vyasa pregnancy presentation.ppt

Dr. SHAMANTHAKAMANI

NARENDRANCONSULTANT PEDIATRICIAN

Medical Facts About Pregnancy

On the Brink of BirthA 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.

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.

I A Y T

PERFECT HEALTH &

KNOWLEDGESTRESS

IS SPEED

ANANDAMAYA

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

Āsana

Pranayama

Pratyahara

Dharana

Dhyana

Samadhi

YOGA IN PREGNANCY

Pregnancy is stress because of extra load of

1. Biochemical changes – Metabolism of water, salt, minerals, iron, glucose, fat, calcium, etc.

2. Hormonal changes.

3. CNS-ANA changes.

4. 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 + ANSIETY = VOMITING

VOMITING + STRESS = HYPER EMESIS

GASTRITIS – HYPERACIDITY

CONSTIPATION

1-3 Months

MOTHER

1. Emotional – Acceptance, Adaptation – Better in planned pregnancy

2. Anxiety – In delayed pregnancy, treated infertility, sensitive.

3. Rejection – Unwanted pregnancy.

RISKS/PROBLEMS

MOTHER: Excessive vomiting.

Abortion.

FETUS: Formation of organs.

Risk of congenital abnormal.

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

4-6 Months

Stable period

• Growth of Baby – All organs increase.

• Mother’s health picks up – weight increases.

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

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

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 BORNED etc.

ANTAR KUMBHAKA – DEEP IRT

STRENGTHEN ABDOMINAL MUSCLES

STRENGTHEN PERINEAM MUSCLES

AVOID OBESITY

ENJOY NURSING – BHAKTI

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

To avoid abortions

- In Viparitkarani with chair/wall support.

- Deep abdominal breathing

- AAA chanting

Repeat 3 times

YOGASANAS

IAYT Basic set

Avoid – Dynamics

- Go on decreasing the difficult asanas

- Increase breathing.

4-6 Months – Aim – Maintain steady growth

YOGASANAS

Most asanas

Avoid

- Dynamics - Prone postures

- Forward bends - Acute back bends

Because of increasing size of abdomen

ADD: Butterfly exercise (Badha konasana) to open neck of womb in 8th & 9th months for easy delivery.

7-9 Months – Aim – Prepare for easy natural delivery

Practices for koshas

Manomaya/Vignanamaya

Life of Contentment

Joy

Reduce workload

Fast lifestyle

Divine

Meditation – OM, CM, TM

Read good books

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

I Trimester Practice Chart

BREATHING EXERCISESHands Stretch/ Side Stretch 1Hands in / out 1Loosening Fingers 1Loosening Wrist 1Ankle Stretch ½Tiger Breathing 1Neck Exercise 1Quick Relaxation Technique 1

LOOSENING EXERCISESForward bending 1Backward bending 1Side Bending ½ Shoulder Rotation ½ Twisting 1Instant Relaxation Technique 2

ASANASSTANDING POSTURESInitial Standing Posture Tadasana 1Ardha-Kati chakrasana 2Padahastasana 1Standing Relaxation Posture 1SITTING POSTURESInitial Sitting Posture Dandasana 1Vajrasana 1Ardha-Matsyendrasana 1Badha Konasana 1Uphavista Konasana ½ Sitting Relaxation Posture 1Squatting 1Sasankasana 1Siddhasana 1Deep Relaxation Technique 5SUPINE POSTURESViparita Karani 1 Savasana 2

Practices Durationin Min


I Trimester Practice Chart

PRANAYAMANadi Suddhi 3Sitali 2Sadanta 2Bhramari 1 SECTIONAL BREATHINGAbdominal 1½ Thoraic 1½Upper Lobar 1½Yoga Nidra 1½ MEDITATIONNadanusandhana 4Omkar Meditation 5Silence 1 KRIYASTrataka 1Vamana Dhouti


Opening PrayerOm Sahanavavatu, Sahanou vhunaktu,

Saha viryam karavavahai,Tejasvinavadhitamastu, ma vidvisavahai

Om Santih, Santih, Santih.

Closing PrayerSarve bhavantu sukhinah,Sarve santu niramayah;

Sarve bhadrani pasyantu,Ma kascit duhkha bhagbhavet.

Om Santih, Santih, Santih.

II Trimester Practice Chart

BREATHING EXERCISESHands Stretch/ Side Stretch 1Hands in / out 1Loosening Fingers ½ Loosening Wrist 1Ankle Stretch ½Tiger Breathing 1Neck Exercise 1Quick Relaxation Technique 3

LOOSENING EXERCISESForward bending ½ Backward bending ½ Side Bending 1Shoulder Rotation 1 Twisting ½ Instant Relaxation Technique 1½

ASANASSTANDING POSTURESInitial Standing Posture Tadasana 1Ardha-Kati chakrasana 2Standing Relaxation Posture 1

SITTING POSTURESInitial Sitting Posture Dandasana 1Vajrasana 1Ardha-MatsyendrasanaBadha Konasana 1Uphavista Konasana 1Sitting Relaxation Posture 1Siddhasana 1Deep Relaxation Technique 4

SUPINE POSTURESViparita Karani (Wall Support)1 Savasana 2



II Trimester Practice Chart

PRANAYAMANadi Suddhi 2Sitkari 1½Sitali 1½Sadanta 1½Bhramari 1½ SECTIONAL BREATHINGAbdominal 1½ Thoraic 1½Upper Lobar 1½Yoga Nidra 2 MEDITATIONNadanusandhana 4½ Omkar Meditation 6 Silence 1 KRIYASTrataka 2


III Trimester Practice Chart

BREATHING EXERCISESHands Stretch/ Side Stretch 1Hands in / out 1Loosening Fingers 1Loosening Wrist 1Standing Relaxation Posture 1Ankle Stretch ½Neck Exercise 1Quick Relaxation Technique 1

SUPINE POSTURESViparita Karani (Wall Support)1 Savasana 3



ASANASSTANDING POSTURESInitial Standing Posture Tadasana 1Ardha-Kati chakrasana 2Instant Relaxation Technique 2 SITTING POSTURESInitial Sitting Posture Dandasana 1Vajrasana 1Sitting Relaxation Posture 1Siddhasana 1Deep Relaxation Technique 5

PRANAYAMANadi Suddhi 3Sitkari 2Sitali 2Sadanta 2Bhramari 1SECTIONAL BREATHINGAbdominal 1½ Thoraic 1½Upper Lobar 1½MEDITATIONNadanusandhana 9Omkar Meditation 9 Silence 1 KRIYASTrataka 1

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.

Post delivery

AIM – Weight

Abdominal

Diet – High fibre

High fluid intake

Yoga – Go on adding all practices after bleeding stops

Group Practice

Breathing Exercises

Ankle Stretch Hands In & Out

Breathing Exercises

Tiger Stretch Side Stretch

Loosening Exercises

Backward Bending Forward Bending

Sitting Postures

Vajrasana Ardha Matsyendrasana

ASANAS

Sitting Postures

Badha Konasana Squatting

ASANAS

Sitting Postures

Uphavista Konasana

ASANAS

Sasankasana

ASANAS

Supine Postures

Viparita Karani

ASANAS

Viparita Karani with

Wall Support

1. Mastery over Prana

– Slowing of breath

– Awareness of breathing

– Balance between the two nostrils.

2. There is intimate connection between mind and Prana.

Pranayama

Cooling Pranayamas

Sitkari (Folded – up – Tongue Pranayama)

Sitali (Beak – Tongue Pranayama)

Sadanta (Suck – through – Teeth Pranayama

Relaxation Techniques

Instant Relaxation Technique (IRT)

Quick Relaxation Technique (QRT)

Deep Relaxation Technique (DRT)

Instant Relaxation Technique

Quick Relaxation Technique

Deep Relaxation Technique

Meditation

Omkar Meditation

Mudra

Aswini Mudra

vyasa pregnancy presentation.ppt

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