VYASA Pregnancy Presentation.ppt

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VYASA Pregnancy Presentation.ppt

  1. 1. Dr. SHAMANTHAKAMANI NARENDRAN CONSULTANT PEDIATRICIAN
  2. 2. Medical Facts About Pregnancy <ul><li>On the Brink of Birth </li></ul><ul><li>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. </li></ul>
  3. 3. Structure of Female reproductive organs Internal Genital Organs <ul><li>These include </li></ul><ul><ul><li>A pair of Ovaries - the primary reproductive organs </li></ul></ul><ul><ul><li>A pair of Fallopian Tubes - uterine tubes </li></ul></ul><ul><ul><li>The Uterus - body & cervix </li></ul></ul><ul><ul><li>The Vagina - receives male sperm </li></ul></ul>
  4. 5. Ovulation Process
  5. 6. PELVIS <ul><li>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. </li></ul>Female Bony Pelvis Female Pelvis with Fascia and Ligaments
  6. 7. Fertilization
  7. 8. 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 .
  8. 9. Fetus
  9. 10. The average weight of the Indian baby at 40 weeks of pregnancy is 2,750Gms at birth.
  10. 11. 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.
  11. 12. ANANDAMAYA I A Y T ANANDAMAYAKOSA VIJNANAMAYAKOSA PERFECT HEALTH & KNOWLEDGE MANOMAYAKOSA STRESS IS SPEED PRANAMAYAKOSA STRESS ACCORDING TO TAITTIRIYA UPANISAT
  12. 13. MANAH PRASAMANA UPAYAH YOGAH – Vasista <ul><li>YOGA IS THE SKILL </li></ul><ul><li>TO CALM DOWN THE MIND </li></ul>YOGA ?
  13. 14. Astanga Yoga of Maharshi Patanjali Yama Niyama Āsana Pranayama Pratyahara Dharana Dhyana Samadhi
  14. 15. YOGA IN PREGNANCY <ul><li>Pregnancy is stress because of extra load of </li></ul><ul><li>Biochemical changes – Metabolism of water, salt, minerals, iron, glucose, fat, calcium, etc. </li></ul><ul><li>Hormonal changes. </li></ul><ul><li>CNS-ANA changes. </li></ul><ul><li>Emotions. </li></ul><ul><li>Yoga has to look at helping </li></ul><ul><li>MOTHER & FETUS </li></ul>
  15. 16. I TRIMESTER (1 – 3 MONTHS)    YOGA FOR STRESS REDUCTION    ACCEPTANCE OF PREGNANCY    AVOID        DYNAMIC ASANAS        ACUTE EXTREME BENDS        KAPALABHATI    RISK OF ABORTION
  16. 17.    FOETUS        ORGAN FORMATION        INTRA UTERINE ENVIRONMENT IMPORTANT        CHEMICALS – CONGENITAL DEFORMITIES        STRESS - ABORTION    MOTHER        DISTURBANCES + STRESS = DISEASE        MORNING SICKNESS + ANSIETY = VOMITING        VOMITING + STRESS = HYPER EMESIS        GASTRITIS – HYPERACIDITY        CONSTIPATION
  17. 18. 1-3 Months <ul><li>MOTHER </li></ul><ul><li>Emotional – Acceptance, Adaptation – Better in planned pregnancy </li></ul><ul><li>Anxiety – In delayed pregnancy, treated infertility, sensitive. </li></ul><ul><li>Rejection – Unwanted pregnancy. </li></ul>
  18. 19. RISKS/PROBLEMS MOTHER: Excessive vomiting. Abortion. FETUS: Formation of organs. Risk of congenital abnormal.
  19. 20. II TRIMESTER (4 – 6 MONTHS)    MOTHER – STABLE PERIOD    IMPORTANT TO STABLISE YOGA PRACTICES    FOETUS – ORGANOGENESIS & MATURITY    STEADY GROWTH    SENSE ORGANS FUNCTION    SPEND MORE TIME FOR YOGA    INCREASE PRANAYAMA    INCREASE CHANTINGS      BE CHERFUL, HUMEROUS & RELAXED  REDUCE WORK LOAD
  20. 21. 4-6 Months <ul><li>Stable period </li></ul><ul><li>Growth of Baby – All organs increase. </li></ul><ul><li>Mother’s health picks up – weight increases. </li></ul>
  21. 22. III TRIMESTER (7 – 9 MONTHS) ONE HOUR PRACTICE / DAY      YOGA – MOST ASANAS CANNOT BE PERFORMED    KRIYA – V.DHOUTI CAN BE CONTINUED    SHAVASANA – LEFT LATERAL POSITION    ADD BADHA KONASANA BY 36 WEEKS    FOETUS : MATURITY    BEHIVIOUR    BRAIN GROWTH & MATURITY    AIMS – PREPARE FOR ENJOYABLE LABOUR
  22. 23.    MEDITATION ON “OM” 10 MINUTES 3 TIMES A DAY    BACK PAIN    SWELLING OF LEGS TIREDNESS    BODY ACHES, PAINS & SPRAINS    PSYCHE : ANXIETY ABOUT LABOUR & BABY    PROBLEMS        PREGNANCY HYPERTENSION        DIABETES        IUGR        PRE MATURE LABOUR
  23. 24. 7-9 Months <ul><li>Growth – Variability. </li></ul><ul><li>Risk – Growth retardation, premature birth. </li></ul><ul><li>MOTHER </li></ul><ul><li>High BP </li></ul><ul><li>Protein in urine </li></ul><ul><li>Swelling of legs </li></ul><ul><li>Diabetes – Back pain. </li></ul><ul><li>Anemia. </li></ul>PET
  24. 25. 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
  25. 26. YOGA AFTER DELIVERY II STAGE:- BIRTH OF THE BABY    MOTHER – ANXIETY – PROLONGED LABOUR – INSTRUMENTAL DELIVERY – C SECTION    RESPIRATORY DIFFUCULTY IN NEW BORNED etc.    ANTAR KUMBHAKA – DEEP IRT    STRENGTHEN ABDOMINAL MUSCLES    STRENGTHEN PERINEAM MUSCLES    AVOID OBESITY    ENJOY NURSING – BHAKTI
  26. 27. IAYT Avoid all dynamics – Risks of abortion Avoid Prone – Shalabha & Dhanur All difficult postures Emphasize Vamanadhouti in the morning –for morning sickness, for excessive vomiting. 1-3 Months
  27. 28. <ul><li>To avoid abortions </li></ul><ul><li>In Viparitkarani with chair/wall support. </li></ul><ul><li>Deep abdominal breathing </li></ul><ul><li>AAA chanting </li></ul><ul><li>Repeat 3 times </li></ul>
  28. 29. YOGASANAS IAYT Basic set Avoid – Dynamics - Go on decreasing the difficult asanas - Increase breathing. 4-6 Months – Aim – Maintain steady growth
  29. 30. YOGASANAS <ul><li>Most asanas </li></ul><ul><li>Avoid </li></ul><ul><li>Dynamics - Prone postures </li></ul><ul><li>Forward bends - Acute back bends </li></ul><ul><li>Because of increasing size of abdomen </li></ul><ul><li>ADD: Butterfly exercise (Badha konasana) to open neck of womb in 8 th & 9 th months for easy delivery. </li></ul>7-9 Months – Aim – Prepare for easy natural delivery
  30. 31. Practices for koshas Manomaya/Vignanamaya Life of Contentment Joy Reduce workload Fast lifestyle Divine Meditation – OM, CM, TM Read good books
  31. 32. Mind of mother on baby Stress – Reduced blood flow baby is distressed. Growth decrease Fetal fatigue at labour. Good music Loud chanting Poornamadah Mrityunjaya Mantra Japa Rosery
  32. 33. I Trimester Practice Chart   BREATHING EXERCISES Hands Stretch/ Side Stretch 1 Hands in / out 1 Loosening Fingers 1 Loosening Wrist 1 Ankle Stretch ½ Tiger Breathing 1 Neck Exercise 1 Quick Relaxation Technique 1 LOOSENING EXERCISES Forward bending 1 Backward bending 1 Side Bending ½ Shoulder Rotation ½ Twisting 1 Instant Relaxation Technique 2 ASANAS STANDING POSTURES Initial Standing Posture Tadasana 1 Ardha-Kati chakrasana 2 Padahastasana 1 Standing Relaxation Posture 1 SITTING POSTURES Initial Sitting Posture Dandasana 1 Vajrasana 1 Ardha-Matsyendrasana 1 Badha Konasana 1 Uphavista Konasana ½ Sitting Relaxation Posture 1 Squatting 1 Sasankasana 1 Siddhasana 1 Deep Relaxation Technique 5 SUPINE POSTURES Viparita Karani 1 Savasana 2 Practices Duration in Min Practices Duration in Min
  33. 34. I Trimester Practice Chart   PRANAYAMA Nadi Suddhi 3 Sitali 2 Sadanta 2 Bhramari 1   SECTIONAL BREATHING Abdominal 1½ Thoraic 1½ Upper Lobar 1½ Yoga Nidra 1½   MEDITATION Nadanusandhana 4 Omkar Meditation 5 Silence 1   KRIYAS Trataka 1 Vamana Dhouti Practices Duration in Min Opening Prayer Om Sahanavavatu, Sahanou vhunaktu, Saha viryam karavavahai, Tejasvinavadhitamastu, ma vidvisavahai Om Santih, Santih, Santih. Closing Prayer Sarve bhavantu sukhinah, Sarve santu niramayah; Sarve bhadrani pasyantu, Ma kascit duhkha bhagbhavet. Om Santih, Santih, Santih. End of 1st Trimester Practice
  34. 35. II Trimester Practice Chart   BREATHING EXERCISES Hands Stretch/ Side Stretch 1 Hands in / out 1 Loosening Fingers ½ Loosening Wrist 1 Ankle Stretch ½ Tiger Breathing 1 Neck Exercise 1 Quick Relaxation Technique 3 LOOSENING EXERCISES Forward bending ½ Backward bending ½ Side Bending 1 Shoulder Rotation 1 Twisting ½ Instant Relaxation Technique 1½ ASANAS STANDING POSTURES Initial Standing Posture Tadasana 1 Ardha-Kati chakrasana 2 Standing Relaxation Posture 1 SITTING POSTURES Initial Sitting Posture Dandasana 1 Vajrasana 1 Ardha-Matsyendrasana Badha Konasana 1 Uphavista Konasana 1 Sitting Relaxation Posture 1 Siddhasana 1 Deep Relaxation Technique 4 SUPINE POSTURES Viparita Karani (Wall Support) 1 Savasana 2 Practices Duration in Min Practices Duration in Min
  35. 36. II Trimester Practice Chart   PRANAYAMA Nadi Suddhi 2 Sitkari 1½ Sitali 1½ Sadanta 1½ Bhramari 1½   SECTIONAL BREATHING Abdominal 1½ Thoraic 1½ Upper Lobar 1½ Yoga Nidra 2   MEDITATION Nadanusandhana 4½ Omkar Meditation 6 Silence 1   KRIYAS Trataka 2 Practices Duration in Min End of 2nd Trimester Practice
  36. 37. III Trimester Practice Chart   BREATHING EXERCISES Hands Stretch/ Side Stretch 1 Hands in / out 1 Loosening Fingers 1 Loosening Wrist 1 Standing Relaxation Posture 1 Ankle Stretch ½ Neck Exercise 1 Quick Relaxation Technique 1 SUPINE POSTURES Viparita Karani (Wall Support) 1 Savasana 3 Practices Duration in Min Practices Duration in Min ASANAS STANDING POSTURES Initial Standing Posture Tadasana 1 Ardha-Kati chakrasana 2 Instant Relaxation Technique 2 SITTING POSTURES Initial Sitting Posture Dandasana 1 Vajrasana 1 Sitting Relaxation Posture 1 Siddhasana 1 Deep Relaxation Technique 5 PRANAYAMA Nadi Suddhi 3 Sitkari 2 Sitali 2 Sadanta 2 Bhramari 1 SECTIONAL BREATHING Abdominal 1½ Thoraic 1½ Upper Lobar 1½ MEDITATION Nadanusandhana 9 Omkar Meditation 9 Silence 1 KRIYAS Trataka 1
  37. 38. During delivery Prepare – Look forward to enjoy birth of beloved DRT – To relax in between Kumbhaka – To bear down QRT, IRT – To calm down. Enjoy pain by defocusing practice.
  38. 39. Post delivery AIM – Weight Abdominal Diet – High fibre High fluid intake Yoga – Go on adding all practices after bleeding stops
  39. 41. Group Practice
  40. 42. Breathing Exercises Ankle Stretch Hands In & Out
  41. 43. Breathing Exercises Tiger Stretch Side Stretch
  42. 44. Loosening Exercises Backward Bending Forward Bending
  43. 45. Sitting Postures Vajrasana Ardha Matsyendrasana ASANAS
  44. 46. Sitting Postures Badha Konasana Squatting ASANAS
  45. 47. Sitting Postures Uphavista Konasana ASANAS
  46. 48. Sasankasana ASANAS
  47. 49. Supine Postures Viparita Karani ASANAS Viparita Karani with Wall Support
  48. 50. <ul><li>Mastery over Prana </li></ul><ul><li>– Slowing of breath </li></ul><ul><li>– Awareness of breathing </li></ul><ul><li>– Balance between the two nostrils. </li></ul><ul><li>2. There is intimate connection between mind and Prana. </li></ul>Pranayama
  49. 51. Cooling Pranayamas <ul><li>Sitkari (Folded – up – Tongue Pranayama) </li></ul><ul><li>Sitali (Beak – Tongue Pranayama) </li></ul><ul><li>Sadanta (Suck – through – Teeth Pranayama </li></ul>
  50. 52. Relaxation Techniques <ul><li>Instant Relaxation Technique (IRT) </li></ul><ul><li>Quick Relaxation Technique (QRT) </li></ul><ul><li>Deep Relaxation Technique (DRT) </li></ul>
  51. 53. Instant Relaxation Technique
  52. 54. Quick Relaxation Technique
  53. 55. Deep Relaxation Technique
  54. 56. Meditation Omkar Meditation
  55. 57. Mudra Aswini Mudra

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