Clinical Governance and Practice Improvement 

Table of Contents

Introduction..

Clinical Problem...

Critical Analysis.

Clinical Question..

Conclusion..

References.

Introduction to Clinical Problems of Labor Pain

In the time of pregnancy when a mother is planning to attend many child birth preparation classes, prenatal yoga is considered as a multifaceted approach to exercise which motivates focused breathing, mental centring and stretching. The aim of this is to understand the impact of Labor pain & its issues on women. According to research before the women face the labor pain, the prenatal yoga practice helps to support the changes that have occurred in a pregnant body (Curtis, Weinrib, & Katz, 2012). Yoga provides safety format to stretch body muscles & reinforcing bodies’ strength, mostly the bottom of body parts as the body belly grows in a particular shape.

Clinical Problem

Clinical problem is solving or analytical reasoning of skill that physicians use to know a patient's complaints and then consider the short, prioritized list of likely diagnoses complaints. As per research of Koshino (2013) there are several clinical problems which are converted in benefits with the help of parental yoga.

Potential clinical problem: Women do fear from labor pain knowing the reasons of increase in the rate of C- section surgery. Labor pain is considered as physiologic phenomenon, & also a psychosocial issue that can be harmful for women. It leads to stress symptoms, regret because of vaginal birth decision (“Benefits and Risks of Exercise During Pregnancy - HealthEngine Blog,” 2019)

Women those who have regular yoga practice since their early stage of pregnancy experiences less health issues as yoga supports the reproductive health by preventing adversative epigenetic modifications and leads to healthy epigenetic paths and avoiding adverse transgenerational effects.

Yoga practice has positive effects on the pregnant females and helps in minimizing the stress level, by balancing the hormones of the body, improving the mental health & quality of the lifestyle; it also increases the capacity to conceive, hence improving the birth rate leading to safe pregnancy & relief in labor pain. The stresses like Seminal oxidative and harm to fortes are common cause leading to infertility, recurrent abortions, inherited malformations and compound neuropsychiatric disorders among children lead to emergence of childhood cancers. (Dada, Kumar, & Tolahunase, 2015)

Critical Analysis of Clinical Problems of Labor Pain

Consistent yoga practice improves body health & serotonin levels decreases in the levels of monoamine oxidase, breaks down of enzymes of neurotransmitters and cortisol. As opined by Duncan & Bardacke (2015), it is evident that during pregnancy females face the issues of depressive disorders, but most of the patients opt for complementary therapies because of side effect of medication, they prefer less response or simple approach to avoid labor pain. As Woodyard (2011) stated the potential beneficial effects of yoga in cases of depression, stress & anxiety is tremendous. For example: pranayama or paced breathing exercise shows the acute changes in the heart rate of the fetal.

However, during pregnancy exercises are always recommended but there are still chances of negative concerns like decrease of oxygen, uterine contractions, premature labour, maternal fetal transfer of catecholamines (Melzer et al., 2017).

Labor pain problem in aspect of:

Patient: Pregnancy is a crucial period at that times woman needs most of the care & attention. Every woman aims for painless delivery at this time. Women who want normal delivery may use pelvic yoga to elastic the lower body.

Staff: Staff such as Gynaecologist may use yoga to add the promising strategy to uplift the behavioural guideline and follow the regulation. Staff can recommend yoga related exercise that leads to lower the rate of exposure to traumatic events during labor pain. (Dada, Kumar, & Tolahunase, 2015)

 Community: Overall there is need to adapt a system that supports the reproductive health so that improvement of the quality of life.

Clinical Question

Clinical question is arising from the study are:

PICOT stands for:

  • Population or Patient Problem: Who is the patient? (Based on Health status, age, medical history; sex) women who are at higher level of stress need to be great safe, use an inexpensive, non-pharmacological option, easily accessible, and look for effective adjoining therapies that leads to well-being, reduce stress level stress and prevent its chronic spread (Ewald, 2019).
  • Intervention: What are plans for patient? (Specific tests, therapies, medications)compare to there are alternative therapies to build a healthy body that can bear labor pain and reduce weight, but there are related disadvantages of these fertility drug like , headache, tenderness in body, constipation, and mood swings. The other common disadvantages are conceiving a numerous pregnancy (like twins) and development of ovarian hyperstimulation syndrome
  • Comparison: The alternative plan needs to be compared. The alternate plan can be leaving the body naturally. Drinking juices and beverages made up of berry & plant extracts are considered healthy and comprise of healing properties are also considering part of the treatment.
  • Outcome: Outcome to be considered like Less symptoms or pain while labor pain leading to normal delivery. For example: the pregnant woman does not work out or do yoga retained weight after their pregnancies. This Gain of excessive weight of pregnancy is more than the actual body weight by ten percent. This excessive weight gain may lead to increase in pregnancy risk arises risk of hypertension (preeclampsia) & miscarriage. This has been evidenced from a study which showed exercise causes erratic changes in biomarkers and that result in OS. It also brings uniform biomarker and leads to behavioural changes therefore improvement in cognition
  • Time:  Time frame plays a vital role as it starts from first day and C-section can be avoided and women body is ready for normal delivery (Ewald, 2019).

Risk factors associated with the labor pain:

Inactivate Body: Some people consider that it is harmful to be active during the pregnancy. However, everyone needs to active in all prospects; Yoga is effectively working for bones, joints and muscles & heart.

Alcoholic persons: Alcohol harms the productive system and it also leads to the chances of miscarriage. Yoga provides healing three areas of the person heart, brain & nervous system leading to strengthening of the body (“Yoga and Alcoholism: How Yoga Helps Heal from Addiction | The Arbor,” 2020)

Conclusion on Clinical Problems of Labor Pain

Though there is no gold standard biomarker to consider the pregnancy health, considering the current knowledge of researchers, the various biomarker of cellular and metabotropic biomarkers can be influence by the yoga practise & develop interferences against chronic lifestyle diseases. Also, Paternal Yoga increases hemoglobin and red blood cells that leads to increase in oxygen to supply the body cells improving the function of the abdominal body leading to safe and normal delivery. Yoga reduces the risk of fear stroke that is caused due to blood clots. It also rectifies the twisting poses wring of blood vessels of internal organs and leads increase in the oxygen in blood. Hence, Yoga had been proved as a blessing for the women body during pregnancy.

References for Clinical Problems of Labor Pain

Benefits and Risks of Exercise During Pregnancy - HealthEngine Blog. (2019, March 21). Retrieved from HealthEngine Blog website: https://healthengine.com.au/info/benefits-and-risks-of-exercise-during-pregnancy

Curtis, K., Weinrib, A., & Katz, J. (2012). Systematic Review of Yoga for Pregnant Women: Current Status and Future Directions. Evidence-Based Complementary and Alternative Medicine2012, 1–13. https://doi.org/10.1155/2012/715942

Dada, R., Kumar, S. B., & Tolahunase, M. (2015). Yoga and Meditation as a Therapeutic Intervention in Oxidative Stress and Oxidative DNA Damage to Paternal Genome. Journal of Yoga & Physical Therapy05(04). https://doi.org/10.4172/2157-7595.1000217

Duncan, L. G., & Bardacke, N. (2015). Mindfulness-Based Childbirth and Parenting Education: Promoting Family Mindfulness During the Perinatal Period. Journal of Child and Family Studies19(2), 190–202. https://doi.org/10.1007/s10826-009-9313-7

‌ Ewald, A. (2019). Research Guides: Nursing: PICOT. Retrieved from libguides.lcc.edu website: https://libguides.lcc.edu/c.php?g=167860&p=6198388

Koshino, T. (2003). Management of Regular Exercise in Pregnant Women. Journal of Nippon Medical School70(2), 124–128. https://doi.org/10.1272/jnms.70.124

Melzer, K., Schutz, Y., Soehnchen, N., Othenin-Girard, V., Martinez de Tejada, B., Irion, O., … Kayser, B. (2017). PP188 EFFECTS OF RECOMMENDED LEVELS OF PHYSICAL ACTIVITY ON PREGNANCY OUTCOMES. Clinical Nutrition Supplements5(2), 96–97. https://doi.org/10.1016/s1744-1161(10)70263-5

Woodyard, C. (2011). Exploring the therapeutic effects of yoga and its ability to increase quality of life. International Journal of Yoga4(2), 49. https://doi.org/10.4103/0973-6131.85485

Yoga and Alcoholism: How Yoga Helps Heal from Addiction | The Arbor. (2020, August 22). Retrieved August 22, 2020, from The Arbor Behavioral Healthcare website: https://thearbor.com/yoga-and-alcoholism/

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