Clinical Study of Iron Deficiency Anaemia in Pregnancy (Adam-e-Damviat Douran-e-Hamal) and its Management With Unani Drug

Anaemia is a haematological condition characterised by the reduction in the concentration of haemoglobin accompanied by reduced number of circulating rbc.

The modest fall in haemoglobin levels during pregnancy is caused by a relatively greater expansion of plasma volume compared with the increase in red cell volume.

**INCIDENCE:**The frequency of anaemia during pregnancy depends primarily on preexisting iron states and prenatal supplementation.

**PATHOGENESIS:**Iron deficiency anaemia develops when the supply of iron is inadequate, the factors which lead to development of anaemia during pregnancy are:-

Iron deficiency anaemia develops when the supply of iron is inadequate, the factors which develop anaemia during pregnancy are:

l  Increase demand of iron

l  Disturbed metabolism

l  Pre-pregnant health status .

MATERNAL COMPLICATION:

l  Pre-eclampsia

l  Poor lactation

l  Pulmonary embolism

l  Preterm labour

l  Postpartum haemorrhage

l  Cardiac failure, shock

FOETAL COMPLICATION:

l  Still birth

l  Low birth weight baby

l  Preterm iugr baby.

In unani literature various synonyms of anaemia are termed as faqr-ud-dam, soo-ul-qiniya, qillat-ud-dam, kami-e-khoon, fasaad-e-khoon, adam-e-damviat.

Acoording to akseer e azam faqr-ud-dam is an arabic word which means shortage of blood. Soo-ul-qiniya means deficiency in storage.

SHAIK-UR-RAYEEES ABU ALI SENA in his book

“Al-Qanoon” explained that alteration in the temperament of liver causes its weakness which leads to soo-ul-qiniya. Symptoms like Puffiness of the face, oedema on lower and upper extremities, body becomes pale, constipation, loss of sleep can be seen.

HAKEEM MOHAMMED ARZANI in his book “TIB-E-AKBAR” said that flatulence or altered diarrhoea, constipation, disturbance in sleep are seen in anaemia.