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Introduction: Garbhini Vyapad refers to complications and disorders during pregnancy, elaborately described in Ayurvedic classics. These conditions significantly influence maternal and fetal health, often leading to adverse pregnancy outcomes if unaddressed. Ancient seers outlined their classification, causes, symptoms, and management, emphasizing holistic approaches involving diet, lifestyle, and medications. Methods: A comprehensive literature review was undertaken using primary Ayurvedic sources (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Kashyapa Samhita), along with modern commentaries and research articles from PubMed, Scopus, and Web of Science databases. Studies published between 2000 and 2024 were considered. Both clinical and experimental research on Ayurvedic management of pregnancy complications were included. Results: Twenty distinct types of Garbhini Vyapad are mentioned in Ayurveda, primarily caused by imbalance in doshas, improper diet, faulty lifestyle, and neglect of garbhini paricharya. Disorders include murchha garbhini (syncope), jwara garbhini (fever), atisara garbhini (diarrhea), and conditions analogous to modern preeclampsia, hyperemesis gravidarum, anemia, and threatened miscarriage. Management emphasizes preventive strategies through month-wise antenatal regimen (garbhini paricharya), use of herbs such as Shatavari, Ashwagandha, Yashtimadhu, and procedures like sneha, sweda, and dietary modifications. Recent research supports Ayurvedic interventions in reducing complications, improving pregnancy outcomes, and enhancing maternal well-being. Discussion: The review highlights the relevance of Ayurvedic classification of Garbhini Vyapad and its correlation with modern obstetric disorders. Preventive and therapeutic approaches offer safe, holistic, and cost-effective alternatives. However, clinical trials with larger sample sizes and standardized protocols are necessary. Conclusion: Ayurvedic understanding of Garbhini Vyapad provides valuable insights into preventive and therapeutic strategies. Integrating these approaches with modern obstetrics may enhance maternal-fetal outcomes and reduce pregnancy-related morbidity.

KEYWORDS: Ayurveda, Garbhini Paricharya, Garbhini Vyapad, Pregnancy complications, Shatavari