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Monday, August 5, 2019

Yoga in Reduced Risk and Complications of Preeclampsia in High Risk Pregnancy

Yoga participated may have profound and strong implication in reduced risk of complications and improvement of pregnancy outcome in high-risk pregnancy, some studies suggested


Preeclampsia is a medical condition characterized by abnormally high blood pressure during pregnancy which is one major risk factor in interference with pregnancy outcome, negatively.


According to study of 68 high-risk pregnant women recruited from two maternity hospitals in Bengaluru, India randomly assigned into yoga and control groups with yoga group (n=30) received standard care plus one-hour yoga sessions, three times a week, from the 12th to the 28th week of gestation and the control group (n=38) received standard care plus conventional antenatal exercises (walking) during the same period, women in yoga + standard care showed a significant fewer pregnancy-induced hypertension (PIH)

The risk of pre-eclampsia on yoga group showed a ratio of 0,042 compared to control.


Furthermore, high-risk pregnancy women participated in maternal yoga also expressed significant lower syndromes of preeclampsia, ...... and improved pregnancy outcome.


In support to the above differentiation, the study of 121 women attending antenatal clinic at Gunasheela Surgical and Maternity Hospital (GSMH) in Bangalore, India, with abnormal Doppler study of umbilical and uterine arteries and between 18-20 weeks of pregnancy. Out of 121 participants, 68 women randomly assigned to the yoga group and 53 women to control group, after taking into account of other confounders, researchers suggested that women practiced physical postures, breathing and meditation showed a strong improvement in occurrence of complications of pregnancy, including hypertension.


Further analysis also indicated that yoga scores a higher outcome in all aspects including high risk pregnancy-induced intrauterine growth retardation, pre-term delivery, particularly hypertension, in compared to the non-yoga group.

Indeed, maternal and regular yoga exercise improved outcome of high-risk pregnancy was attributed to the function in ameliorated metabolic syndrome risk, that has been found to associate to the development of pre-eclampsia risk and exaggerated pre-eclampsia complications through enhancing the production of antioxidant in inhibited reactive oxygen species in initiated oxidative stress which can cause cellular dysfunction.

Additionally, yoga also has an implication in improved cellular immunomodulating activity, thus reducing risk of auto immune diseases caused by over expression pro-inflammatory cytokines which play an important role in the control of cell growth, cell proliferation, cell differentiation, and apoptosis.


More interestingly, in the study of group of women to investigate the correlation of high risk of complication of impaired placentation and inadequate trophoblast invasion in first-trimester uterine artery resistance, by randomly assigned 59 high-risk pregnant women into yoga (n = 27) and control (n = 32) groups, scientists showed that yoga group showed significantly higher values in the (28th week) for biparietal diameter, head circumference, femur length, and estimated fetal weight measured by RM-ANOVA assay in compared to control.

Repeated Measures (RM)ANOVA is a technique used to test the equality of means in comparison three or more groups, with the same numbers of participants.

Additionally, researchers also indicated that women in yoga group demonstrated a strong improvement of the resistance index in the right uterine artery, umbilical artery, and fetal middle cerebral artery and lower impedance.

In fact, the improved blood circulation, strengthen fetus artery and prevented initiated pre-eclampsia and pre-eclampsia complications of regular yoga practice showed a significantly reduced risk of impaired placentation and cytotrophoblastic stem cell differentiation into extravillous cytotrophoblasts (EVCT) with invasive properties.


According to statistic 7% of impaired placentation and inadequate trophoblast invasion in first-trimester uterine artery resistance were associated with the condition of pre-eclampsia and pre-eclampsia complications in high-risk pregnant women.

Taking all together, there is no doubt that yoga may be considered as adjunct therapy used combined with standard treatment in the attenuated risk of complications and improved favorable pregnancy outcome in high-risk pregnant women.


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Author Biography
Kyle J. Norton (Scholar, Master of Nutrition, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published online, including worldwide health, ezine articles, article base, health blogs, self-growth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bioscience, ISSN 0975-6299.

Sources
(1) The effects of yoga in prevention of pregnancy complications in high-risk pregnancies: a randomized controlled trial by Rakhshani A1, Nagarathna R, Mhaskar R, Mhaskar A, Thomas A, Gunasheela S.(PubMed)
(2) Efficacy of yoga in pregnant women with abnormal Doppler study of umbilical and uterine arteries by Narendran S1, Nagarathna R, Gunasheela S, Nagendra HR.(PubMed)
(3) Efficacy of yoga on pregnancy outcome by Narendran S1, Nagarathna R, Narendran V, Gunasheela S, Nagendra HR.(PubMed)
(4) Oxidative stress and metabolic syndrome by Roberts CK1, Sindhu KK.(PubMed)
(5) Regular Yoga Practice Improves Antioxidant Status, Immune Function, and Stress Hormone Releases in Young Healthy People: A Randomized, Double-Blind, Controlled Pilot Study by Lim SA1, Cheong KJ1.(PubMed)

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