OBG

SEMINAR
PRESENTATION

PRESENTED BY:
D.KAVIYA
FINAL YEAR
DEPR
ESSIO
N
COMPLEMENTARY
THERAPIES USED IN
OBSTETRIC
MOTHERHOO
D IS THE
RIGHT OF
EVERY
WOMEN
 INTRODUCTION:
 It is the happiest moment for the mother when she
conceives , but it becomes worst moment when
labour pain starts & she suffers from anxiety &
nervousness . There is recent development in
treatment modalities which is very helpful to the
mother during labour. It helps to reduce the pain,
lowers her anxiety level & makes her ready for the
process of labour. These treatments are other than
pharmacological modalities & known as
alternative &complementary therapies.
 ALTERNATIVE
THERAPIES :
 Alternative therapies are used instead of
conventional or mainstream therapies for
examples , the use of
acupuncture/acupressure rather than
analgesics to relieve pain
 COMPLEMENTARY
THERAPIES:
 Complementary therapies are those used in
conjunction with conventional therapies for
example meditation used as an adjunct to
analgesics drugs.
DIFFERENT ALTERNATIVE &
COMPLEMENTARY THERAPIES:
 Thereare various modalities which can be
used as a alternative or complementary
therapy in labour . They are as follows:
Hypnosis
Yoga
Music therapy
Acupuncture
Acupressure therapy Homeopathy
Therapeutic touch
Massage therapy
Transcutaneous Electrical Nerve
Stimulation(TENS)
Sterile water injection
Hydro therapy
Birth ball
Aromatherapy
Breathing therapy
Position
Heat therapy
Reflexology
Distraction
Nipple stimulation
 HYPNOSIS:


The word hypnosis originates from the Greek

“Hypnos” which means sleep.Hypnosis is not sleep
but a state of attentive and focused concentration
in which the patient can be relatively unaware,
yet not completely blind to their surroundings.

Hypnotic focus on diminishing the awareness of

pain as well as fear and anxiety.
 
Hypnosis advocates give several explanations of
how the process works.One theory holds that
when a woman feels fear during childbirth, her
body releases stress hormones that trigger the
body's "fight or flight" response.
 Selfhypnosis can be taught at various
hypnosis training centers on special child
birth classes that teach the technique of
positive statements and concentrating on
beautiful images of child.
 YOGA:
 Yoga, a method of Indian origin, proposes
control of mind and body. Between the
different types of yoga, ‘energy yoga’ can
be applied to pregnancy and
delivery.Through special training of
breathing, it achieves changes in levels
ofconsciousness,relaxation, receptivity to
the world and inner peace.

  There are different aasans or positions

which can be used during labour for
the benefits.
CAT POSE:
 The cat pose makes you kneel on all fours
and stretch. This helps to push the baby
down once your water breaks. You can also
try lifting your leg up high to quicken the
baby's movement.
DOG TAIL
WAGGING:
 Kneel on all fours and move your hip as if you
are a dog wagging its tail. You can vary
the pace of the tail wagging depending on
the surge of pain you feel. It is a very
soothing position.
 CHILD POSE:
 The child pose is named so because it is an
extremely relaxing position. Your uterus
contractions will come in spell. The period in
between the contractions is for resting. Try
this yoga position during the rest period
SQUAT:
 Squatting is the most traditional position in
which women gave birth. It naturally opens
upthe vaginal opening so that the baby can
be born easily. Practice squatting before
hand so thatyou can try this yoga position
during labour.
 MUSIC
THERAPY:
 The use of music to relieve pain and decrease
anxiety has been known to be helpful for the
relief of postoperative pain for same time.
Research regarding the use of music to reduce
labour pain has also demonstrated that music
may be used to promote relaxation during the
early stages of labour and as a stimulant to
promote movement during later stages, when
physical exertion is required for bearing down
process
 Phumdoung and Good 2003, in their study
described music consistently providedsignificant
relief from severe pain across 3 hours of labour
and delayed
the increase ofaffective pain for 1 hour, it
also delayed increase in distress of pain for
an hour andfor some, relief was fairly
substantial.
 ACUPUNCTURE:
 Acupuncture is well known Chinese practice.
In this one uses needles inserted at specific
points to relieve pain. This therapy is found
beneficial and relaxing during pregnancy.
 During labor, acupuncture can be used for
pain relief, as a calming technique(which
again will lessen pain) and to keep
labor contractions going.
 The placement of the needle will depend on
which stage of labor patient is and kind
of pain.
 Advisable to take this treatment with
experienced certificate practitioners.
 ACUPRESSURE THERAPY:
 Acupressure is a descendant of Chinese
manipulative therapy in which points are
stimulated by pressure, using hands, fingers
and thumbs. 
Acupressure might increase blood flow to the
uterus, influence hormonal responses,and
stimulate uterine contractions.
 :
 There are homeopathic drugs that may help
to lessen the pain of natural child birth.
These are pills with no side effects to be
said that have to be taken at regular
intervals throught out the labour.
 Homeopathy is a safe, natural alternative to
pitocin/oxytocin. If the baby
isoverdue,induce labour naturally by
alternating the remedies caulophyllum 12C
andcimicifuga 12C, given once every hour.
For example, hour 1: caulophyllum, hour
2:cimicifuga, hour 3: caulophyllum, etc.
 THERAPEUTIC TOUCH:
 The purpose of therapeutic touch in labor is to
communicate caring and reassurance.Painful
contractions of the uterus can be treated by the
application of pressure withthe hands to the woman's
back, abdomen, hips, thighs, sacrum or perineum.
  In one study, touching was perceived positively by
94% of patients when theywere touched by a relative
or friend, 86% by their husbands, 73% by a nurse and
21% by a physician (32). Anxiety is reported to be
reduced in patients who receive
reassuring touch. In a retrospective study of 30
patients, 77% experienced ‘less pain’
when they were touched during labor, and 40%
reported less need for pain medication.
 MASSAGE THERAPY:
 Touch and manipulation with the hands has
been used in the practice of medicine since
its inception. The value of touch and
massage and its positive effect is well
documented.
 Massage has been shown to be factors in
promoting labour progress, decreasing pain
 perception and increasing the woman’s
ability to cope with labour.
 
 TRANS CUTANEOUS ELECTRICAL
NERVE STIMULATION(TENS):
 This is a method of pain management in
which electrodes fitted at the back, to pass
electric current into the body. This
stimulates the natural secretion of
endorphins, the body’s painkillers. This
usually used in the early stages and has no
known side effect.
 STERILE WATER INJECTION:
 This is relatively new technique for curbing
back pain during labour. Using thistechnique
allows the mother to remain fully conscious
during labour.
 A small amount of sterile water(0.1-0.2 ml) is
injected in four places just under the skin that
covers the sacrum, the lower part of the back.
 Its thought that the sterile water injections
stimulate the nerves which quickly send
messages to the brain and interrupt the slower
messages from inside the body this has been
called the ‘gate control’ theory of pain
management.
 Relief lasts for an hour, are more and procedure
can be repeated any number of times.