Around 66.67% of patients have a normal menstrual history, 66.67% of patients were multigravida, while 59.26% were parous. Majority of patients were suffering from Chinta (100%) and Bhaya (92.59%). In Viharaja Nidana, Diwaswapna was found in 100% of patients and habit of suppression of urination was found in 70.37% of patients. Addiction of tea was found in 88.89% patients. Most of the patients were taking excessive Lavana (92.59%), Amla Rasa (92.59%), Katu Rasa (81.48%), and Guru Guna dominant (66.67%) diet. 55.55% were of Vata-Pitta Prakriti.Īmong the etiological factors, it was found that majority of the patients were vegetarians (59.26%) and having the habit of Vishamashana (62.96%). In the present study, maximum number of patients, i.e., 51.85% belonged to age group of 23–27 years, 88.89% of patients were Hindu, 59.26% patients had primary education, 85.18% were housewives, 66.67% patients from lower middle class, 67.57% patients belonged to urban area, 62.96% patients were from joint family, and 48.14% were having 17–20 weeks of gestation. Thus, for the present study, the dose of both the drugs was increased and planned to evaluate the clinical efficacy of both the drugs with increased dose (3 g/day) on Garbhini Pandu. The reason noticed for this was low dose of drug. In the previous study carried out on Pandu (iron deficiency anemia ), Punarnava Mandura and Dhatri Lauha, both were given in dose of 500 mg thrice in a day, satisfactory results were not achieved. Government of India has included it in ASHA drug kit for National Reproductive Health Care Programme. Punarnava Mandura is successfully used by Ayurvedic physicians for the management of all types of Pandu. On the basis of Pandughna (antianemic), Prinana (nourishing), Raktaprasadana (blood toner) properties and previous reports in Garbhini Pandu, Dhatri Lauha was selected in this study. Lauha Bhasma and Mandura Bhasma are effective in Pandu Roga. There are no direct references of Garbhini Pandu (anemia in pregnancy) in Ayurveda, except Acharya Kashyapa has described Pandu as a symptom of Garbhini in the description of Rakta Gulma, Acharya Harita has also described Vivarnatva as one of the eight complications of Garbha.Įmpirical use of different preparations of iron in the treatment of anemia from ancient times is evident. The high prevalence of anemia in pregnancy and serious adverse consequences in both mother and baby, the management of anemia in pregnancy was accorded a very high priority both in obstetric and public health practice. India contributes to about 80% of the maternal deaths due to anemia in South Asia. The prevalence of anemia in all the age groups is higher in India as compared to other developing countries. WHO has estimated that prevalence of anemia in pregnant women is 14% in developed and 51% in developing countries and among them, 65–75% are in India. Anemia is the most common nutritional deficiency disorder in the world.
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