IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-9-16594 Original Research Paper EFFICACY OF DADIM AVALEHA IN THE MANAGEMENT OF GARBHINI PANDU WITH SPECIAL REFERENCE TO ANEMIA IN PREGNANCY. Pushkaraj S. Valvi Dr. September 2018 7 9 01 02 ABSTRACT

Anaemia during pregnancy is defined as a haemoglobin concentration of less than 10 gm/dl.Any patient with a haemoglobin of less than 11 gm/dl to 11.5 gm/dl at the start of pregnancy is being treated as anaemic. The reason is that as the pregnancy progresses, the blood is diluted and the woman will become anaemic. The dilution of blood in pregnancy is a natural process and starts at approximately the eighth week of pregnancy and progresses until the 32nd to 34th week of pregnancy. The most common cause is iron deficiency. The growing foetus depletes what stores there are and takes priority for any iron available. Less often, anaemia in pregnancy is caused by folic acid deficiency. In some populations, as many as 80% of pregnant women are anaemic. They are generally women from lower socio–economic groups in developing countries as well as pregnant teenagers. Women who experienced heavy periods and those who became pregnant soon after the birth of a child are at particular risk of becoming anaemic in pregnancy. The symptoms such as tiredness and general weakness will be similar to those of any other type of anaemia. In severe cases, the woman will be short of breath even at rest. If the anaemia is prolonged, other signs of iron–deficiency anaemia may develop such as a smooth shiny tongue and tenderness of the skin at the corners of the mouth. However, these advanced signs are rare. There are so many references present in ayurvedic classics of Garbhinipandu.  Pandu means pallor of body which can be correlated with ‘Anaemia’ of modern science. There are various references present in ayurvedic classics which indirectly denote GarbhiniPandu. AcharyaCharaka in ShariraSthana has explained about Balavarnahaniof Garbhini in 6th month of pregnancy. It can be considered as reference for GarbhiniPandu. The line of treatment in Pandurogais shodhana, as it iscontraindicated during pregnancy appropriate shamanatreatment has to beadopted.