The procedure in which the medicine is administered through intra uterine route.

• Ref General Requirements SOP
• Instruments – Sponge holding forceps, Cuscus/Sims Speculum, Uterine sound.
• Basti netra – IV Canula/ Infant feeding tube/ IUI canula.
• Basti putaka – 10 cc Syringe.
• Medicine – Oil/ Ghee
• Xylocaine Gel
• Normal saline
• Surgical gloves – 2
• Hole towel – 1
• Gauze pieces – 4
• Cotton
• Bowl – 1
• Kidney tray -1

  Manpower

• Physician -1

• Attendant – 1

 Preparation of tray

• Take a clean tray.
• Put medicine and all other required materials for sterilization in this tray.

Preparation of patient

• Check vitals.
• Vegotsarga

• The medicine for uttarabasti is taken in a pre-cleaned container.
• The medicine, along with all the other required materials is subjected to sterilisation.
• The autoclaved medicine is taken in 10 cc syringe and attached to infant feeding tube after wearing surgical gloves.
• Pulse and B.P. are recorded.

• The patient is asked to lie in lithotomy position.
• The genital area is cleaned from inner to outer vestibule to both thigh region with normal saline using sponge holding forceps.
• The hole towel is placed exposing the genital region.
• P/V examination is done to assess the size, shape and position of uterus.
• Cuscus speculum is lubricated with xylocaine and gently inserted.
• Uterine sound is then inserted to dilate the external os and to know the length and direction of cervix.
• Infant feeding tube is introduced slowly through cervical opening and the medicine filled in the syringe is gently pushed into the uterine cavity.
• Once the administration of medicine has been completed, the infant feeding tube and cuscus speculum is removed slowly.

• The patient is asked to lie down in supine position and asked to take rest.

• 30 – 45 minutes

• Female infertility
• Menstrual problems like Menorrhagia, Amenorrhea, Dysmenorrhea
• Non – expulsion of placenta
• Fallopian tube blockage
• Uterine fibroid
• Cervical erosions
• Endometriosis
• Cervical Polyp
• PCOD

• Hypersensitivity
• Carcinoma cervix
• Virginity
• Bleeding disorders
• Carcinoma of the bladder

• Uttarabasti procedure should be carried out by an expert physician under all aseptic precautions.
• The medicine for uttarabasti along with all the required materials should be autoclaved.
• Basti netra should be insert carefully without shaking.
• Basti Netra should not be inserted beyond and lesser than the prescribed limit.
• Urge of urine or motion neither be ignored nor forced.
• Avoid spicy food and any kind of sexual activity.

• Lower abdominal pain: it is usually self-limiting and if necessary give fomentation with hot water bag and antispasmodics can be given.
• Infection: vaginal douche with triphala kashya. This condition may require a course of antibiotic therapy.
• Per vaginal bleeding: It was considered as a complication, only if it is very much disturbing the patient.
• Retention of basti dravya: insert sodhana dravya siddha phala varti in yonimarga.