Ayurvedic Interventions in Enhanced Recovery After Caesarean Section (Eracs): Bridging Classical Sutika Paricharya with Modern Protocols

Aakriti Thapliyal; Digamber P. Shevale

Ayurvedic Interventions in Enhanced Recovery After Caesarean Section (Eracs): Bridging Classical Sutika Paricharya with Modern Protocols

Author(s)	Dr. Aakriti Thapliyal, Dr. Digamber P. Shevale
Country	India
Abstract	Background: Caesarean section (CS) is one of the most frequently performed major surgeries worldwide. While life-saving and necessary in many obstetric scenarios, it is inherently associated with surgical trauma, delayed lactogenesis, postoperative pain, and prolonged recovery times. To mitigate these adverse effects and optimize postoperative outcomes, the modern medical community has widely adopted Enhanced Recovery After Surgery (ERAS) protocols, specifically tailored as Enhanced Recovery After Caesarean Section (ERACS). Parallel to this, classical Ayurveda details a highly systematized postpartum regimen known as Sutika Paricharya. This ancient protocol is meticulously designed to restore maternal physiological equilibrium, replenish depleted tissues (Dhatu Kshaya), and support psychological well-being following the physical stress of childbirth. Objective: This article explores the synergistic potential of integrating classical Ayurvedic interventions with modern ERACS protocols to create a holistic, highly effective postoperative care pathway for CS patients. Methods & Integration: The paper evaluates the core pillars of ERACS—such as early oral intake, multimodal opioid-sparing analgesia, early mobilization, and rapid catheter removal—through an Ayurvedic lens. It maps these modern milestones to classical Ayurvedic principles. For instance, the ERACS goal of early gut stimulation is harmonized with Ayurvedic therapies for Agni Deepana (restoring digestive fire) using medicated gruels and specific herbal infusions like Panchakola. Similarly, modern multimodal analgesia is supplemented with Vata-pacifying and anti-inflammatory botanicals like Dashamoola, reducing the reliance on synthetic painkillers. The article further outlines adapted protocols for Vrana Ropana (surgical wound healing) avoiding immediate abdominal massage but utilizing targeted peri-wound therapies, and highlights the use of specialized galactagogues to support Stanya Janana (lactation). Conclusion: Bridging the acute surgical management principles of ERACS with the restorative, deeply nourishing regimens of Sutika Paricharya provides a comprehensive model for integrative obstetrics. This dual approach not only meets the immediate clinical goals of reducing hospital stay and preventing postoperative complications but also addresses long-term maternal vitality, accelerating tissue repair, managing pain naturally, and promoting successful breastfeeding.
Keywords	Enhanced Recovery After Caesarean Section (ERACS); Sutika Paricharya; Ayurvedic Postpartum Care; Integrative Obstetrics; Multimodal Analgesia; Vrana Ropana (Wound Healing); Caesarean Section Recovery; Stanya Janana (Lactation Support).
Published In	Volume 8, Issue 4, July-August 2026
Published On	2026-07-18

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Ayurvedic Interventions in Enhanced Recovery After Caesarean Section (Eracs): Bridging Classical Sutika Paricharya with Modern Protocols

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