C-SECTION IS A CRITICAL CONDITION, WE DON'T RECOMMEND ANY PRACTICES WITHOUT THE SUPERVISION OF ANY WELL-TRAINED YOGA MASTER. IT'S ALL YOUR RESPONSIBILITY IF ANY MISHAP HAPPENS.

1. C – SECTION & YOGA
DR SHIVAM MISHRA

2. WHAT IS C SECTION
• A caesarean section, or C-section, is an operation to deliver your baby
through a cut made in your tummy and womb.
• The cut is usually made across your tummy, just below your 9th rib cage.
• A caesarean is a major operation that carries a number of risks, so it's usually
only done if it's the safest option for you and your baby.
• Around 1 in 7th pregnant women in India has a caesarean birth.

3. A CAESAREAN MAY BE CARRIED OUT
• your baby is in the breech position (feet first) and your doctor or midwife has been unable to turn them
by applying gentle pressure to your tummy, or you'd prefer they did not try this
• you have a low-lying placenta (placenta praevia)
• you have pregnancy-related high blood pressure (pre-eclampsia)
• you have certain infections, such as a first genital herpes infection occurring late in pregnancy or
untreated HIV
• your baby is not getting enough oxygen and nutrients – sometimes this may mean the baby needs to
be delivered immediately
• your labour is not progressing or there's excessive vaginal bleeding

4. • Labor isn't progressing normally. Labor that isn't progressing (labor dystocia) is one of the most
common reasons for a C-section. Issues with labor progression include prolonged first stage
(prolonged dilation or opening of the cervix) or prolonged second stage (prolonged time of pushing
after complete cervical dilation).
• The baby is in distress. Concern about changes in a baby's heartbeat might make a C-section the
safest option.
• The baby or babies are in an unusual position. A C-section is the safest way to deliver babies
whose feet or buttocks enter the birth canal first (breech) or babies whose sides or shoulders come
first (transverse).
• You're carrying more than one baby. A C-section might be needed for women carrying twins, triplets
or more. This is especially true if labor starts too early or the babies are not in a head-down position.

5. • There's a problem with the placenta. If the placenta covers the opening of the cervix (placenta
previa), a C-section is recommended for delivery.
• Prolapsed umbilical cord. A C-section might be recommended if a loop of umbilical cord slips
through the cervix in front of the baby.
• There's a health concern. A C-section might be recommended for women with certain health issues,
such as a heart or brain condition.
• There's a blockage. A large fibroid blocking the birth canal, a pelvic fracture or a baby who has a
condition that can cause the head to be unusually large (severe hydrocephalus) might be reasons for
a C-section.
• You've had a previous C-section or other surgery on the uterus. Although it's often possible to
have a vaginal birth after a C-section, a health care provider might recommend a repeat C-section.

6. RISKS TO MOTHERS INCLUDE
• Infection. After a C-section, there might be a risk of developing an infection of the lining of the uterus (endometritis),
in the urinary tract or at the site of the incision.
• Blood loss. A C-section might cause heavy bleeding during and after delivery.
• Reactions to anesthesia. Reactions to any type of anesthesia are possible.
• Blood clots. A C-section might increase the risk of developing a blood clot inside a deep vein, especially in the legs
or pelvis (deep vein thrombosis). If a blood clot travels to the lungs and blocks blood flow (pulmonary embolism), the
damage can be life-threatening.
• Surgical injury. Although rare, surgical injuries to the bladder or bowel can occur during a C-section.
• Increased risks during future pregnancies. Having a C-section increases the risk of complications in a later
pregnancy and in other surgeries. The more C-sections, the higher the risks of placenta previa and a condition in
which the placenta becomes attached to the wall of the uterus (placenta accreta).

9. AFTER THE PROCEDURE
• A C-section usually requires a hospital stay for 2 to 3 days. Your health care provider
will discuss pain relief options with you.
• Once the anesthesia begins to wear off, you'll be encouraged to drink fluids and walk.
This helps prevent constipation and deep vein thrombosis. Your health care team will
monitor your incision for signs of infection. The bladder catheter will likely be removed
as soon as possible.
• You can start breastfeeding as soon as you're ready, even in the delivery room. Ask
your nurse or a lactation consultant to teach you how to position yourself and support
your baby so that you're comfortable. Your health care team will select medications
for your post-surgical pain with breastfeeding in mind.

10. YOGA AND C SECTION
• There are many things we have to know about c section and the yogic
terminologies
• Breathing Utilization
• Dhyana
• Dharana
• Yama and Niyama
• Asana

11. PRANYAMA
• C Section is the process that is absolutely dependent on Your Blood Pressure.
• Pranayama Techniques can Help you to control all the issues related to Pressure.
• There are many Pranayama but as per basic rules we have to undergo Anulom
Vilome , Chandra Bhedi and during certain special conditions you can use Surya
bhedi too.
• The timing of pranayama is also a big issue among women.
• Posture of Pranayama
• Normal situations for pranayama

12. DHYANA BEFORE AND AFTER C SECTION
• Dhyana, a Sanskrit word meaning "contemplation and meditation," is the seventh limb
of yoga in the Ashtanga yoga system, also known as the eight-limbed path.
• The term dhyana derives from the two Sanskrit root words—dhi, which means
"mind," and yana, which means "moving.”
• Dhyana may also originate from the Sanskrit word dhyai , which means "to think of."
• The ancient Hindu scripture Bhagavad Gita lists dhyana yoga as one of the four
disciplines, bhakti yoga, jnana yoga, and karma yoga. In the Gita, the deity Krishna
describes dhyana as the "yoga of meditation."

13. PRACTICE OF DHYANA
1. Begin your meditation practice with dharana. There are three elements of awareness that you may experience
during dharana meditation: your origin of consciousness, your thoughts and feelings, and your meditating object—such
as a mantra, the breath, or an external object, like a candle.
2. 2. Eliminate your thoughts and feelings. As you ease into dhyana, gently set aside thoughts and feelings to better
concentrate on the meditation. Without thoughts and feelings, you will be focused on your consciousness and your
meditating object.
3. 3. Add a mudra. Practising meditation with a mudra or hand pose can help to focus your attention. With palms facing up,
place your right hand over your left hand in your lap. Bring your thumbs together to form a triangle representing the three
jewels of Buddhism, also known as the Triratna: Buddha, sangha (community), and dharma (divine law).
4. 4. Practice. It takes time to learn how to silence your thoughts and feelings. In the beginning, you may only
experience dhyana for a few uninterrupted moments, but with practice, you can prolong this time period. Spend more
time practising dharana to best prepare for dhyana.

14. HORMONES CHANGES BEFORE PREGNANCY
• Human chorionic gonadotropin hormone (hCG). This hormone is only made during pregnancy. It is
made almost exclusively in the placenta. HCG hormone levels found in the mother's blood and urine rise
a lot during the first trimester. They may play a part in nausea and vomiting often linked to pregnancy.
• Human placental lactogen (hPL). This hormone is also known as human chorionic
somatomammotropin. It is made by the placenta. It gives nutrition to the fetus. It also stimulates milk
glands in the breasts for breastfeeding.
• Estrogen. This group of hormones helps develop female sexual traits. It is normally formed in the
ovaries. It is also made by the placenta during pregnancy to help maintain a healthy pregnancy.
• Progesterone. This hormone is made by the ovaries and by the placenta during pregnancy. It
stimulates the thickening of the uterine lining for the implantation of a fertilized egg.

15. HORMONES YOGA THERAPY
• Hormone Yoga Therapy is a yoga practice that helps to activate and rebalance the endocrine system.
• The endocrine system is made up of the glands and the hormones they secrete into the body.
• Hormone Yoga Therapy, created by Dinah Rodrigues, works on stimulating the glands by a massage
using breathing techniques that are repeated often throughout the practice while doing yoga postures.
• This breathing techniques massage either the glands themselves or the muscles around the glands.
• The sequence also covers and promotes relaxation, calming breathing exercises and anti-stress
techniques, all essential for balancing hormones.

16. DHAYANA AND HORMONES
• Dhyana is one of the most significant manners of controlling hormones.
• Try to Do daily Tratak dhyana , Open sky dhayana , Sapth charka dhyana , Tri
Sharir dhyana , Loca dhyana.
• Soham Dhyan Sadhna, Naad Yog Dhyan Sadhna, Music therapy Dhyan, and Zero
Dhyana is also a great procedure for Dhyana.
• Dhyana directly impacts endocrinology.

17. HORMONES AFTER PREGNANCY
• Progesterone and estrogen: Both of these hormones decrease as soon as the
baby and the placenta are delivered.
• Oxytocin: Surges immediately following birth to compensate for the initial drops
in progesterone and estrogen. This hormone is responsible for that strong
parenting instinct. However, you'll probably still experience some "baby blues" in
the first few days postpartum as the oxytocin works itself out of your system, says
Shah.
• Prolactin: Increases to encourage breast milk production. (If you are not
breastfeeding, prolactin drops to pre-pregnancy levels within a couple of weeks.)

18. MAJOR SIGNS OF HORMONES CHANGES
• Sometimes, pregnancy and childbirth can cause your hormones to become a bit out
of whack. In these cases, you might need some help getting back on track. According
to Dr. Loeb-Zeitlin, below are some symptoms you might experience if you're dealing
with a postpartum hormone imbalance:
• Anxiety and depression
• Chronic fatigue
• Cysts or fibroids
• Low libido
• Weight gain

19. DHARNA AND LIFESTYLE FOR DHARNA
• Lifestyle is another important factor in pregnancy.
• Basically as per my experience lifestyle is the key factor for your dharna ability.
• If you are living in a not grounded environment or non-familiar environment then
your kosha and chakra will impact.
• If your kosha especially Ananda Maya kosha impacted by your environment then
you can not hold your dharna for further process and you will be absolutely
unable to find yourself for meditation.

20. HOW TO OVERCOME WITH SUCH SITUATION
• If You really want to overcome from all such situations then you have to follow some of the
following tips.
• Try to avoid late sleep
• Early before sun rise and sleep before 10
• Try to not spent much time on seeing unethical or non important videos or serials
• Try not to contact many people.
• Try not eat too much
• Avoid eating packed foods
• Avoid extra thinking.

21. • Try to become spiritual.
• Try to do yoga, especially pranayama
• Try to wake yourself before sunrise and then try to walk.
• Spent some time with your loved ones.
• Try to involve yourself in productive work.
• You can think about business, you can think about spiritual growth, you can think about progression.
• Dhayan is also another important part of this series, you can try meditation.
• You can do some creative work also so that you can keep yourself busy.
• All these scenarios can enhance your lifestyle and then you may qualify for dharna and slowly you can get into
dhyana.

22. YOGA ASANA :- BEFORE AND AFTER
• Stitches:- Dissolvable stitches will usually disappear on their own in 7-10 days.
Non-dissolvable stitches may be removed at 5-7 days after being assessed by
the midwife that they are ready to come out. During this time you may see small
pieces of stitch material poking out of the healing scar - do not be tempted to pull
these.
• Your wound will take about 6 weeks to heal. You will have a scar but this will fade
over time. Your scar will be 10–20cm long and is usually just below your 8th ribs
line. It will be red at first but will fade over time.

23. HOW DO I KNOW MY C-SECTION IS HEALING?
• The coloration of the c-section scar should start to fade from red to pink,
and it should look pretty uniform. The c-section scar should become less
tender to the touch as this happens. You shouldn't see anything seeping out of
your scar, if so contact your healthcare team to ensure it's healing correctly.

24. HOW DO STITCHES HEAL FASTER AFTER C-
SECTION?
• People can speed up their recovery from a C-section with the following methods:
1. Get plenty of rest. Rest is vital for recovery from any surgery. ...
2. Process your emotions. ...
3. Take regular walks. ...
4. Manage pain. ...
5. Watch for signs of infection. ...
6. Fight constipation. ...
7. Get support for breastfeeding.

25. THINGS TO AVOID
• Sexual intercourse until your health care provider tells you that it is safe.
• The use of tampons or douche.
• Taking baths until your incision is healed and you are no longer bleeding.
• Public pools and hot tubs.
• Lifting anything heavier than your baby.
• Repeatedly using stairs.

26. FOODS TO EAT AFTER A C-SECTION
• Whole grains, especially oatmeal.
• Dark, leafy greens (alfalfa, kale, spinach, broccoli)
• Fennel.
• Garlic.
• Chickpeas.
• Nuts and seeds, especially almonds.
• Ginger.
• Papaya.

27. YOGA ASANA DURING AND AFTER PREGNANCY
• There are 3 phases of pregnancy
• First trimester, second trimester and 3rd trimester
• After the third trimester, your scenario of doing yoga is completely different especially after c section.
• In this video and slide, we are discussing after c section procedure.
• You can do Sukhsma Vyayam asana after pregnancy.
• Specially after 2nd week of c section you can move your neck , fingers , hands , and joints.
• You can also practice pranayama( Basic ) and meditation after pregnancy .
• After 4th week you can start your walk and you can perform some moving poses like general tadasana stretch and its
series.
• After 6th week you can do some more asana like utkatasana, bridge pose etc. we usually call it supportive asana.
• After 8th week you can process for some more poses like marjari series.
• After 10th week you may process for holding and balancing series.

28. FINAL CHECK LIST
• After 1 year you may process your regular asana practices but make sure you are
doing all asanas under the supervision of an expert yoga trainer.
• Your Yoga trainer has a must qualification for teaching Pre and post-natal yoga.
• Your food must be cesarean suitable.
• You have to avoid outdoor foods or street foods.
• Because of rapid hormone changes, you may feel anger and issues so please take
care of that also.
• You may feel more attached to loved ones so try to control your emotions.

29. VISIT OUR YOU TUBE CHANNEL :- SKM YOGA
•Thanks