya jaatat. kayadeshir karvait adaku naye mhanoon aarogya vyavsayik surakshitpane khelat aahet, jyamule ess. aar. etch. sevanvar parinam hoto.
anivarya ahwal kishoravayin mulansathi surakshit garbhpat sevanchya praveshat dekhil adthala aanato. pocso aanee emm. tii. pii. kayadyanmadhil sangharshamule sahmatine tasech alpavayin mulanvar laingik atyacharansathi seva nakarlya jaatat. purvi emm. tii. pii. kayadyasathi alpavayin mulansathi palakachi sammati aavashyak hotee aanee tee ajunahi aahe, parantu pocso kayadyamule, anivarya ahwal dene hii samasya guntaguntichi karate aanee puravathadar alpavayin mulansathi surakshit garbhpat seva pradan karnyababat savadh asatat, agadi hallyachya babatitahi, parinami anekjan kayadeshir adachani talhanyasathi asurakshit garbhpat karatat; aanee 7 teey 10 varshanchya turungwasasah mulanna kinwa tyanchya jodidaranna tras denyasathi yacha gairfayda ghenanya palakanna aanakhi guntaguntisathi.
surakshit garbhpat aanee ling-pakshapati ling nivad.
ling-pakshapati ling nivad aanee surakshit garbhpat heey bharatiy kayadyachya kakshet paraspar ananya mudde aahet. emm. tii. pii. kayada garbhpat sevanchya taratudinsathi eka chaukat pradan karato, tarr sanganak aanee pii. aine. dii. tii. kayada garbhache ling nishchit karnyasathi nidan tantracha gairavapar niyantrit karato. donhi kayadyancha eka atishay spashtapane paribhashit uddesh aahe, tathapi, donhi kayadyanchya amalbajavanit ajunahi eksandhata aahe. sanganak aanee pii. aine. dii. tii. kayadyachya kadak amalbajavanimule, anek doctor tapasani honyachi aanee kayadeshir samasyanna tond denyachi shakyata asalyamule emm. tii. pii. seva denyas ghabarat aahet kinwa nakhush aahet, tyamule surakshit garbhpat sevanmadhye pravesh karnyat motha adthala nirman hoto.
yaa doghancha mell ghaloon, mahilanchya moolbhut hakkanvirodhat janatechya manat sambhram nirman keela jaat aahe. lingnirdharanasandarbhat janatemadhye "jagrukta nirman karnyasathi" sarkari bhittipatrakanmadhyehi "garbhpat" aivaji "bhrun hathya" kinwa "bhrunahatya" hii sandnya vaparali geleli aadhalali aahe-hii sandnya "jeev" ghenyachya narahatyechya gunhegari kriyakalapala soochit karate. yaa chukichya sandesh aanee adnyanacha mahilansathi surakshit garbhpat sevanchya praveshavar gambhir parinam hoto.
yaa samasyeche nirakaran karnyasathi, 2013 madhye laingik samanata aanee surakshit garbhpatasathi pratidnya moheem suru karnyasathi yaa vishayavar kaam karananya sanstha aanee vyaktincha eka gut ekatra aala. hii moheem bharatatil mahilanchya surakshit, kayadeshir garbhpat sevanchya adhikarache rakshan kartana ling nivadichya samasyeche nirakaran karnyasathi eka vyaspeeth pradan karate. yaa mohimene yaa vishayavar prasarmadhyamansathi mahitee sanch dekhil tayar keela.
surakshit garbhpat sevanchya praveshavar covid-19 mahamaricha parinam.
covid-19 mahamaricha samna karnyachya prayatnat 25 marchpasoon lagoo karnyat aalelya deshvyapi talhebandimule garbhanirodhak aanee surakshit garbhpat praveshavar viparit parinam jhaala aahe. bharat sarkarchya aarogya aanee kutumb kalyan mantralayane talhebandichya eka aathvada aadhi atyavashyak garbhanirodhak seva sthagit kelya aanee pudhil soochana mileparyant nirjantukikaran aanee antargarbhachya garbhanirodhak upkarananchya (aay. yuu. see. dii.) seva punha suru karoo nayet assa sallah denare margadarshan jaaree kele. covid-19 mule lagoo karnyat aalelya talhebandimule deshatil 2 kotinhoon adhik jodapi garbhanirodhak vaparnyapasun aanee anpekshit garbhadharana radd karnyapasoon vanchit hotee.
aay. dii. eff. chya ahavalanusar, sumare 18.5 laakh garbhpat, mhanje.eae. 2020 madhye march teey juuna yaa kalavadhit lagoo karnyat aalelya talhebandimule pravasavaril nirbandhanmule, yaa kalavadhit samanyatah honanya garbhpatanchya sankhyepaiki 50 takke garbhpatanmadhye tadjod jhaali asavi. yamule mothya sankhyene avanchhit garbhadharana hott rahilya asatya, tasech asurakshit garbhpat jhaale asatya jyamule matecha mrutyu houu shakato. eff. aar. etch. ess. indiyachya eka ahavalat assa andaj vartavanyat aala aahe qee mahamarichya paristhitimule bharatat atirikt 834,042 asurakshit garbhpat aanee 1,743 matamrutyu houu shakatat.
maryadit halchal, jivalag jodidarachya hinsacharachya vadhatya batamya, sthalantaritanchya jivanshailitil badal, garbhanirodhak aanee surakshit garbhpat midvanyat vilamb aanee palkatvasandarbhat nirnayanmadhye sambhavya badal yamule, mahamarimule bharatat surakshit garbhpat sevanchi garaj vadhali aahe. vaidyakeey garbhpatasandarbhat mahitee, samarthan aanee sevancha samavesh karnyasathi telehealthcha vistar karane haah surakshit, kayadeshir garbhpatasathicha pravesh vadhavanyacha eka surakshit aanee krantikari marg asoo shakato. jaree konachya margdarshananusar, pahilya timahitil garbhpat surakshitpane swayam-vyavasthapit kele jaau shakatat, joparyant mahitee aanee samarthan upalabdh aahe aanee guntaguntichya babatit suvidha upalabdh aahe, bharatiy kayadyanusar 40, aar. emm. pii. chya prescriptionshivay aarogya suvidhanchya baher garbhpat karane sadhya bekaydeshir aahe.
telehealthdware garbhpat karane grahakanna kayadeshir, surakshit aanee samarthit anubhav pradan karoo shakateh garbhpatasathi telemedicinecha vapar vadhavane, prescriptionshivay, aar. emm. pii. laa sharirikaritya naan bhetata, swayam-vyavasthapan karnanyanna kayadeshir sanrakshn pradan karoo shakate. bharatat vaidyakeey garbhpat karanyachi garaj aanee mothya sankhyene aadhich astitvat asalela swayam-vapar, aarogyasathi tantradnyanacha vapar karnyasathi grahak aanee pradatyanchi samaan mokalepana aanee jaagtik modelsvaroon telemedicindware garbhpat karanyachi surakshitata lakshat gheta, heey spasht aahe qee telemedicinecha vapar karoon garbhpatasathi tartud karanyachi bhook aahe. garbhpatasathichya sarvajanik kshetratil tartudit anek aavhane aahet-prashikshit karmchari, upkarane aanee puravatha yancha abhav aanee kayadeshiraritya parvanagi asalelya maryadeparyant gair-nirnayatmak kalji, garbhpatasathi 'id1' telemedicine heey naav dene, heey keval sarvajanik kshetratil surakshit garbhpatatil taratudinmadhil truti door karnyat madat karoo shakat nahee tarr darjedar seva upalabdh asatana dekhil eka vyavharya paryay mhanoon kaam karoo shakate kaaran yamule vaiyaktik bhetee qamee karoon aanee grahakanchya gopaniyata aanee gopaniyatechya garja vadhavun aarogya payabhoot suvidhanvaril oze qamee hoil. vaidyakeey garbhpat samavisht karnyasathi telemedicinecha vistar karoon, bharat keval mahamarichya kalatach navhe tarr dirghakalin parinamansathi sandhee nirman karnyasathi surakshit garbhpatasathi marg tayar karoo shakato.
garbhadharanechya usheera samaptisathi alikadil nyayalayin prakarane.
emm. tii. pii. kayada garbhadharanechya 20 aathvadyanparyant garbhpatachi samapti karnyas anumati deto. jarr mahilecha jeev vachavanyasathi garbhpatachi twarit aavashyakta asel tarr hii maryada lagoo hott nahee (emm. tii. pii. kayadyache kalam 5). tathapi, garbhatil vikrutiche nidan jhaleli prakarane aanee laingik shoshanatoon vachalelya mahilanchi prakarane aahet, jyanni 20 aathvadyannantar garbhpatasathichya vinantyansah nyayalayat sampark sadhala aahe. prajnan haqq kendrachya ahavalat nyayalayamadhye aalelya kahee prakarananche sarvasamaveshak ahavalat vishleshan kele gele.
pratidnya mohimechya aanakhi eka ahavalat surakshit garbhpatasathi nyaypalikechya bhoomikeche moolyankan kele aahe. parvangisathi nyayalayanmadhye pohochnanya prakarananchya sankhyet vaadh hott asalyache ahavalat adhorekhit kele aahe. samaptila parvanagi denare anek aadesh vaidyakeey mandalachya matavar aanee mageel prakarananmadhye aadhich namood kelelya nyayshastravar aadharit asale taree, gelya kahee varshantahi kahee abhootpurv nirnay ghenyat aale aahet, jeey thalakpane dakhavale gele aahet. yamule badalatya kalashi julavun ghenyasathi kayadyachya garjevar bharr deela jaato. garbhpatachi upalabdhata haah garbhavati mahilansathi kiman pahilya timahit kayadeshir adhikar hone atyavashyak aahe. tee stree sallamasalat karat aahe heey doctoranche mutt prathamik aanee keval aavashyak manale jaane aavashyak aahe. asha prakarchya prakaranancha samna kartana nyayalayanni kelelya vaidyakeey mandalanchya sthapanene mahilanna surakshit aanee kayadeshir garbhpat karnyat aanakhi adthale nirman kele aahet.
yapaiki anek prakarananche prasarmadhyamanni sakriyapane vartankan kele aahe. parvangisathi nyayalayat aalelya vilambit samaptichya vinantyansah kahee mahattvapoorn prakarane khalee soochibaddha aahet.
september 2022 sarvoch nyayalayacha nirnay.
diwani apeal kra. madhye bharatachya sarvoch nyayalayache teen nyayadhishanche peeth. 2022 chya 5802 neey 29 september 2022 roji kahee nishkarsh kadhale. yaa nikalat mahilanchya sharirik svayatta, laingik aanee prajnan nivadi, avivahit mahilanna kayadyacha samaan laabh vadhavane aanee praudh mahilansathi truteey pakshachya sanmatisarkhe adthale qamee karnyavar bharr deela aahe.
yaa nikalat 'stree' hii ashee vyakhya kelee aahe qee, asha prakare trutiyapanthiy aanee itar ling-vaividhyapurn vyaktinsah, laingik sambandh asalelya mahilansah, surakshit garbhpatasathi aavashyak asalelya serve vyakti.
nyayalayane namood kele qee vaidyakeey vyavsayik samanyatah garbhpat-sadhakanni garbhpat-sadhakanchya kutumbachi sammati ghene, kagadpatra purave sadar karane kinwa nyayalayin adhikrutata yasarkhya atirikt kayadeshir atinche palan karnyacha aagrah dharatat aanee jarr asha atty purn kelya gelya naheet tarr teey varanvar garbhpat seva nakartat. hii pratha 'khedjanak' asalyache tyala vatale. nyayalayane tippani kelee qee vaidyakeey vyavsayikanni asha aavashyakta ladanyapasun door rahile pahije aanee tee alpavayin kinwa mansik aajari naslyas keval mahilechi sanmatich bhautik aahe. tyat asehi mhatale aahe qee, "pratyek garbhavati mahilela konatyahi sammatishivay garbhpat karava kinwa naan karava heey nivadanyacha aantarik adhikar aahe
kinwa truteey pakshakadoon adhikrutata aanee teela garbhpat karayacha aahe qee nahee yaa prashnavar eka mahila ekmev aanee antim nirnay ghenari aahe."
vivahit aanee avivahit mahilansathi kayadeshir manalya jaananya garbhadharanechya kalavadhitil farkachya vishayavar-pahilya mahilansathi 24 aathvade aanee dusya mahilansathi 20 aathvade-nyayalayane nirnay deela qee haah farak bhedbhavpurn, krutrim, asthir aanee bharatiy rajyaghatanechya kalam 14 chey ullanghan karnara aahe aanee "serve mahilanna surakshit aanee kayadeshir garbhpat laabh milanyacha haqq aahe."
vaivahik balatkaramule honanya garbhadharanechya vishayavar nyayalayane nikal deela qee, mahila 'laingik atyachar kinwa balatkaratun vachalelyanchya' kakshet 20 teey 24 aathvadyanchya kalavadhit garbhpat karoo shakatat.