A Comparative Clinical Trial to assess the effect of Riyazat, Dalak with Roghan-e-Baboona and Takmeed-e-Ratab on Postpartum Belly Fat

The Postnatal period is defined as the first six weeks after birth. It is critical to the health and survival of a mother and her newborn. Common problems during postpartum period are-backache belly fat perineal pain bowel problems mastitis psychological problems such as postpartum depression postpartum haemorrhage thromboembolism post natal anemia. Abdominal muscles may be both morphologically and functionally affected by pregnancy. Dysfunction of the muscles can lead to persistent postpartum low back pain which may result in difficulty returning to daily life and activities after childbirth. Visceral(or intra-abdominal) fat is more metabolically active than fat depots in other body areas and is linked to a more adverse cardiometabolic profile. Visceral fat is associated with an increased risk of obesity related insulin resistance, cardio vascular disease lower high density lipoprotein cholesterol levels and progression of type2 diabetes  particularly among women. This visceral fatal is also contribute in the postpartum weight retention. In a study, it was seen that 91.3 percent retained weight near to one year post delivery while 8.7percent of mothers had either reduced their weight or had maintained the same weight as compared to pre-pregnancy weight. In a study the prevalence of central obesity are defined by waist circumference waist-hip ratio waist-hip-thigh ratio were 66.3 percent 62.1 percent and 50.6 percent respectively.

The modern management includes advising adequate breastfeeding.  Postpartum massage Post natal exercises which includes abdominal exercise pelvic floor exercise and wearing a post partum girdle are advice to the patient.

In Unani system of medicine for the purpose of tehleel-e-badan Hamaam Riyazat Dalak with roghan-e-mohallil and dietotherapy is advised.

Postpartum belly fat remains under evaluated and under managed while evidence is growing that postpartum treatments strongly influence patients  outcome .In present scenario there is less awareness concerning the benefits of exercise and massage in the postpartum womens quality of life. Therefore the aim of this study is to explore the effect of exercise and massage with roghan-e-mohallil on postpartum belly reduction.