The Compendium of Bheḷa 2.3.23

2.3.23

atiprajananādvāpi tathā ' prajananena vā | sandhāraṇādvābhārasya raktamādhmāpayet tataḥ ||

or through excessive childbearing, or likewise through lack of childbearing, / or through supporting a heavy load, blood then becomes distended;