Biomedical Review-Journal of Basic and Applied Medical Science

History and Clinical Examination: A thorough history have been collected from all the participants including personal history such as name, age, sex, ethnicity, address, and medical history, obstratic history.

All the subjects underwent an anthropometrical assessment including standing height and weight. The subjects for this study were included based on the following criteria.

Study Group

Inclusion Criteria: In this study we were enrolling 35 female (age=20 to 35 years) prim gravida with Vertex Presentation only after 3rd month of pregnancy and who were willing to attend garbhasanskar program. Females with no previous history of other significant illness were selected.

Exclusion Criteria: Patients with history of any other complication during pregnancy like placenta praevia, low lying placenta, multigravida with bad obstetric history, PIH incompetent os, H/o chronic respiratory disease, H/o cardiac disease etc.

Examination finding suggestive of respiratory or cardiac disease were excluded from the study.

Control Group: Control group consist 35 female (age=20 to 35 years) who are primigravida with Vertex Presentation and no history of any major illness and not willing for garbhasanskar program.

The yoga program involve 1 hour session per week (every Sunday in the morning hours) of yoga followed by 1/2 hours listening to audio cassette of yoga nidra. Patients were asked to practice it daily at their home in the following sequence:-Asanas, pranayama, meditation & yoga nidra. To teach yogasana a teacher with training of Yoga-pravesh course was appointed. Some of the asanas performed were:- [4]

1. Tadagasan
2. Ardhachakrasan
3. Parvatasan
4. Vajrasan
5. Vrukshasan
6. Praayam
7. Omkar-chant
8. Yoganidra [5, 6]

was more as regard to pain perception in experimental group (Table II, III).

There was no incidence of any other factor complications (Table II) like, eclampsia, PIH (development of hypertention to the extent of 140/90mm Hg or more with proteinuria induced by pregnancy after the 20th week in previously normotensive and non – proteinuric patient [8], PPH (Any amount of bleeding from or into the genital tract following birth of baby upto the end of the puerperium which adversely affect the general condition of patient evidenced by rise in pulse rate and falling blood pressure is postpartum haemorrhage) [8], IUFD (antepartum death occurring beyond 28weeks is termed as intrauterine death) [8] in the experimental group (Table-II).

As the mother is the first guru of the fetus, mother is para positive. It helps fetus to learn better in the womb. Garbhasanskar and yoga are directed towards keeping expectant mother happy and making pregnancy a joyful experience. It is a process to achieve physical, mental, spiritual, emotional, social development and perfection for the mother and baby.

Yogic exercise by influencing autonomic nervous system ensures better food utilization and improved nourishment besides proper relaxation and sleep due to superior voluntary control of person [1].

Garbhasanskar has shown results in baby’s development. Babies of mothers who have attended garbhasanskar have had better birth weight and higher emotional quotient. Milestone achieved by baby of experimental group motherwere good and fast (TableIII) Also these babies shown improved audiotory sense as the audiotory sense gets stimulated when the mothers attended garbhsanskar workshops [2].

Yognidra has different steps like resolve, rotation of counciousness, breath awareness, awareness of sensation, visualization, sankalpsmruti, end of yognidra.It mould the behavior of an individual to promote perfect harmony with her environment to relieve from any sufferings .Positive effect on mother’s health and baby development [4].

Also pregnancy yoga exercises help in:

1. Relieving edema and leg cramps during last trimester.

2. Influencing the position of the baby

saturation is well maintained.
6. Incidences of instrumental deliveries i.e. application of forceps or ventouse etc. is reduced.
7. No incidence of PIH and PPH
8. Lastly there is faster involution of uterus.

Thus our study clearly demonstrated the beneficial effect of Yoga and Garbhsanskar were beneficial in increasing the pain threshold of patient in labour.

It increases the oxygen saturation of mother and fetus. It causes the duration of labour to decrease. It decreases the chances of instrumentation and caesarian rates. Fetal outcome after delivery is improved.

Labour pain is caused by contraction of uterine muscle and stress. Stress causes the imbalance in the uterine muscle contractions. Yoga and Garbhsanskar are acting positively in reducing the stress, thus helping in the patient to bear down properly and effectively. Yoga and garbhsanskar makes the attitude of patient positive.

The approach and the way patient looks at whole of thelabour procedure changes. In stressful states with preponderance of sympathetic activity, yogic asanas and pranayama can lead to a state of reduced sympathetic activity shifting the autonomic balance towards relative parasympathetic dominance [9, 10].

Pranayama and yoga work hand in hand to balance and integrate different physiological functions and to help dissolve emotional blocks and negative habit pattern that can obstruct the flow of vital energy within the body [3].

Yoga is effective in physical, emotional, mental and holistic understanding offers to cope with stressful states during pregnancy. Garbhasanskar and yoga are directed towards keeping expectant mother happy and making pregnancy a joyful experience.