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CONTENTS

Sl. No Sub Section Particulars Page No

1.0 Introduction 1-2

2.0 Literature survey of traditional knowledge 3-4

2.1 Normal Pregnancy According to

Garbhopaniad

4

2.2 According toyurveda 5

2.3 Conception 5

2.3.1 Proper Age for Marriage 5

2.3.2 According toCaraka Sahit 5

2.3.3 Proper Time for Conception 5

2.3.4 Factors essential for Conception 6

2.3.5 Nature of Concepted Material 6

2.3.6 Garbha or Embryo 6

3.3.7 Process of Descent of various Components in

Embryo

6-7

2.3.8. Functions ofPACAMHABHTASin Fetal

Development

7

2.3.9. Garbha Poaa 8

2.3.10. - Mothers components of

embroyo

8

2.3.11 - Fathers components of the

embroyo

8

2.4. Delayed Conception and Destruction of Embryo 8-9

2.5

The Formation of the Embryo and Stages of its

Development

First Month

9-11

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2.5.1

2.5.2

2.5.3

2.5.4

2.5.5

2.5.6

2.5.7

2.5.8

Second Month

Third Month

Fourth Month

Fifth Month

Sixth Month

Seventh Month

Eighth Month

2.5.9 - Garbha Stiti 11-12

2.6. Clinical Features of Pregnant Women 12

2.6.1 12

2.6.2 12

2.6.3

2.6.3.1

2.6.3.2

2.6.3.3

2.6.3.42.6.3.5

2.6.3.6

2.6.3.7

Fourth Month

Fifth Month

Sixth Month

Seventh Month

- DAUHDAUTPATTI KRAA:

Eighth Month

Ninth Month

12-14

2.7 Labour 14

2.8 Antenatal Care 14-15

2.9

2.9.1

2.9.2

Monthwise Diet Prescription during Pregnancy

First Month

Second Month

16-18

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2.9.3

2.9.4

2.9.5

2.9.6

2.9.7

2.9.8

2.9.9

Third Month

Fourth Month

Fifth Month

Sixth Month

Seventh Month

Eighth Month

Ninth Month

2.10 Delivery 19

2.11 Sootikagar (Delivery Area) 19

2.12 Antenatal Instructions 20 - 21

2.13Specific Effects of Poor Habits and Behaviours

22

2.14 Disorders during Pregnancy 22

2.15

2.15.1

Concept of Yoga

Yoga according to different sources

23

2.16 Definition of Yoga 24

2.17

2.17.1

2.17.2

2.17.3

2.17.4

The four Streams of Yoga

Karma Yoga

Bhakti Yoga

JnaYoga

Rja Yoga

25

2.18 The Role of Yoga in High Risk Pregnancy 27-28

2.19 Integrated approach of Yoga Theraphy in

pregnancy

28-31

2.20 Life Style Injuctions fromPATAJALI YOGA

SUTRS

31-33

2.21 Inputs fromHAHA YOGA PRADPIKA 34

2.22 Knowledge fromBHAGAVADGTA 34-37

2.23 Summary and Conclusions 38

3.0 Literature survey according to modern obstetrics 39

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3.1 Foetal Development 39

3.2 Month wise Foetal Development 39

3.3 Stages of Pregnancy 39-43

3.4 The Expected Due Date of Delivery (EDD) 44

3.5 Physiological changes in the Mother during

Pregnancy45-46

3.6 Stress during Pregnancy and its Causes 48

3.7 High Risk Pregnancy 49

3.8 Causes of High Risk Pregnancy 50

3.9

3.9.1

3.9.2

3.9.3

3.9.4

3.9.5

3.9.6

Pregnancy Hypertension and its Complications

Gestational Hypertension

Abortion

IUGR

PA

IUFD

Superimposed Preeclampsia

50-53

3.10

3.10.1

3.10.2

3.10.3

3.10.4

Categories of High risk Pregnancy and its

Complications

Subject below 20years old

Subject above 35

Obesity

Diabetes

53-54

3.11

3.11.1

Other Complications

Premature birth

54-55

3.12 Prevalence of Complications in Pregnancy 56-57

3.13

3.13.1

3.13.2

3.13.3

3.13.4

3.13.5

Management of High Risk Pregnancy

Antenatal Care

Aims of Antenatal care

Diet in Pregnancy

Yogic concept of balanced diet

Other Instructions

57-60

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3.13.5.1

3.13.5.2

3.13.5.3

Ways to decrease Stress

Support

Healthy diet, nutrition and exercise

Hints for Pregnant Woman

3.14 Literature Survey 61-68

4.0

4.1

4.2

4.3

4.4

4.5

Aims and Objectives

Research Questions

Aims

Objectives

Null Hypothesis

Alternate Hypothesis

69

5.0

5.1

5.2

5.3

5.4

5.5

5.6

5.6.15.6.2

5.7

5.8

5.9

5.10

Methods

Subjects

Sample Size

Source of Subjects

Design

Blinding and Making

Selection Criteria

Inclusion CriteriaExclusion Criteria

Randomization

Informed Consent

Ethical Clarence

Design of the Study

70-74

5.11

5.11.1

5.11.2

5.11.3

5.11.4

5.11.5

5.11.5.1

Methods

Yoga training

Preparatory yogic movements (ithilkaraa

vyyma)

Relaxation Techniques

Breathing Practices

74-75

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Pryma

NiuddhiPryma

5.12 Assessments 75

5.13

5.13.1

5.13.2

Brief Description of the Instruments used

Socio Demographic Sheet

Perceived Stress Scale (PSS)

76

6.0 Results 76

6.1

6.2

6.2.1

6.2.2

6.2.3

6.2.4

6.2.5

6.2.6

6.2.7

Data Analysis

Results

Demography

Test of normality

Weight

Systolic Blood Pressure

Diastolic Blood Pressure

Perceived Stress Scale

Rmanova Test

77-80

7.0 Discussion 81-84

8.0 Appraisal 85

8.1 Applications of this Study 85

8.2 Strengths of the Research Study 85

8.3 Limitations of the Study 85

8.4 Summary 85-86

8.5 Conclusions 86

References 87-94

Appendix 95-151

Plates 152-157

Appendix No. Particulars Page No.

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AP

PE

ND

IX

1

Prevalence of complications in pregnancy in India, US and

Global Population

95

2

Format of sample size calculation of matched case control

studies

95

3Intervention with full instruction 96109

4Results 110113

5Perceived Stress Scale 114

6Data Sheet 115-120

7List of Practices 121-122

8Trial Profile 123

9Approval of Research Proposal by IERB 124

10Informed Consent form & High risk pregnancy questionnaire 125 - 151