SYSTEMATIC REVIEW OF YOGASANA AND PRANAYAM IN GARBHINI AND ITS EFFECTS ON PREGNANCY AND BIRTH OUTCOMES

Abstract

INTRODUCTION: Yoga is an ancient mind-body unifier practice that originated in India. Pregnancy is a condition in which women undergo distinct physiological changes and stress and is accompanied by unique physical and psychological demands. There is a need to manage the various physical, emotional, mental, and pain states that arise throughout the stages of pregnancy and labour. OBJECTIVES:-To do a clinical study on Yogasanas and Pranayama useful in 2nd& 3rd trimester of Pregnancy. DESIGN & SETTING: Comparative clinical study where 30 pregnant women after completion of 16- 18 weeks of gestation were taken from OPD of PTSR department of PIA Hospital and PSH Limda. Two groups of minimum 15 patients each were randomly allocated. Group A (In Trial group): Pregnant women were taught certain Yogasana and Pranayama along with their routine antenatal care then made to practice them everyday throughout antenatal period. In Group B: Pregnant women were advised to follow their routine activities with 30 min walking exercise till the onset of labour. METHODS: The pregnant women responses were assessed on the basis of subjective and objective parameters during antenatal period and Labour. Subjective parameters: During Antenatal Period: Backache, Leg Cramps, Dyspnoea, Fatigability, Sleep and Anxiety. During Labour response to pain coping with contractions at full dilatation of cervix were assessed by following parameters - Bearing down efforts, breathing during labour. Objective parameters: During Antenatal period-Duration of gestation, Biophysical profile scoring, Fixation of head, Engagement of head, Duration of 1st, 2nd & 3rd stage of labour, Quantity of Drug required during labour –Inj. Oxytocin, Inj. Tramadol, birth weight, Apgar score. Study Duration: Minimum 5 months RESULTS AND CONCLUSION: Results were calculated and statistically analyzed using paired and un-paired t-test. The test show significant difference between the two groups. Group A administered Yogasanasa and Pranayama have better effects on Pregnancy, Foetus, labour and Neonate when assessed all the subjective and objective criteria on Group B.