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CTRI Number  CTRI/2025/02/080520 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 30/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Garbhasanskar]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effects of Phalasarpi and Anuloma-Viloma Pranayama on the maternal and foetal well-being during pregnancy 
Scientific Title of Study   Two Arm, Randomized, Open Labelled, Comparative Clinical Study to assess the efficacy of Phalasarpi and Anuloma-Viloma Pranayama on the Maternal and Fetal Well Being during Pregnancy 
Trial Acronym  Phalasarpi and Anuloma-Viloma Pranayama on the maternal and foetal well-being during pregnancy 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bhappil Sharma 
Designation  Ph. D. Scholar, Associate Professor  
Affiliation  Gangasheel Ayurvedic Medical College and Hospital, Kamua Kala Bareilly 
Address  OPD No. 3, Dept of Prasutitantra and Streeroga, Gangasheel Ayurvedic Medical College and Hospital, Kamua Kala Bareilly

Bareilly
UTTAR PRADESH
243123
India 
Phone  7018687930  
Fax    
Email  drbhapilsharma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Divya Ramugade 
Designation  Professor and Head, Dept of PTSR 
Affiliation  D. Y. Patil deemed to be University School of Ayurveda, Nerul, Navi Mumbai 
Address  OPD. No. 4, Dept of Prasutitantra and Streeroga, D. Y. Patil Ayurvedic Hospital - D. Y. Patil deemed to be University School of Ayurveda, Nerul, Navi Mumbai

Thane
MAHARASHTRA
400706
India 
Phone  9324446071  
Fax    
Email  divya.ramugade@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Divya Ramugade 
Designation  Professor and Head, Dept of PTSR 
Affiliation  D. Y. Patil deemed to be University School of Ayurveda, Nerul, Navi Mumbai 
Address  OPD. No. 4, Dept of Prasutitantra and Streeroga, D. Y. Patil Ayurvedic Hospital - D. Y. Patil deemed to be University School of Ayurveda, Nerul, Navi Mumbai

Thane
MAHARASHTRA
400706
India 
Phone  9324446071  
Fax    
Email  divya.ramugade@dypatil.edu  
 
Source of Monetary or Material Support  
VYDS Ayurved College Dharpa, (Khurja-Bulandshahr G.T. Road) Khurja (U.P.) - 203131  
 
Primary Sponsor  
Name  Dr. Bhappil Sharma 
Address  VYDS Ayurved College Dharpa, (Khurja-Bulandshahr G.T. Road) Khurja (U.P.) - 203131 
Type of Sponsor  Other [Self Funded Ph. D. Research Work] 
 
Details of Secondary Sponsor  
Name  Address 
No  Not Applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bhappil Sharma  VYDS Ayurved College Dharpa, (Khurja-Bulandshahr G.T. Road) Khurja (U.P.) - 203131  OPD No. 3, Dept of PTSR VYDS Ayurved College Dharpa, (Khurja-Bulandshahr G.T. Road) Khurja (U.P.) - 203131
Bulandshahar
UTTAR PRADESH 
7018687930

drbhapilsharma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, VYDS Ayurved College Dharpa, (Khurja-Bulandshahr G.T. Road) Khurja (U.P.) - 203131  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O94||Sequelae of complication of pregnancy, childbirth, and the puerperium. Ayurveda Condition: GARBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator Arm (Non Ayurveda)-Conventional Ante-Natal Careonly standard ANC care according to RCH-2 program throughout the pregnancy
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1. Patient with UPT positive and of age group 21 years to 35 years
2. Patient with UPT positive and confirmed uterine gestation with USG irrespective of their parity28
3. Patient with UPT positive confirmed uterine gestation with USG will be enrolled within 2 months of her LMP
4. UPT positive patient who is willing to consume Phala-Sarpiand performAnuloma-Viloma Pranayama
 
 
ExclusionCriteria 
Details  Patients with Pre-diagnosed underlaying pathology or a systemic disease.
2. Patients not willing to perform Garbhasanskara.
3. Patients with mental disorders like schizophrenia.
4. Patients of younger than 21 years and elder than 40 years of age.
5. Patients with any pre-existing tumour related to reproductive system.
6. Previous 2 LSCS.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
full term normal vaginal delivery of a baby without any complications
 
Baseline - before 8 weeks with UPT positive and confirmed uterine gestation with USG, 11th or 12th week of gestation, 18th or 19th weeks of gestation, 28th week of gestation, 32nd week of gestation,34th week of gestation,36th week of gestation, on the day of delivery of baby
 
 
Secondary Outcome  
Outcome  TimePoints 
Infections, Birth asphyxia and trauma, Preterm births and low birth weight and Congenital
malformations and others 
Baseline - before 8 weeks with UPT positive and confirmed uterine gestation with USG
First follow up 11th or 12th week of gestation
Second follow up 18th or 19th weeks of gestation
Third follow up - 28th week of gestation
Fourth follow up - 32nd week of gestation
Fourth follow up 34th week of gestation
Sixth follow up - 36th week of gestation
last follow up - on the day of delivery of baby
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "66"
Final Enrollment numbers achieved (India)="66" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/03/2025 
Date of Study Completion (India) 01/12/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
The results of the study will be published in peer reviewed journal. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

Total 66 female participants in the age group of 21 – 35 years with positive Urine Pregnancy Test (UPT) and confirmed uterine gestation with USG irrespective of their parity will be screened according to inclusion and exclusion criteria of the study and included in the study after taking written informed consent. These participants will be explained the procedure provided the information of the patient’s to be confidential.

The participants in group A will consume Phalasarpi and perform Anuloma-Viloma Pranayama as follows:

The participants will be enrolled and come to the hospital most probably after 5 weeks and will be diagnosed as UPT positive. Also, this group will receive standard ANC care according to RCH-2 Program. Also, Phalasarpi will be administered throughout the pregnancy. These participants will perform Anuloma-Viloma Pranayama.

The participants in group B will receive only standard ANC care according to RCH-2 program throughout the pregnancy.

·        Objective Criteria: will be Pregnancy completed weeks at the time of delivery, Type of Delivery, AFI at the end of 36 weeks, Birth weight of Child, APGAR score at 1 min. of birth, HB% of Mother at the time of delivery, Increase in Maternal weight throughout pregnancy, Foetal weight throughout the pregnancy

Specially designed Case Record Form (CRF) based on study protocol.


The study was completed with recruitment of total 66 females - 33 in each group. All female participants were followed till their delivery. No dropouts were there in the present study.
The data generated through clinical study was subjected to appropriate statistical tests to derive valid conclusions.
 
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