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    1 Theory YIC Pregnancy.ppt 1 Theory YIC Pregnancy.ppt Presentation Transcript

    • Dr. SHAMANTHAKAMANI NARENDRAN Consultant Pediatrician Ph.D. in Yoga Science
    • On the Brink of Birth
      • A full term fetus, is shown in its mother’s womb in this Leonardo da vinci drawing. One of the first accurate renderings of a part of the human anatomy. The smaller sketches depict details of the uterus. Of all the triumphs of the body, its crowning glory is the power to reproduce its kind and pass some of its hereditary characteristics on to later generations.
    • Structure of Female reproductive organs Internal Genital Organs
      • These include
        • A pair of Ovaries - the primary reproductive organs
        • A pair of Fallopian Tubes - uterine tubes
        • The Uterus - body & cervix
        • The Vagina - receives male sperm
    •  
    • Ovulation Process
    • PELVIS
      • Which surrounds the pelvic canal. This is specially adapted to the needs of childbirth in the female. This reproductive adaptation affects particularly the lesser pelvis; but the changes in this, affect the proportions and dimensions of the greater pelvis to a variable degree in the female.
      Female Bony Pelvis Female Pelvis with Fascia and Ligaments
    • Fertilization
    • Embryo to Fetus fifteen days twenty-one days thirty days thirty-four days six wks eight wks Life: One Seed + One Egg Life begins when an egg, previously released from one of the two ovaries, merges with just one of the hundreds of millions of sperm cells supplied through the vagina by the male reproductive system. The fertilized egg then descends to the wall of the uterus, where it implants itself to begin gestation .
    • Fetus
    • The average weight of the Indian baby at 40 weeks of pregnancy is 2,750Gms at birth.
    • New Born A healthy new born cries vigorously as soon as he is born, kicking his limbs actively, giving the greatest joy to the tired mother.
    • ANANDAMAYA I A Y T ANANDAMAYAKOSA VIJNANAMAYAKOSA PERFECT HEALTH & KNOWLEDGE MANOMAYAKOSA STRESS IS SPEED PRANAMAYAKOSA STRESS ACCORDING TO TAITTIRIYA UPANISAT
    • MANAH PRASAMANA UPAYAH YOGAH – Vasista
      • YOGA IS THE SKILL
      • TO CALM DOWN THE MIND
      YOGA ?
    • Astanga Yoga of Maharshi Patanjali Yama Niyama Asana Pranayama Pratyahara Dharana Dhyana Samadhi
    • YOGA IN PREGNANCY
      • Pregnancy is stress because of extra load of
      • Biochemical changes – Metabolism of water, salt, minerals, iron, glucose, fat, calcium, etc.
      • Hormonal changes.
      • CNS-ANA changes.
      • Emotions.
      • Yoga has to look at helping
      • MOTHER & FETUS
    • I TRIMESTER (1 – 3 MONTHS)    YOGA FOR STRESS REDUCTION    ACCEPTANCE OF PREGNANCY    AVOID        DYNAMIC ASANAS        ACUTE EXTREME BENDS        KAPALABHATI    RISK OF ABORTION
    •    FOETUS     ORGAN FORMATION  INTRA UTERINE ENVIRONMENT IMPORTANT        CHEMICALS – CONGENITAL DEFORMITIES        STRESS - ABORTION    MOTHER        DISTURBANCES + STRESS = DISEASE        MORNING SICKNESS + ANXIETY = VOMITING        VOMITING + STRESS = HYPER EMESIS        GASTRITIS – HYPERACIDITY        CONSTIPATION
    • 1-3 Months
      • MOTHER
      • Emotional – Acceptance, Adaptation – Better in planned pregnancy
      • Anxiety – In delayed pregnancy & in assisted reproduction.
      • Rejection – Unwanted pregnancy.
    • RISKS/PROBLEMS MOTHER: Excessive vomiting. Abortion. FETUS: Formation of organs. Risk of congenital abnormalities.
    • II TRIMESTER (4 – 6 MONTHS)    MOTHER – STABLE PERIOD    IMPORTANT TO STABLISE YOGA PRACTICES    FOETUS – ORGANOGENESIS & MATURITY    STEADY GROWTH    SENSE ORGANS START FUNCTIONING    SPEND MORE TIME FOR YOGA    INCREASE PRANAYAMA    INCREASE CHANTINGS     BE CHERFUL & RELAXED  REDUCE WORK LOAD
    • 4-6 Months
      • Stable period
      • Growth of Baby – All organs increase in weight.
      • Mother’s health picks up – weight increases.
    • III TRIMESTER (7 – 9 MONTHS)      YOGA – MOST ASANAS CANNOT BE PERFORMED    SHAVASANA – LEFT LATERAL POSITION    ADD BADHA KONASANA BY 36 WEEKS    FOETUS : MATURES    AIMS – PREPARE FOR ENJOYABLE LABOUR
    •    BACK PAIN    SWELLING OF LEGS    BODY ACHES & PAINS    ANXIETY ABOUT LABOUR    PROBLEMS IN MOTHER        PREGNANCY HYPERTENSION        DIABETES        IUGR        PRE MATURE LABOUR    MEDITATION ON “OM” 10 MINUTES 3 TIMES A DAY
    • 7-9 Months
      • Growth – Variability.
      • Risk – Growth retardation, premature birth.
      • MOTHER
      • High BP
      • Protein in urine
      • Swelling of legs
      • Diabetes – Back pain.
      • Anemia.
      PET
    • LABOUR    I STAGE:- CONTRACTION – PAINS FOR DILATATION OF CERVIX & DESCENT OF BABY    INCREASED ANALGESIC REQUIREMENT    INCOORDINATE UTERINE ACTIVITY    PROLONGED LABOUR    FOETAL DISTRESS – INCREASED C. SECTION    ABDOMINAL BREATHING – NADISHUDDHI    NADANUSANDHANA – POORNAMADAH    RELAX – IRT - CONSERVE ENERGY
    • YOGA AFTER DELIVERY II STAGE:- BIRTH OF THE BABY    MOTHER – ANXIETY – PROLONGED LABOUR – INSTRUMENTAL DELIVERY – C SECTION    RESPIRATORY DIFFUCULTY IN NEW BORN    ANTAR KUMBHAKA – DRT    STRENGTHEN ABDOMINAL MUSCLES    STRENGTHEN FLOOR OF THE PERINEAM    AVOID OBESITY    ENJOY NURSING
    • IAYT Avoid all dynamic asanas – Risk of abortion Avoid Prone Postures – Shalabhasana & Dhanurasana Emphasize Vamanadhouti in the morning –for morning sickness. 1-3 Months
      • To avoid abortion
      • Viparitkarani with chair/wall support.
      • Deep abdominal breathing
      • AAA chanting
      • Repeat 3 times
    • YOGASANAS IAYT Basic set Avoid – Dynamic asanas - Go on decreasing the difficult asanas - Increase breathing practice. 4-6 Months – Aim – Maintain steady growth
    • YOGASANAS
      • Avoid
      • Dynamic asanas - Prone postures
      • Forward bends - Acute back bends
      • Because of increasing size of abdomen
      • Add: Butterfly exercise (Badha konasana) to open the neck of womb in 8 th & 9 th months for easy delivery.
      7-9 Months – Aim – Prepare for easy natural delivery
    • Practices for koshas Manomaya/Vignanamaya Life of Contentment Joy Relaxed lifestyle Reduce workload Meditation – OM Read good books
    • Emotions of mother affects the fetus Stress – Reduced blood flow fetus is distressed. Growth decrease Fetal fatigue at labour. Listen to good music Chant loudly Poornamadah Mrityunjaya Mantra Japa
    • MODULE OF YOGA PRACTICE FOR PREGNANT WOMEN 1-3 3-6 6-9 1-3 3-6 6-9 LOOSENING EXERCISES  ASANAS (PRONE)  Hands Stretch/ Side Stretch  Bhujanga  Hands in / out  Salabha  Ankle Stretch  Savasana Left lateral    Forward/ Backward Bending  ASANAS (SITTING)  Side Bending  Vajrasana (thunderbolt)  Twisting  Malasana (squatting)  Neck Release  Baddha Kona  Shoulder Release  Ardha-Ustra  BREATHING EXERCISES  Sasanka  Tiger Breathing  Vakra  Rabbit Breathing  Ardha-Matsyendra  Dog Breathing  Pascimottana  Sasankasana Breathing  PRANAYAMA  ASANAS (STANDING)  Nadi Suddhi  Ardhakati cakra  Ujjyi  Ardha cakra  Sectional Breathing  Padahasta  Sitali/ Sitkari/ Sadanta  Prasarita Padahasta  RELAXATION TECHNIQUES  ASANAS (SUPINE)  Instant relaxation (IRT)  ST Leg Raising Alternate  Deep relaxation (DRT)  ST Leg Raising Both Legs  GAZING TECHNIQUES  Viparita karani (Wall support)  Jyothi Trataka  Matsya  MEDITATION  Savasana  OM – AAA, UUU, MMM 
    • During delivery Prepare – Look forward to enjoy your baby DRT – To relax in between Kumbhaka – To bear down QRT, IRT – To calm down. Enjoy pain by defocusing practice.
    • Post delivery AIM – To maintain your weight To strengthen the abdominal muscles Diet – High fibre High fluid intake Yoga – Go on adding all practices after bleeding stops
    •