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
A pair of Ovaries - the primary reproductive organs
A pair of Fallopian Tubes - uterine tubes
The Uterus - body & cervix
The Vagina - receives male sperm
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
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 .
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
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
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
Growth – Variability.
Risk – Growth retardation, premature birth.
Protein in urine
Swelling of legs
Diabetes – Back pain.
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
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
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