Prenatal Vinyasa Yoga: Teacher Training Manual
Prenatal Vinyasa Yoga: Teacher Training Manual
THE
DOLPHIN METHOD
www.dolphinmethod.com
Prenatal Vinyasa Yoga
Enrich your yoga-teaching repertoire with the beautiful and fulfilling
practice of Prenatal Vinyasa Yoga.
Welcome to Prenatal Vinyasa Yoga teacher training. Whether you’ve had a baby or not,
you will be amazed at the gratification that comes from working with women during this
brief union they share with their babies.
Prenatal Vinyasa Yoga is not about women sacrificing their bodies for the good of their
baby; instead it’s an honoring of the union of mother and baby, preparing a mother’s
body to be strong and flexible so that she and her baby can work together in pregnancy
and childbirth to have a gentle and empowering birth experience.
Learn how the pregnant body works and how to modify poses for
individual needs.
Pregnancy is composed of three trimesters each about three months long. In each tri-
mester there are specific poses that are beneficial for the pregnant body, some of these
poses help with discomforts in the body, and others help to strengthen the body in
preparation for labor and childbirth. Some days a certain pose may feel wonderful and
other days it may not feel good at all. The most important aspect to prenatal yoga is one
that is practiced in all yoga, which is Ahimsa or non-violence to yourself or others. This
means allowing the body to only do poses that feel good. This is more important in pre-
natal yoga because as the baby grows he changes positions often and there are times a
certain pose may not be conducive to the position of the baby. Forcing positions because
you have always in the past been able to do them or because you were able to do them
easily on the other side is inappropriate for pregnant women and can cause strain.
Guide pregnant women through a safe and challenging yoga practice,
modified for each trimester and her specific needs.
This course will teach you to assist a woman in her journey through the most transforma-
tional, life changing time in her life. Prepare your student’s mind as well as her body by
connecting her with her baby and her breath through movement and stillness, flow and
balance, strength and surrender, to find her power and embrace her potential.
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Table of Contents
Baby Positions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Signs of Labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Dolphin Method Formula for assessing a yoga pose for pregnant women. . . . . . . . . . . . . 42
Partner Poses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Beyond Yoga Asana ~ Yoga and Relaxation Techniques for Childbirth . . . . . . . . . . . . . . . 104
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Why Prenatal VINYASA Yoga?
Linking Movement and Breath
Vinyasa yoga is the linking of body movement and breath, and more than that, it is the
continuous movement of energy through the body. The movement of the body and the
breath are one, connected, continuously flowing and synchronized. When a practitioner
learns to link their breath and movement they create an energy which powerfully con-
nects them to their own being. Bringing this experience of connectedness to pregnant
women in a physical, tangible way is the intention of Prenatal Vinyasa Yoga.
We tend to hold our breath when we experience pain or fear
This breath and movement connection becomes pivotal in childbirth where the tendency in
intense fear is to freeze, hold the breath, tense up all of the muscles, even those that aren’t
working, and stop any forward movement. Vinyasa yoga teaches that even when muscles
are challenged, there can be movement and breath, and when a woman can connect her
breath and body in labor it is an empowering and beautiful thing. Women can release fear
and pain with this movement and breath connection. They can help their bodies and ba-
bies move forward toward birth by allowing and encouraging that connection of movement
and breath. Learning vinyasa yoga in pregnancy can give women the ability to feel the
continuous energy movement in labor and embrace that movement, linking it to her breath
and allowing it to grow, creating an ecstatic, empowering birth experience.
Breath = Life
During pregnancy women experience dramatic physical, emotional, and mental trans-
formations in which they have an amazing opportunity to, for a short time, connect with
another human being in an incredibly intimate way. This life inside them is continually
growing and changing. The movement of the woman’s breath is enabling, encouraging
and creating that growth, feeding the life inside her. The breath is the most important
aspect in the creation of another human being.
Vinyasa yoga teaches women to allow the breath to be the motivation in their move-
ment…. to synchronize their movements and their breath and in doing so allow this life
giving energy to move throughout their bodies and through their baby. The movement is
continuous, reminding her that even as her muscles are being challenged, she can feel
her own strength growing and she can keep her breath and energy moving through her
body, releasing the parts of her body that are not working and allowing them to relax.
When practicing this style of yoga we are reminded that even when there is stillness in
the body there is also movement, this movement connects our bodies and our spirits and
our minds.
In my work as a doula and a prenatal yoga instructor over the last 10 years, 400 births,
and thousands of prenatal yoga students, I have noticed a trend.
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Many women who regularly practice prenatal yoga, have faster and less
painful birth experiences.
Of course there have been many exceptions and circumstances that increase length and
intensity of labor, but the correlation is too great to ignore or write off as just coincidence.
I was thrilled when a study from Thailand was released confirming my theory.
Here is a summary of the findings of the Thailand Study:
This study examined the effects of a yoga program during pregnancy, on maternal
comfort, labor pain, and birth outcomes. A randomized trial was conducted using 74-primi-
gravid Thai women who were equally divided into two groups (experimental and control).
The yoga program involved six, 1-h sessions at prescribed weeks of gestation. A variety
of instruments were used to assess maternal comfort, labor pain and birth outcomes. The
experimental group was found to have higher levels of maternal comfort during labor and
2 h post-labor, and experienced less subject evaluated labor pain than the control group.
In each group, pain increased and maternal comfort decreased as labor progressed. No
differences were found, between the groups, regarding pethidine usage, labor augmenta-
tion or newborn Apgar scores at 1 and 5 min. The experimental group was found to have a
shorter duration of the first stage of labor, as well as the total time of labor.
Study source: http://1.usa.gov/1ndurwv
I believe there are several reasons for the outcomes observed in Thailand.
1. The focus and connection with the breath allows a woman to tap into the rhythm of
their bodies and work with them instead of fighting them.
2. Yoga can increase lung capacity allowing the woman to take deeper, longer
breaths, which bring oxygen to the baby and mom, making contractions feel short-
er and more manageable. A woman in a yoga class is encouraged not to hold her
breath and tense up but to breathe deeply and right into the tension. When a wom-
an is tense the contractions can feel much more intense.
3. Women who do prenatal yoga tend to have more stamina (especially when practicing
styles such as Prenatal Vinyasa Yoga which builds strength and flexibility while staying
focused on the breath and on releasing tension); therefore they can go a longer time
without pain medication. Typically getting pain medication slows down labor.
4. Prenatal yoga releases endorphins, or “feel good” hormones, which she becomes
accustomed to feeling while practicing yoga. These same hormones are released in
labor and are much more identifiable to women who have been practicing yoga.
5. Practicing a relaxation at the end of class helps women to get familiar with what
their bodies feel like when they are comfortable and free of tension. It also gives
them a practice of staying in the moment and focused.
The practice of prenatal yoga provides women with many physical and mental
advantages when it comes time for them to give birth. My own experience has paralleled
the Thailand study, which has concluded that in many circumstances, women who
regularly practice prenatal yoga have More comfort during Pregnancy, Shorter and More
Manageable Births, Less Medical Interventions, and Speedier Postpartum Recoveries.
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Notes
3 Trimesters of the changing body of a pregnant woman
Pregnancy is estimated to last approximately 280 days from the first day of the woman’s
last menstrual cycle to the EDD or estimated due date; this is approximately 40 weeks. It
is considered normal to deliver her baby anywhere between 37-42 weeks. At 37 weeks
the baby is “term” which means that baby is fully developed (the lungs being the final
organ to mature), 40 weeks is considered “full term” which means the baby has fat stores
as well as fully developed organs etc. It is important to note that many first time pregnant
women will go into labor up to two weeks after their EDD.
Pregnancy is broken up into 3 trimesters, each presents it’s own set of rewards and chal-
lenges and each trimester brings a woman closer to her world changing forever as she
prepares her body, mind and spirit for motherhood.
First Trimester
The first trimester of pregnancy is the time from conception to the thirteenth week, or the
first 3 months. 15-20% of all known pregnancies end in miscarriage. 80% of those miscar-
riages happen in the first trimester.
Tests
Women will receive the following prenatal tests in the first trimester. Most of them are non
invasive and require no special precautions when it comes to activity. Women are considered
“high risk” when they are 35 years old or older and are encouraged to do more testing.
1. Blood tests: blood type screening for Rh compatibility, anemia, Rubella, Hepatitis B
& C, Syphilis, HIV, Glucose, Cystic Fibrosis carrier testing, TRI 21, TRI 18 & 13
2. Urine Tests: tests protein and sugar levels
3. Swab: STIs (Sexually Transmitted Infections)
4. Ultrasound, nuchal translucency screening to detect signs of trisomy 21 & 18, via-
bility of pregnancy, and number of fetuses
5. Chorionic Villus Sampling (CVS): Collection of placental cells at the insertion point
on the uterine wall. Done at 10-13 weeks. Detection of chromosomal and genetic
disorders like Down Syndrome (chromosomal) and Cystic Fibrosis (genetic).
1 in 100 women miscarry after this test. It is important that women getting a CVS
refrain from Prenatal Vinyasa Yoga and any other exercise for 72 hours (some
doctors say 24 hours) AND until cleared to return to exercise from her doctor.
Changing body
In the first trimester a woman might feel or notice:
1. Moderate to extreme fatigue
2. Nausea or “morning sickness” varying in intensity from queasy feeling to vomiting
3. Bloated feeling caused by higher progesterone and lower peristalsis (not wanting
a tight waistband)
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4. Breast tenderness and increased size (also nipples can start to be more pronounced)
5. Frequent urination caused by higher HCG irritating the bladder
6. Craving certain foods or loss of appetite
7. Constipation caused by higher progesterone
8. Menstrual cessation (some spotting can be normal, but seek care provider to get
checked)
9. Shortness of breath
10. Increased sensitivity to smells can cause nausea and vomiting
Second Trimester
The second trimester of pregnancy is the time from 14-27 weeks, or the second 3 months.
Tests
Women will receive the following prenatal tests in the second trimester:
1. Ultrasound: (NOTE, second trimester ultrasounds are less accurate in determining
due dates)
2. Amniocentesis (optional test): Using a needle a small amount of amniotic fluid is
extracted and tested. Amnio tests for everything that CVS tests for but also in-
cludes neural tube defects. 1 in 200 women miscarry after this test. It is important
that women getting an Amnio refrain from Prenatal Vinyasa Yoga and any other
exercise for 72 hours AND until cleared to return to exercise from her doctor.
3. Blood tests at 15-20 weeks to detect diseases or chromosomal disorders like
Down syndrome, trisomy 18 and neural tube defects called either the triple or
quad screening: Alpha-fetoprotein (AFP), Estriol, hCG, Inhibin A (this is only in the
quad screening)
Changing body
In the second trimester a woman might feel or notice:
1. Reduction in fatigue
2. Reduction in nausea or “morning sickness” varying in intensity from queasy feeling
to vomiting (in some cases this can last through the second trimester and even
through the third)
3. Abdominal swelling
4. Skin changes that can occur:
• Dark line from the navel to the pubic bone
• Brown patches on face
• Patches of skin irritation or rashes
• Areolas darken
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• Stretch marks can sometimes present in the second trimester
5. Ligament pain due to the stretching of the uterus. Can be sharp or lingering, and
can occur after sitting for long periods of time then standing up.
6. Heartburn can be present on and off
7. Woman might begin to feel movement of baby if she hasn’t already. Butterfly flut-
ters (quickening)
8. She might begin to get Braxton-Hicks contractions as early as 5 months
9. Certain days she might experience extreme fatigue possibly due to the baby
going through growth spurts
Third Trimester
The third trimester of pregnancy is the time from 28-40 (42) weeks, or the third 3 months.
Tests
Women will receive the following prenatal tests in the second trimester:
1. All women are given a vaginal and rectal swab to check for GBS or group B strep-
tococcus. Test is done at 37 weeks and is positive in 25-30% of women tested. It is
done late in pregnancy because it comes and goes without symptoms. It is treated
with antibiotics in labor because, while it is not harmful to the woman in most cas-
es, it can be transmitted to the baby during birth and cause problems to the baby.
This test is considered valid for 5 weeks and can be repeated.
Changing body
In the third trimester a woman might feel or notice:
1. Increase frequency of urination, as baby shifts bladder is compressed. This often
means she is up multiple times during the night
2. Certain days she might experience extreme fatigue possibly due to the baby
going through growth spurts and sleep disruption
3. Able to eat less at one time due to stomach compression
4. Increase in heartburn
5. Contractions/Braxton Hicks
6. Navel might “pop out”
7. Less room for lungs to expand therefore causing shortness of breath
8. Breasts continue to swell occasionally leaking colostrum (yellowish pre-milk substance)
9. More ligament stretching and tightening
10. Late in pregnancy there can be pressure on the bottom of the pelvis
11. Feet, hands, ankles, and wrists might begin to swell, referred to as Edema
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Notes
Childbirth Education & Anatomy
Pregnancy Anatomy
When a woman is pregnant her body changes every day. The physical changes begin occur-
ring almost immediately with the release of hormones. These hormones are likely responsi-
ble for the mild to extreme fatigue and nausea as well as breast tenderness and swelling.
Hormones
HCG (Human Chorionic Gonadotropin) is produced by the embryo and later the placenta
and helps maintain the ovary’s ability to release progesterone.
Estrogen promotes the growth of the uterus, stimulates duct system and blood supply in the
breasts and influences water retention, skin pigmentation and subcutaneous fat buildup.
Progesterone has a number of roles in the pregnant body. It relaxes the uterus and
inhibits contractions therefore its levels change throughout pregnancy. It relaxes the
walls of blood vessels to help maintain low blood pressure and relaxes the walls of the
bowels and stomach to help with nutrient absorption. Progesterone also stimulates the
production of the hormone Relaxin.
Relaxin lubricates the joints and softens connective tissue allowing the pelvis to open up
to accommodate the baby. However, this hormone is not specific to the pelvis; it affects
every other joint as well and can create instability in the joints, this is why you hear many
pregnant women complaining of carpel tunnel syndrome. Therefore, you need to make
sure your students take care not to overstretch.
The Uterus
The Uterus starts out about the size of a fist and is tilted slightly forward in most women
above the bladder and in front of the rectum and bowel. The entrance of the uterus is
called the cervix. The uterus is made up of 3 layers:
Inner layer called the endometrium is a mucus lining which makes up the very inner wall
where the placenta attaches. This layer is what is shed during menstruation.
Middle layer called the myometrium, a combination of crisscross and lengthwise muscles
that grow to 10x in length and 3x in width during pregnancy. The fundus is the group of
muscles included in the myometrium that runs from the cervix to the top of the uterus
and is measured to help determine gestational age. These muscles contract and shorten
during labor making the cervix shorter and helping the baby move down.
Outer layer is called the perimetrium, it is loose tissue that surrounds the uterus and
separates it from the intestines.
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The Pelvic Floor
The pelvic floor muscles are a hammock of muscles connected to the pubic bone and
backbone that hold up the uterus, bladder and intestines. These muscles help control
urination and bowel movements and help guide the baby through the birth canal during
the pushing phase of childbirth. Because of the amount of weight the pelvic floor has to
accommodate during pregnancy and the stretching these muscles do, they can easily be-
come weak, thus causing urinary or anal incontinence. Pelvic floor exercises are a pivotal
part of prenatal health.
SUPERIOR VIEW
Pubic
Symphysis
Inguinal Urethra
Ligament
Obturator Vagina
Intemus
Muscle Rectum
Pubococcygeus
and Puborectalis Iliococcygeus
Muscle
Ischial Spine
Coccyx
Coccygeus
Muscle
Piriformis Muscle
Sacral
Promontory
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The Female Pelvis
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Cervical Dilation & Effacement
Uterus
1cm
Cervix
Vagina
Cervix is not effaced or dilated. Cervix is fully effaced and dilated to 1cm.
5cm 10cm
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Notes
Fear - Tension - Pain Cycle
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Baby Positions
It is helpful to know the position of a baby near the end of pregnancy because optimal
fetal positioning can reduce the length of labor and pushing and increase the comfort of
the mother. Yoga and movement can help babies achieve this optimal positioning espe-
cially if the mother knows the position of the baby before labor begins.
In this next section we will discuss basic baby positions (there are many variations of
these positions but these are the ones you are most likely to hear about from students)
and movements that assist in correcting less than optimal positioning. Remember that
babies have plenty of room to move around prior to about 34 weeks so positioning can
change often prior to that.
Occipital Posterior
Occipital Anterior
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What is the optimal fetal position?
The optimal fetal position is a head down position called Occipital Anterior, often referred
to as OA. Left Occipital Anterior or LOA is also an optimal position for babies at the onset
of labor. In the OA presentation the baby is head down and the face is against the moth-
er’s spine and the back of the head, the occipital bone, is facing the mother’s front. This
position is optimal for a number of reasons, the baby’s head molds as it moves through
the birth canal and in this position the molding happens more easily; labor with an OA
baby is typically shorter and less painful than other positions.
Keeping a baby in an OA position:
• Keeping the womb symmetrical and stable using movement and gravity as well
as short inversions to relax the uterine ligaments keeping each side of the uterus
symmetrical.
• Once womb is symmetrical then do pelvic tilts while baby is active to assist in
positioning and release tension
Occipital Posterior
The Occipital Posterior or OP position is also a head down presentation only the back of
the head is against the mother’s back. This position is less favorable for baby and mother.
It is more likely that this position can result in the mother having back labor (feeling the
contractions in her back as back pain.) OP babies take longer to maneuver through the
birth canal and can lengthen the time of labor and pushing. It is sometimes difficult for
health care providers to know what position the baby’s head is in. They can usually tell
if a baby is in a head down position but the rotation of the head is more likely found by
where the mother is feeling kicks and bulges. With the help of contractions and mother’s
movement OP babies can turn in labor to a more favorable position, babies can be born
in this position as well especially if the mother has an adequate pelvic outlet for baby to
pass through. 30% of babies start labor in an OP position, but only 3% are born that way.
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Helping to turn an OP baby:
• Inversions can be helpful to make the pelvic floor more symmetrical
• Rebozo Sifting
• Side lunges
• Pelvic Floor release
• Sacral release
• Cat Cow can help a head rotate to a position that is more favorable; however this
is more likely to be effective if the woman is already in labor or the baby is active
while performing these movements
• Sometimes a child’s pose with elevated hips and pelvic tilts can be helpful once
labor has begun if there are signs baby is OP
• Forward leaning positions encourage the heaviest part of baby (the back and back
of the head) toward the front of the mother’s body
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Breech & Transverse Babies
A Breech baby is a baby who is presenting with the bottom down and head up. Many
doctors are uncomfortable delivering breech babies and will automatically do a cesarean
if a baby is breech. There are several different kinds of breech presentations.
• Frank Breech: A Frank Breech baby is a baby who is “sitting” in the pelvis with the
bottom down and the feet up by the head. This is the most favorable for vaginal
delivery though there are still many health care providers who will not do vaginal
delivery of a Frank Breech baby.
• Complete Breech: A Complete breech baby is one who is “sitting” cross-legged in
the pelvis with the head up and legs and bottom down. Most health care providers
will want to do a cesarean with this kind of presentation.
• Footling Breech: A Footling breech is the same as a complete breech with the
exception of one leg hanging lower than the other. Very few people attempt a
vaginal delivery with this kind of presentation.
Transverse babies: A Transverse baby lies sideways in the uterus and is
not deliverable vaginally.
Positions and techniques for turning breech babies:
• Forward Leaning Inversion is similar
to downward dog but the angle is a
bit more drastic. This can be done
on a couch or bench with elbows
on the ground or on the stairs (both
require supervision) and should be
done for about 30 seconds and
followed by the breech tilt.
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• Pinky toe pressure point: The outside
of the pinky toe is a pressure point
that helps stimulate babies to turn
from breech to a head down position.
Acupuncturists often use this point along
with Moxibustion.
Please visit www.spinningbabies.com for a much more detailed look at these and other
baby positions and techniques.
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Signs of Labor
Possible Signs
• Backache
• Menstrual Like Cramps
• Soft Bowel Movements/Diarrhea
Preliminary Signs
• Non-progressing contractions
• Bloody show – blood tinged mucus
• Leaking of Amniotic fluid
Positive Signs
• Progressing contractions: longer, stronger and closer together
• Spontaneous rupture of membranes
• Dilation of cervix – only assessed through vaginal exams
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Stages & Phases of Labor
Stage 1: Labor
Early Labor
Cervix
• Moves forward from a posterior position
• Begins or continues to soften
• Begins to efface (thin)
• Dilation from closed to 3 or 4 cm (6cm)
Contractions
• Irregular
• Increasingly stronger and longer
• Intensify with movement (i.e. walking)
• Do not go away after resting or shower
• Range: 5-30 minutes
• Duration: 30-45 seconds
Emotions
• Euphoric, happy, elated
• Anticipatory
• Possible anxiety/nervous that ‘this is it’
Physical
• Abdominal cramping
• Possible back pain
Active Labor
Cervix
• Cervix is soft & very well effaced
• Dilation from 4 (6) to 8 cm
• Begins to trickle blood as the cervix dilates
Contractions
• Regular and more intense
• Require woman’s concentration
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• Range: 3-5 minutes
• Duration: 45-75 seconds
Emotions
• Waning enthusiasm
• Inward focus
• Broad spectrum of emotions
Physical
• Abdominal cramping
• Possible nausea
• Pelvic and rectal pressure
Late Labor (Transition)
Cervix
• Dilation to 10cm
• Dilation may be uneven and leave a lip or rim
• Continues to trickle blood
Contractions
• More intense
• May be double peaked
• Range: 2-3 minutes
• Duration: 90-120 seconds
Emotions
• “Fight or Flight” response kicks in
• Extremely focused
Physical
• Shaking can occur
• Possible nausea
• Rectal pressure / urge to push
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Stage 2: Birth
Latent (resting) Phase
• Cervix is almost completely dilated
• Continued rectal pressure
• Woman becomes quiet and begins to relax between contractions
Descent
Mother
• Cervix completely dilated
• Involuntary urge to push
• Perineal massage or warm compress to minimize vaginal trauma
• Bearing down (pushing) becomes more focused
• Bear down spontaneously to allow slow opening of vagina
• Intervals of 10 seconds to push followed by rest
• Relax pelvic floor & bulge perineum
Baby
• Descends to a +1 or +2 station
• Head rotates as it progresses through the birth canal
• With each push, head moves forward 2 steps and retracts 1
Transition (to birth)
Mother
• May become more vocal
• Contractions strong and powerful
• “Ring of Fire”
• Burning sensation in the perineum caused by the stretching of the soft tissues
• Felt when baby’s head is crowning
• Lasts a very short time
Baby
• Presenting part is on the perineum
• Head moves to a +3 station
• At +3 station, baby’s head emerges from birth canal to +4 station (birth)
• Doctor or midwife may suction nose and mouth as head emerges
• Cord continues to pulsate once body is birthed
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Stage 3: After Birth
Delivery of Placenta
Mother
• Pitocin may be administrated for placenta delivery
• Usually delivered within 20 minutes of birth
• Must be delivered within one hour of birth
• Placenta examined by practitioner to make sure it is complete
Newborn
• Apgar score
• Good condition range from 7-10
• Requires medical attention is under 6
• Performed twice at 1 minute and at 5 minutes after birth and at 10/15/20 minutes if
the 1 and 5 minute APGARs are low.
Stage 4: Recovery
Mother
• Practitioner will examine perineum and repair tears with dissolvable stitches
• First breastfeeding occurs – baby’s suckling helps with uterine involution
• Ice packs are applied to perineum to minimize swelling
• Nurse will massage fundus to assess uterus condition and assist with involution
Newborn
• Vitamin K injection (or oral drops) given to assist with blood clotting
• Antibiotic eye ointment is administered
• Blood test (PKU)
• First Hep B shot if agreed to by parents
• bathing baby - unless parents request not to bathe
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Common pregnancy discomforts, health concerns & precautions
The body goes through a tremendous amount of change during a woman’s pregnancy
and as a result there are a few health conditions that may arise and some precautions
that are important to keep in mind.
Warning Signs
There are a few symptoms in pregnancy that, if experienced, require immediate atten-
tion. If you have a student experiencing one of these symptoms please immediately
follow the advice given for each.
Vaginal Bleeding: while light spotting can happen throughout pregnancy, if the woman’s
doctor is not aware of it and has not given the OK to continue exercising in spite of the
light spotting, the woman needs to discontinue her practice and call her doctor, midwife
or health care provider immediately.
Possible causes of vaginal bleeding in the first trimester:
• Subchorionic hemorrhage - may or may not impact viability of pregnancy
• Miscarriage
• Light spotting can also be normal
• Intercourse
• Ectopic Pregnancy
Possible causes of vaginal bleeding in the second or third trimester:
• Labor (if before 37 weeks this would be premature labor)
• Placenta complications
• Placenta Previa is a condition in which the placenta is covering or partially
covering the cervix. This is often diagnosed early in pregnancy but as the uter-
us grows the placenta moves with it upwards and away from the cervix. If the
placenta is still partially covering the cervix in the third trimester the woman will
not be able to deliver her baby vaginally and must have a cesarean. If a woman
with placenta previa begins to have vaginal bleeding she must immediately go
to the hospital, this could be an indication that the cervix is softening or dilating
and is very dangerous as it could lead to immediate delivery of the baby.
• Placental Abruption is a condition that is very dangerous where the placenta
detaches, either partially or completely, from the uterus. The placenta being
separated from the uterus deprives the baby of oxygen and can lead to the
need for immediate delivery or bed rest.
Fluid Leaking from the Vagina: The baby is encapsulated in a bag of fluid called the am-
niotic sac. This bag of fluid is what is referred to as the “bag of water” so when you hear
someone say their “water broke” this is what they are talking about. 15-20% of women
have their water break at the onset of labor. Water breaking can happen in a couple of
ways; a slow leak is when a woman might feel like she is constantly damp, or a big gush
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when she feels a large amount of fluid come out. Either feeling needs to be addressed
immediately with a call to her doctor or health care provider especially if the woman has
not yet reached 37 weeks in her pregnancy or if the water is greenish or yellow in color
or has a foul odor, as this could be a sign of the presence of meconium (baby’s first bow-
el movement) which can be an indication that the baby is in distress. *** in extremely rare
cases she might feel something coming out of her vagina after a large gush of water, if this
happens call 911 immediately and follow instructions given.
Fainting: Fainting should not be taken lightly; there are a few reasons pregnant women
faint, among them are, dehydration (which can also cause contractions), hypoglycemia, and
circulatory problems. Women who faint might not be getting enough oxygen to their brains
which effects the amount of oxygen the baby is getting as well. Have her call her doctor or
health care provider immediately or go to the emergency room.
Heart Palpitations: When doing any prenatal activity, a woman should be able to breathe
normally and be able to have a normal conversation while exercising. If she is out of breath
or sweating profusely she is working too hard and needs to stop and rest. She needs to call
her health care provider if heart is racing and doesn’t stop after a few
minutes of rest.
Dizziness: Dizziness paired with headache, blurred vision or heart palpitations should be
immediately reported to a health care provider. If a woman has dizziness alone, have her
stop activity and see if it goes away. Always alert a health care provider with any medical
conditions that arise.
Heartburn: Heartburn can be exacerbated by any inversions even if only held a short peri-
od of time. If a woman has heartburn she should avoid downward dog or any other inver-
sion or semi inversion. If she develops heartburn during a class she should
discontinue inversions.
Blurred Vision: Blurred vision can be a sign of dehydration or preeclampsia. Have the
woman call her health care provider immediately if her eyesight is in any way effected
while exercising.
Preeclampsia: is a condition that is diagnosed when a woman has elevated blood
pressure and protein in her urine. Symptoms can include, headaches, blurred vision, swell-
ing of hands and feet, high blood pressure and protein in the urine. It can be very danger-
ous; if not treated it can lead to Eclampsia (seizure) and this can lead to coma, or maternal
or fetal death.
Sharp pain in abdomen or chest: This could be just the ligaments of the uterus stretching
but it could also be contractions.
Braxton-Hicks contractions versus “labor” contractions: Braxton-Hicks contractions are
like practice contractions for the uterus. They might be felt as early as 5 months or a wom-
an might not feel them ever. They do not typically make any changes to the cervix or lead
to labor. These contractions are typically felt high in the abdomen or all over the belly. If a
woman experiences more than 10 of these in an hour she should call her doctor.
Labor Contractions: Labor contractions start out feeling more like menstrual cramps. They
typically occur low and deep in the abdomen, they will come and go rhythmically.
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If a woman starts feeling these contractions while exercising she should stop and rest, and
if they continue after resting she should discontinue exercising and rest. If the woman has
not previously informed her health care provider about these contractions and gotten the
“go ahead” to exercise, she should do that before practicing yoga again. If a woman experi-
ences more than 4 of these in an hour she should call her doctor.
Feeling pressure coming and going every few minutes accompanied by a feeling of
having to have a bowel movement or feeling of having to urinate…have her discontinue
practice and call care provider immediately!
Changes in body temperature: If a woman suddenly gets hot or flushed or cold and clam-
my it is a sign to stop exercising. The body for some reason is having problems regulating
its temperature. It is important that pregnant women not get overheated. A pregnant wom-
an should not maintain a temperature of 101 or higher for any significant amount of time.
Edema: Edema or swelling is common in pregnancy, especially in late pregnancy and when
the temperature is warm or hot. This can be normal, but also can be a sign of preeclampsia
if high blood pressure and/or protein in the urine are associated with it. It is important not
to limit water intake; in fact she should drink lots of water, especially when it is hot. Edema
happens because fluid (a woman has double the fluid levels in her body when pregnant)
pools at the extremities. Upward massage and keeping hands and feet elevated are im-
portant.
Gestational Diabetes: Testing done between 26 and 28 weeks. The one-hour test is a
blood test done an hour after consuming a sugary beverage containing 50g of glucose. If
that test is inconclusive a 3-hour test is done requiring a fast for 10-14 hours prior. Gestation-
al diabetes is dangerous because it can lead to large babies with a higher chance of get-
ting juvenile diabetes, the chance of high blood pressure during pregnancy is increased as
well as increased cesarean rate and stillbirth.
Phlebitis: Swelling, heat, pain, itchiness, and redness in the calf of one leg can indicate the
inflammation of a vein with a blood clot, especially if this happens directly following exercise.
Leg or Feet Cramps: Many pregnant women experience leg cramps. There are many the-
ories as to why these occur frequently in pregnancy. Some people believe there is either
a potassium or calcium deficiency. I have noticed a correlation between leg cramps and
sciatica (the sciatic nerve is the longest and widest nerve in the body and runs from the
lower back through the buttocks and down the leg all the way to the heel). Therefore I rec-
ommend doing poses that help with sciatica before bed (e.g. pigeon.)
Carpal Tunnel: Compression of the median nerve in the wrist that passes through the car-
pal tunnel. This compression in pregnancy is often caused by a combination of extra fluid
and repetitive motions. Downward Dog, Cat, and other hand weight bearing poses might
need to be modified or avoided. Modifications can include the use of a wedge, using the
fists instead of open palms, or elbows on the ground instead of palms.
Varicose Veins: Varicose Veins typically effect the legs and lower part of the body and are
more common during pregnancy because of the increased blood volume and circulation
issues due to the weight of the uterus. Hero or Virasana is supposed to promote better
circulation and help with Varicose Veins.
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Notes
Notes
Prenatal Vinyasa Yoga Modifications & Yoga
Precautions
Take a look around your next yoga class and notice that each person, each body, is
different. It might be totally appropriate to ask one person in class to place a leg behind
their head because their bodies have demonstrated the ability to do so. On the oth-
er hand asking that same thing to the person next to them who has half their flexibility
would be completely irresponsible and would cause injury. This logic that you already
use in your yoga classes with non-pregnant people carries over to working with pregnant
women. There are some pregnant women who can easily move into poses that other
women in the class would hurt themselves attempting. This is why it is so important for
pregnant women to listen to their bodies and only do poses that feel good and not try
any new advanced poses for the first time while pregnant. It is also important that preg-
nant women start slowly and take their first class at about 50-80% of what they think
their limit is.
Exercising While Pregnant
Everyone agrees that staying active and exercising while pregnant is the best way to
maintain a woman’s health and fitness and prepare her for the often strenuous and chal-
lenging rigors of childbirth. But starting a prenatal exercise program can be daunting. In
the first trimester (conception to 3 months) women often experience extreme fatigue and
varying degrees of nausea or “morning sickness” (which is absolutely not confined to
mornings.) Most healthcare providers and prenatal fitness experts will agree that women
should listen to their bodies and rest during this transitional period. Women, in general,
tend to not feel like exercising much. For those who were previously very active this can
be a bit disconcerting.
Getting Back to a Routine
Once the first trimester is over, most women have spent a couple of months out of an
exercise routine and are hesitant to start something new or resume their past exercise
routine. I have many women show up in the beginning of their second trimester feeling
guilty and concerned that they have done nothing for 2-3 months and intimidated to start
prenatal yoga. It seems to ease their minds when I tell them that 90% of my students are
in the same boat. They come to their first class after doing virtually nothing during their
first trimester; this is entirely appropriate since the number one rule to any prenatal activi-
ty is, “If it doesn’t feel good, don’t do it!”
Start Slowly – Listen to your Body
I tell my students who have been out of an exercise routine for a while that when they
start back up they should start very slowly, start with 15 minutes once or twice a day and
see how that feels for a few days. Because their bodies have been changing over the
last few months and are changing every day, the things that felt great before they were
pregnant might not feel good at all now. A simple twist or side stretch might feel uncom-
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fortable. Every woman is different, some women might need a few weeks of building up
their exercise routine before they can do a full class, others can do a full class right away,
starting slowly and listening to their bodies.
Consult your Doctor or Midwife
The question I get over and over is, “When is the best time to start a prenatal yoga rou-
tine?” and my answer is that there is no one right way when it comes to prenatal fitness.
Every woman is different and is ready to start exercising when her body tells her it is time
as long as she has no complications with her pregnancy and has gotten the OK from
her doctor or midwife. This typically occurs at the beginning of the second trimester, but
some women can exercise during their first trimester or not start until the third trimester.
My advice is if it feels good to exercise during your first trimester, take it easy, don’t push
yourself, and consult with your doctor or midwife.
Once More…Listen to your Body
We have gotten so accustomed to “asking the experts” and getting the latest research
(which almost always contradicts the previous research) that we have lost the connection
with our own bodies. Pregnancy is a great time for a woman to reconnect with her body,
to get in touch with what feels good for her and what doesn’t, whether it be food, exer-
cise or any activity that she participates in, doing it mindfully and paying attention. Your
body has a lot to say!
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First Trimester
Precautions
1. Do not overstretch, relaxin in the body can cause instability in the joints and
connective tissue
2. Pregnant women should be able to maintain normal ujjayi breathing without
getting out of breath as they practice
3. ACOG has taken the 140 heart rate limit off of their recommendations. There is no
limit on what a pregnant woman’s heart rate should be as long as she can carry on
a conversation while exercising
4. Dehydration can cause contractions
5. Pregnant women should keep their core body temperature below 101f (38.3c)
6. ANY pose that causes discomfort should be avoided (even simple ones)
7. Move into every pose slowly and mindfully
8. Do not do prenatal vinyasa yoga for 3 days following an amnio or a CVS
9. Start practice slowly. Give students permission to only do part of the class and rest in
child’s pose often. First class have her only do 80% to see how her body responds
10. Although most yoga practices encourage not eating 2 hours before practicing,
pregnant women should have a light snack (apple or fruit, nothing hard to digest)
an hour before yoga and should stop and drink water if they are thirsty
Primipara (primip) vs. Multipara (multip)
1. Primipara is a woman pregnant with her first baby. These women typically don’t
show as soon as women with subsequent babies. They also tend to have less lig-
ament sensation overall. They might feel the baby move later than a woman who
has been pregnant and given birth before.
2. Multipara is a woman who has given birth before. These women tend to notice a
big difference in when they begin to show. Some multipara women feel as though
they are a month or two ahead of where they were with the first baby. They also
tend to have more pelvic pressure that begins earlier in pregnancy and many
more stretching and ligament sensations throughout pregnancy.
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Poses to Discontinue
1. Any pranayama with rapid breathing or breath retention e.g. kabalabhati
2. Abdominal exercises that target the repetitive overuse of the rectus abdominus
muscles such as sit-ups
3. Forward bending standing or seated
with legs together
4. Stomach lying poses will stop feeling good at some point early in pregnancy and
should be avoided when that happens
5. Most bound poses
6. Anything that doesn’t feel good!
Twins or Multiples
Women carrying twins or other multiples will be larger than those with one baby in most
cases. Second trimester modifications will likely need to be started in the first trimester
for women carrying twins or multiples.
Because of the increased use of IVF and other fertility treatments, the rate of twins has
grown substantially.
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Second Trimester
Precautions
1. Same as first trimester precautions
2. If woman has been inactive first trimester (common due to fatigue and sickness)
start up practice slowly. Give students permission to only do part of the class and
rest in child’s pose often
3. After 4 months pregnant women should avoid lying on their backs for more than
30 seconds due to constriction of the vena cava (large blood vessel that runs from
the legs to the heart.) If the vena cava is compressed by the weight of the baby it
can cut off oxygen to the woman and the baby.
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Poses to Discontinue
1. Upward dog/ cobra
2. Wheel
3. Unsupported backbends
4. Headstand/handstand and other complete inversions
5. Intense twists
6. Any back lying poses
7. New arm balances or intense poses i.e. compass
8. Stomach lying poses
9. Forward bends with legs straight (mostly)
10. Anything that doesn’t feel good!
Twins or Multiples
Women carrying twins or other multiples will be larger than those with one baby in most
cases. Third trimester modifications will likely need to be started in the second trimester
for women carrying twins or multiples.
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Third Trimester
Precautions
1. Same as first and second trimester precautions
2. Give students permission to only do part of the class and rest in child’s pose often,
women might notice more of a difference in what feels good from week to week
especially if they take long breaks between doing yoga
3. Woman might begin to feel much more movement of baby. Baby should be head
down by 36 weeks, women who feel kicking near the top of the uterus typically
have babies that are head down or vertex
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Poses to Discontinue
1. Discontinue downward dog if :
• baby is head down and the woman has large amounts of fluid
• woman has heartburn
• it stops feeling good
• woman has high blood pressure
• baby is recently moved to a head down position from a breech position
• woman has any eye condition that prohibits inversion (eg. Glaucoma)
2. Legs separate wide enough for belly to fit comfortably with forward bends
3. Some women will need to always bend knees when moving in and out of forward
bends to support their backs
4. Women with breech babies should discontinue bound angle pose/wide angle after
34-36 weeks
5. Anything that doesn’t feel good!
Twins or Multiples
Women carrying twins or other multiples will be larger than those with one baby in most
cases. Third trimester modifications might need to be further modified for women carry-
ing twins or multiples.
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Prenatal Vinyasa Yoga
Before Practicing
Pregnancy is a wonderful, transformational time. Yoga can help strengthen a woman’s
body for the enormous physical demands of childbirth. Women should not be afraid to
do moderately vigorous yoga when pregnant as long as it feels good, they have no other
complications with their pregnancy, and they are aware of the precautions and poses
which are contraindicated. Pregnant women should practice yoga with an instructor who
is knowledgeable in these precautions and experienced in prenatal yoga.
It is important to have a strong body, an ability to attain relaxation and a connection with
the breath in preparation for pregnancy, labor and motherhood. Bringing the practice of
yoga into a woman’s pregnancy will help accomplish these things as well as encouraging
peace and harmony in her life.
Many yoga poses can be modified for the pregnant woman. Women will want to separate
their legs when doing any forward bending leaving enough room for their belly to easily
fit between their legs. Women should avoid lying on their belly throughout pregnancy
(this will be very uncomfortable anyway).
With the appropriate modifications yoga can be practiced right up to labor and delivery.
Yoga can be started anytime in pregnancy, even in the last month as long as the woman
listens to her body, only does poses that feel good, and practices with someone knowl-
edgeable in prenatal yoga.
Women should be cautioned ahead of time that if they feel any pain in their back, knees
or abdominal area they should come out of the pose they are in. Also if they feel men-
strual-like cramping at any time, they should stop and rest.
Typically before doing yoga it is best to abstain from eating for at least 2 hours. When a
woman is pregnant that might not be possible. Since the stomach has less room and the
woman is “eating for two,” she may need to have a light snack or a juice or smoothie an
hour before practicing.
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Common Questions
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Dolphin Method Formula for assessing a yoga pose for pregnant women
2. Abdominal Muscles What is the effect of the pose on the abdominal muscles?
When a woman is pregnant the abdominal muscles separate to accommodate the
growing uterus. This separation is normal but we don’t want to accentuate it making
the gap bigger than it needs to be because that can possibly compromise the healing
process, making it more difficult for the muscles to come back together postnatally.
3. Relaxin What kind of stress or load does the pose put on the joints?
The hormone Relaxin lubricates all of the joints and connective tissue in the body. We
need to be mindful of having women in poses where there could be too much stress
or pulling on the joints because of the potential instability this can cause.
5. Stability How stable is the pelvis, specifically the sacrum & pubic symphysis?
Because of the increase in relaxin, the pelvis, which is typically very stable, has more
mobility in pregnancy and the postpartum period. This makes the pelvic area more
susceptible to instability issues.
6. Individual assessment
• Could the woman do the pose pre-pregnancy?
• Does it feel good?
• What fitness level does she have?
• Stability
• Flexibility
• Injury (past or present)
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Dolphin Method Formula for assessing a yoga pose for pregnant women
2. Abdominal Muscles What is the effect of the pose on the abdominal muscles?
3. Relaxin What kind of stress or load does the pose put on the joints?
5. Stability How stable is the pelvis, specifically the sacrum & pubic symphysis?
6. Individual assessment
• Could the woman do the pose pre-pregnancy?
• Does it feel good?
• What fitness level does she have?
• Stability
• Flexibility
• Injury (past or present)
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Prenatal Vinyasa Yoga - Asanas & Flow
In this section we will cover the standard Prenatal Vinyasa Yoga asanas and flow. Keep in
mind that every pregnant body is different and these modifications are simply guidelines, a
pregnant woman needs to listen to her body first and foremost. Some poses might not be
appropriate for everyone, encourage students to further modify if they are uncomfortable.
Seated hand on heart
This is a nice way to begin a prenatal class, having women tune into their bodies before
any movement occurs allows them to come from a place of quiet mindfulness and helps
them move with awareness of their body and their baby in the moment. It also allows you
to remind them that every day in pregnancy is different and different things feel good,
different energy levels exist, and it’s fine to rest whenever they need to.
Have every woman start her yoga practice with intention and attention. It is difficult to
stay present and aware of what the body is feeling if a woman is thinking about her life
off the yoga mat while practicing yoga. This aspect of yoga is very important to focus on
with pregnant women. First time moms, especially, are bombarded with thoughts of their
changing lives and can find it difficult to stay in the present. Setting an intention at the
beginning of class to continually bring their focus back to the yoga mat and release all
responsibilities and thoughts of the future will allow women to have the opportunity to
pay attention to their bodies.
The easiest way to avoid injury is to pay attention to the subtle signals the body provides
during yoga practice. This means moving into poses and acknowledging that each day
poses might feel a little different. As the baby grows the woman’s center of gravity shifts,
these shifts make subtle differences in muscle tension to stabilize the body. Even small
shifts in the center of gravity can have an impact on the way a pose feels and the wom-
an’s comfort level.
• Take a couple of deep breaths
• Check in with your body
• Respect where your body is today, remember that
your body is your baby’s home until they are born so
be nice to it
• Allow for days when your body needs more rest or a
more gentle practice
• Most of all listen to the signs your body gives you
• If you have discomfort or pain, back off and rest
• Always listen to your breath
• You should be able to breathe slow and deep in and out through your nose
• If your breath becomes uneven or labored pull back the intensity of your
practice until it evens out
• Head rolls or body spirals can be included in this pose
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Other variations in the seated position
Hands in prayer, interlace fingers reach up, hands behind back lift chest
• Bringing the arms above the head elongates the spine and creates space
between the top of the fundus (uterus) and the stomach that helps reduce
heartburn and increases lung capacity. This sequence also reduces upper back
pain caused from the center of gravity shifting forward.
Side stretch
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Seated hand on heart
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Cat/Cow (Marjaryasana/Bitilasana)
Hands and knees position. Make sure the hands are directly under the shoulders and
rock the pelvis back and forth. On the inhalation spine straightens out, head is lifted and
gaze is between the eyebrows. On the exhalation press hands into the mat and round
the back tucking the tailbone under.
• This is a pose that should be done every day
• If your baby is in an uncomfortable position, the rocking of the pelvis will help to
turn your baby into a position which is more comfortable for you
• This also can help to turn your baby in labor into a position which is more
comfortable for you and more conducive for baby to be birthed
• Modifications for Carpal Tunnel can include the use of a wedge, using the fists
instead of open palms, or elbows on the ground instead of palms.
• Extending the opposite arm and leg will help stabilize the pelvis and is a safe way
to tone the abdominal and pelvic floor muscles
• If having both the leg and arm off the ground is too much, try the variation below,
back leg extended but foot on the ground
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Cat/Cow (Marjaryasana/Bitilasana)
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Child’s Pose (Balasana)
Knees wide apart, sit down on heels, and stretch arms out in front with forehead on the
ground. (Late in the third trimester a pillow can be placed under the head.)
• Use this pose as a resting and pelvic opening pose. This may or may not feel good
during labor because it puts a lot of pressure on the perineum, but may feel good
in between contractions as resting position alternating with the cat pose.
• The center of the forehead has a pressure point which induces relaxation
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Child’s Pose (Balasana)
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Downward Facing Dog (Adho Mukha Svanasana)
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Downward Facing Dog (Adho Mukha Svanasana)
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Cat Twist (Cat one leg up opposite arm, arm down cross leg in back)
• Starting in Cat make sure hands are under the shoulders and the knees are
directly lined up with the hips
• One leg back, opposite arm forward
• Gaze is down neck is long
• Shoulders away from your ears
• Hips are squared to the floor
• Create a straight line from the fin-
gertips of your _ hand to the toes
of your _foot
• Arm comes down
• Leg crosses over to the opposite side
of you mat
• Curl the toes under and press the
heels back
• Inhale pivot back foot flat on the
ground pressing the outside side of
your back foot down
• Raise opposite arm up
• Open the chest as you inhale
reaching up
• Exhale release arm down
• Inhale leg up
• Exhale knee down & round the back
• Other side
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Cat Twist (Cat one leg up opposite arm, arm down cross leg in back)
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Prenatal Chaturanga
Version 1
• Hands directly under shoulders (instructor look from above)
• Chest comes forward to free the shoulders
• Exhale and bend at the elbows either just a few inches (6cm) or until shoulders are
in line with the elbows
• Forearms perpendicular to the ground as much as possible
• Elbows stay close to the body
• Inhale press straight back up
Version 2
• Hands directly under shoulders
• Exhale arms stay straight as you bring hips back toward heels without touching
• Inhale and scoop the chest forward bending at the elbows
• Elbows stay off the ground and against your body
• Don’t let shoulders dip below the elbows
• Press straight up when the chest reaches the center of the hands
• Complete the circle you are making with your torso by moving into downward dog
Version 1
Version 2
Incorrect Prenatal
Chaturanga
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Prenatal Chaturanga
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Prenatal Vinyasa Soft Form A
1. Inhale reach up, exhale forward fold
2. Inhale, lengthen the spine
3. Exhale, bring the left foot back and knee down
4. Inhale and reach the arms up - one hand can come to thigh if needed
5. Exhale and lunge forward
• Make sure knee doesn’t go past the toes and the front foot stays flat on the floor
• Make sure the lunge isn’t too deep by hugging baby into the spine during exhalation
6. Inhale lengthen up
7. Exhale release hands back to the inside of the right foot
8. Bring right knee back to the floor
9. Child’s pose
10. Curl toes under and move into downward dog for 1 to 3 breaths
11. Exhale release knees down back to all fours
12. Bring the thumbs together with the fingers spread out wide- hands come forward slightly and
can be on a block or on the ground
13. Bring the left foot to the outside of the left hand
14. Inhale and reach the arms up - one hand can come to thigh if needed
15. Exhale and lunge forward
• Make sure knee doesn’t go past the toes and the front foot stays flat on the floor
• Make sure the lunge isn’t too deep by hugging baby into the spine during exhalation
16. Inhale lengthen up
17. Exhale release hands back to the inside of the left foot
18. Step right foot forward
19. Inhale lengthen spine
20. Exhale forward fold
21. Inhale bend knees and sweep arms out to the side as you come to standing
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Prenatal Vinyasa Soft Form A
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Prenatal Vinyasa Soft Form B
1. Starting in chair pose
2. Lengthen to standing
3. Forward fold with knees bent and arms out to the side
4. Hands between feet or between feet on a block
5. Bring the left foot back and knee down
6. Inhale and reach the arms up - one hand can come to thigh if needed
7. Exhale and lunge forward
• Make sure knee doesn’t go past the toes and the front foot stays flat on the floor
• Make sure the lunge isn’t too deep by hugging baby into the spine during exhalation
8. Right elbow on right thigh left arm reaches up then open to the back of the room
9. Inhale lengthen both arms up
10. Exhale release hands back to the inside of the right foot
11. Bring right knee back to the floor
12. Child’s pose
13. Curl toes under and move into downward dog for 1 to 3 breaths
14. Exhale release knees down back to all fours
15. Bring the thumbs together with the fingers spread out wide- hands come forward slightly and
can be on a block or on the ground
16. Bring the left foot to the outside of the left hand
17. Inhale and reach the arms up - one hand can come to thigh if needed
18. Exhale and lunge forward
• Make sure knee doesn’t go past the toes and the front foot stays flat on the floor
• Make sure the lunge isn’t too deep by hugging baby into the spine during exhalation
19. Left elbow on left thigh right arm reaches up then open to the back of the room
20. Inhale lengthen both arms up
21. Exhale release hands back to the inside of the left foot
22. Step right foot forward
23. Inhale lengthen spine
24. Exhale forward fold
25. Inhale bend knees deeply moving into chair pose
26. Exhale
27. Inhale to standing
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Prenatal Vinyasa Soft Form B
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A note about Lunges
The main concern with lunges is the woman overstretching and creating instability or pain
in the hip, sacrum, and abdominal areas. The other caution is that as the baby grows and
gets heavier the weight on the knees needs to be monitored. It is important to exhale
when lunging forward, this will engage the transverse abdominals and help to protect the
abdominal muscles as well as the lower back and hips from excess strain.
Forward bending variations include knees bent, especially if lower back pain is present,
hands can rest on the ground, shins or thighs. Always keep head lifted so that the heart
space stays open and sternum area doesn’t get compressed.
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Warriors I, II, Reverse (Virabhadrasana)
• Warrior I
• Prenatal warrior I pose is almost identical to non-pregnant warrior I pose, the
main difference is foot placement. When a woman is pregnant her hips spread;
this is made possible by the Relaxin in her body and is necessary to accommo-
date the baby. Because the hips are wider, she will need to have the feet farther
apart in order to square her hips to the front. Normally, the front foot is lined
up with the back arch of the back foot; prenatally, the heels are lined up (the
stance might need to be further widened as she progresses into third trimester.)
• Warrior II
• Prenatal warrior II pose is identical to non-pregnant warrior II
• Reverse Warrior
• In prenatal reverse warrior pose the raised arm is reaching for the ceiling instead
of the back wall. This will be more comfortable in the third trimester. First and
second trimester can do traditional reverse warrior as long as it feels good.
• Side angle is done with the elbow on the thigh, this can be modified further by
using the hand on the thigh instead of the elbow if needed.
Triangle (Trikonasa)
The Triangle is one of the poses that typically feel very good in pregnancy because it
helps relieve backache, which is a common discomfort in pregnancy. It also aides in diges-
tion, is a great stress reliever and strengthens the spine, calves, hamstrings, hips, chest,
and groin.
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Warriors I, II, Reverse (Virabhadrasana)
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Triangle (Trikonasa)
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Plank & Dolphin Poses
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Plank & Dolphin Poses
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Tree (Vrksasana)
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Half Moon Pose (Ardha Chandrasana)
This pose is one where props can be very helpful. In the first trimester and even second
trimester for those with a strong practice, a wall and block are not necessary but might
feel really good. This pose is wonderful for most women in the last few weeks of preg-
nancy. It rests one side of the uterus at a time giving the ligaments a rest. Most multip
women love this pose near the end of their pregnancies.
• Place a block parallel to the wall (6 inches (12-
15cm) away)
• Place the right foot 6 inches (12-15cm) in back of
the block also 6 inches (12-15cm) from the wall
and parallel to it
• Place the right hand on the block as you bend the
right knee
• As you straighten the right leg lift the left leg up
so it is parallel to the ground and against the wall
• Flex the left foot
• Begin to roll against the wall so both shoulders
and both hips are touching the wall
• Reach up with the left arm and feel the chest opening
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Half Moon Pose (Ardha Chandrasana)
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Bound Angle* (Baddha Konasana) &
Seated wide leg pose (Upavistha Konasana)
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Seated Head-to-Knee Forward Fold (Janu Sirsasana)
This pose is said to be good for regulating blood sugar levels. The front leg needs to be
slightly out to the side so the belly stays to the inside of the extended leg. Each trimester
the leg moves a little further to accommodate the belly. Shoulders should remain squared
to the ground!
Pigeon Pose
(Eka Pada
Rajakapotasana)
• This is one
of the best
poses for
pregnant
women to do. It helps with sciatica (a
major complaint in pregnant women),
opens the hips, releases tension in the
lower back and stretches the groin and
psoas muscles. A pillow can be placed
under the hip of the forward leg if
needed to ensure the hips are squared
to the floor.
• I have found that many pregnant
women experience leg cramps.
There are many theories as to why
these occur frequently in pregnancy.
Some people believe there is either
a potassium or calcium deficiency. I
have noticed a correlation between leg
cramps and sciatica (the sciatic nerve
is the longest and widest nerve in the
body and runs from the lower back
through the buttocks and down the
leg all the way to the heel,) therefore I
recommend doing pigeon before bed
and throughout the day when women
are experiencing leg cramps.
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Seated Head-to-Knee Forward Fold (Janu Sirsasana)
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Pigeon Pose (Eka Pada Rajakapotasana)
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Squats (Malasana)** & Pelvic floor exercises
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Squats (Malasana)
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Hip Circles
Hip circles are a great way to round out your standing sequences. I like to include them
after squats to help relax the hips and aid in relaxation. They can be very effective in
helping women to connect with the rhythm in her body and keep her jaw and pelvis
relaxed and open. I believe belly dancing and hula were both invented for childbirth, they
are a great practice for labor and will be much more accessible to her if she has prac-
ticed them often.
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Hip Circles
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Goddess
Goddess pose is a nice leg strengthening pose, it can be used as well to help connect
with the pelvic floor bringing attention to the pelvic floor while cuing the breath. Give
the option to move in and out of it if holding for an extended period of time. Coming up
on the toes can be counter indicated if she is having issues with leg cramps. Variations
include sun breaths in Goddess and Eagle arms in Goddess.
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Goddess
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Wall Squats/Thigh squeeze
Wall squats are a great way to prepare women to identify sensations in their bodies to
help her realize her strength. Use a timer and have her hold the wall squat for one minute
(this is the average length of a contraction) while squeezing a block between her thighs
or knees. Make sure her knees are directly above her ankles when she is in the wall
swat. Keep a neutral spine position. For more information on wall squats see the section
“Beyond Yoga Asana ~ Yoga and Relaxation Techniques for Childbirth”
Wall squats can also be used if a woman is having mild pubic bone pain. Squeezing a
block between the knees or thighs engages the adductors and can release tension in the
pubic bone area. NOTE: If she is having ANY pubic bone area pain she needs to get it
assessed by a doctor or physical therapist to make sure she is cleared to practice yoga.
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Wall Squats/Thigh squeeze
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Side-Reclining Leg Lift (Anantasana)
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Side-Reclining Leg Lift (Anantasana)
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Happy Baby Pose (Ananda Balasana)
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Inversions - Legs-Up-the-Wall Pose (Viparita Karani)
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Partner Poses
Shoulder Stretch
How to do it:
Stand with your legs as wide as you can comfortably and face your partner. With your
palms facing the floor and your partner’s palms facing the ceiling hold firmly to each
other’s wrists. Once you have a firm grip have your partner bring one foot in front of the
other and bend their knees staying upright as you bend forward at the waist. When you
feel secure, lean back away from your partner and feel the stretch in your shoulders. If
you are feeling more of the stretch in the hamstrings bend your knees slightly, it is more
important to feel this in your shoulders and upper back.
NOTE: if you don’t have a partner to do this with you can hold on to the back of a sofa or
heavy chair that won’t move when you lean back.
Benefits:
• Stretches and lengthens upper back and shoulders
• Great to do during labor to release tight muscles and lengthen the spine in
between contractions
• Supported forward bend takes the weight of the baby off the spine while
lengthening and elongating it
• One of the best poses to do daily pre and post pregnancy!
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Partner Chest Heart Opening
How to do it:
Kneel on a mat with your hips on your heels. Place your interlaced fingers behind your
head with your elbows out to the sides. Your partner stands behind you sideways with
their leg or hip pressing forward along the spine as they reach in front of your arms and
hold onto the biceps area. They gently lift the arms up and back as they stabilize your
body with their leg or hip.
NOTE: As with every pose, this should not hurt, it actually should feel really good espe-
cially for nursing moms.
Benefits:
• Relief from heartburn
• Takes stress and tension out of the lower back
• Opens the chest and heart space
• Relieves upper back and shoulder tension
• Improves posture
• GREAT pose for postnatal and nursing moms
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Partner Twists
How to do it:
Sit down cross-legged knee to knee with your partner. Both of you bring your hands into
prayer position and keeping the hands in front of your heart twist to the right. You should
now be facing opposite directions. Both bring your right arms behind your back. Take
your left hand and reach for your partner’s right knee. As you inhale lengthen your spine
all the way from the base of the spine to the top of the head and when you exhale gently
twist, looking over your right shoulder. Repeat 3 breaths then switch sides. Use the mod-
ified version if the twist is too intense or in 3rd trimester.
NOTE: Twists usually feel good but there are times when one side or both don’t feel
good because of the position of the baby. DO NOT do twists or any other pose, if they
don’t feel good.
Benefits:
• Helps maintain spinal mobility
• Relieves spinal tension
• Opens chest and heart space
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Partner Child’s Pose with Massage
How to do it:
Move into child’s pose with the arms outstretched. Your partner puts one foot between
your hands so the arms are straight, the other foot steps back and both knees are slightly
bent. Interlace your fingers around the heel of your partner; your partner will then move
the bound foot away from you another inch stretching your shoulders. The partner then
steps the non-bound foot to one side of you and places his/her hands on your lower back
to either side of the tailbone. Partner then walks the hands up the spine making sure nev-
er to press directly on the spine; he/she then walks hands back down.
Benefits:
• Relief from back tension
• Encourages relaxation
• Hip opening
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Supta baddha konasana with a bolster
How to do it:
Sit in front of a bolster in Bound Angle Pose, sitting with the soles of the feet together
and the knees relaxing out to the sides. Gently recline back over the bolster and reach
the arms over the head. Partner is standing behind the bolster with the legs apart hip
width. Grab each other’s wrists (make sure your hands face the ceiling and your part-
ners hands are facing the floor). Your partner will slowly move into a squat and lean back
lengthening your spine and gently stretching the abdominal muscles.
Benefits:
• Stretches and lengthens upper back and shoulders
• Groin and Hip opener
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Partner Ball
How to do it:
Sit in Baddha konasana, feet together and knees out. Make sure the ball is touching the
lower back. Raise arms up and interlace the fingers. Lift from the lower spine lengthening
the back as you lean back against the ball. Stay here or have the partner reach for the
interlaced hands and gently lift up and pull forward to gently increase the stretch.
Benefits:
• Relief from heartburn
• Takes stress and tension out of the lower back
• Opens the chest and heart space
• Relieves upper back and shoulder tension
• Improves posture
• Stretches and lengthens upper back and shoulders
• Groin and Hip opener
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Partner Squats
How to do it:
Face each other and turn both feet slightly out. Grab opposite wrists. Slowly move into a
squat and lean back. Relax here.
Benefits:
• Prepares the body for childbirth
• Opens the pelvic outlet 30 % more than lying on the back with legs open
• Gets the body used to squatting so it can be utilized in labor and pushing where it
can shorten the pushing stage and shorten the depth of the birth canal
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Partner Massage and Birth Poses
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Partner Hip Squeeze
How to do it:
Pregnant woman is on her hands and knees; either in the Cat pose (hands on the ground
directly under her shoulders) or she can be on her knees leaning over a birth ball. Partner
stands behind woman and squeezes the hips with their knees. At the same time pressing
fists on either side of the sacrum.
Benefits:
• Helps open up the pelvis to allow for head rotation
• Alleviates back labor
• Allows gravity to help the baby’s back move towards the mom’s front encouraging
OA position which is most optimal for birthing
• Great for times when woman is fatigued and laying down doesn’t feel good
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***Pelvic Floor Release
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How to do it:
You need a surface that is as long as the mother. The surface is usually a firm couch
or bed, but can be a heavy, strong table or counter. A hospital bed works wonderfully,
during labor in the hospital. The mother lays on the surface, on her side. She must do this
on both sides no matter what or she may make her pelvic floor more uneven.
1. The woman lies on her side close to the edge of a couch. She lays her head on
her lower arm.
2. Her helper stands in front of her with her pregnant belly between the helper’s thighs.
3. The helper curves both her palms around the edge of the mother’s anterior (front
and top) hip. The helper presses down a bit, not much, but firmly. The helper is
going to prevent the mother’s hip from leaning forward when the mother does the
next step.
4. With the helper in place, the mother scoots her hip right up to the very edge of the
couch. Right on the edge, so that tipping forward would make her fall off. Don’t let
her tip forward!
5. The mother straightens her lower leg. Her lower foot is flexed up, not pointed toes.
6. Keep her top shoulder over her lower shoulder. (A second helper is useful to hold
her top shoulder and give comforting words and eye contact.) The top hip stays
over the lower hip, this is important.
7. Here’s the point of the Side-lying Release. Her top leg hangs forward and into the air.
Let the full weight of the top leg hang. Keep the lower leg straight. The helper has
to shift her weight away from the mother’s thigh so the thigh can hang freely. She
breathes deeply and slowly. Her belly is relaxed.
8. Her leg hangs like this for 1-2 minutes when the side-lying release is done in late
pregnancy. Let the leg hang like this through 3 contractions when doing this in
labor. This is what stretches the pelvic floor.
9. Repeat on the other side immediately.
Repeat for just as long, 1-2 minutes in
pregnancy and through 3 contractions during labor.
***Used with permission from Spinning Babies and Maternity House Publishing;
visit www.spinningbabies.com for more information and helpful techniques
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Rebozo Sifting
How to do it:
Place a woven blanket or rebozo under woman’s belly (like a hammock) while she is in a
hands and knees position or on her knees resting over a birth ball. Partner stands above
her and holds each side of the rebozo and gently lifts and shifts the rebozo back and
forth a couple of inches. This should feel really good to the woman. Speed of the shifting
can increase if comfortable. This technique can be done for a couple minutes at a time in
labor or in pregnancy.
Benefits:
• Relaxes the ligaments of the uterus, especially the broad ligament
• Relaxes mother
• Can speed up labor
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Partner Massage
How to do it:
Use the knuckles, relax the hand and use your body weight to massage in circles by
twisting the hands while pressing down to the outside of the SI joints.
Benefits:
• Helps alleviate back labor
• Allows gravity to help the baby’s back move towards the mom’s front encouraging
OA position which is most optimal for birthing
• Allows woman to focus on positive sensations during contractions
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Partner Massage
How to do it:
Partner sits in a cross or open leg position and places pillows over their lap. Woman
moves into child’s pose and brings her arms around the partner’s waist laying her head
down on the pillows. The partner massages her back from this position.
Benefits:
• Relief from back tension
• Encourages relaxation
• Hip opening
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Pressure Points
How to do it:
Place medium pressure at each point for a few minutes before moving to the next. Only
do these points during labor or after the EDD (estimated due date).
Benefits:
• Labor Induction
• Labor augmentation
• Point between the first and second toe is also effective in reducing the shaking
that can occur in transition or post birth
• Outside of the pinky toe (not shown here) is helpful for turning breech babies
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Sleeping Positions
How to do it:
Use pillows to prop the top leg and support the belly in each sleeping position below.
Great for women who are experiencing hip pain from sleeping on their sides.
Front: note the arm is all the way behind the body so that the woman is not laying on
it. This pose is great for stomach sleepers or those who are experiencing hip pain from
sleeping on their side.
Front: note woman is lying mostly on her back, off of the hipbone but tilted at enough of
an angle not to compress the Vena Cava. This pose is great for back sleepers or those
who are experiencing hip pain from sleeping on their side.
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Spinning Babies
3 Principles in Pregnancy
Balance, Gravity and Movement will help you prepare for, and progress through, child-
birth. Begin these activities in early pregnancy, before pregnancy, or as soon as you can.
Your posture and movements can influence the womb’s balance and that is the key influ-
ence in baby’s position.
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In the last month of pregnancy, the growing baby slides lower in the softening womb.
Baby’s weight bends baby’s neck as the back settles lower. This tucks the baby’s chin.
Help your baby tuck his or her chin by relaxing the pelvic area and keeping it flexible.
Pelvic Tilt
Do about 20-40 pelvic rocking movements each time, 1 or 2 times a day. If you do them
while baby is active, there may be more benefit to fetal position improvement. But start
early, in the first trimester! Do the pelvic tilts after doing the maternal Inversion exercise.
Do pelvic rocking any time when your lower back is achy. The movement of your lower
back releases strain there. The pelvic tilt is a good comfort measure.
Throughout pregnancy movement and exercise helps improve muscle tone to help with
engagement and helps the pelvic joints stretch and relax, which will help descent once
labor begins. In labor, movement helps the baby descend through the pelvis. Swaying in
great circles while sitting on a birthing ball is one way to help the head slip into the pelvis.
The pelvic floor is a “bowl” of muscles holding up the lower abdominal organs. The
pelvic floor has an opening that allows the baby to descend (come down) through in
labor. Innocent habits of modern life can make the pelvic floor tight or twisted, things like
driving a car or crossing our legs. Sports accidents or falls on either the head or the bum
are suspect, too. Tension or torsion in the pelvic floor lengthens labor. An asymmetry
(uneven) in the pelvic floor can make the baby’s head tip causing an asynclitism (tipped
head) that makes labor longer and increases the chance of cesarean or vacuum
(ventouse). The Side-lying Release (also called the pelvic floor release) can help labor
progress in the presence of a posterior, brow or asynclitic fetal presentation.
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Beyond Yoga Asana ~ Yoga and Relaxation
Techniques for Childbirth
She knows the time is nearing, she can sense that these twinges of pain are different from
the ones she has experienced over the last few months. With every sensation she concen-
trates, waiting for the moment she will begin to experience “it”. She knows “it’s” coming,
she knows she can’t stop “it”. She returns to thoughts of what comes after, momentarily
comforted by the thoughts until another twinge, this one doubles her over for a moment,
pain stretching like fingers from her lower abdomen down into her thighs. She braces her-
self for more, she has heard so much about “it”, she’s terrified of “it” and wants to avoid ‘It”
at all costs…”it”…this unknown predator that is stalking her, the one she knows she cannot
outrun, she knows she cannot elude. She can fight it, yes, but the futility of that makes
fighting a fleeting thought. No, she needs to find a way to cope, to get through it, to make
it to the other side where she can hold the baby that is the end result.
This, unfortunately, is how many women experience childbirth. They feel like victims
to this event that must happen TO them in order for them to have a baby. This feeling
makes labor into an outside force that a woman has no power over, that she is at the
mercy of, she begs “it” to stop, for someone to free her from “it”. Her logical mind knows
that labor is a natural process, the culmination of months of growing her beautiful child
inside of her, but fear is a strong motivator and irrational processor and has the ability to
turn what could be a magical, beautiful experience into a nightmarish event.
So what makes the difference? How can some people have the experience described
above while others experience bliss and joy from the same event?
It is important to know that labor is not some“thing” that happens TO you. If you are in
this mind set you are a victim to every sensation happening in your body. Many women
get caught in this mentality before and during childbirth and then throw themselves into
the Fear-Tension-Pain cycle. The woman starts to feel a sensation in her body, she tens-
es up and that sensation is automatically felt as pain so she becomes more afraid, her
body tenses up more, the pain increases and she gets MORE afraid, followed by MORE
tension and this is why women scream in labor. So fear is absolutely one of the reasons
that women experience childbirth as a trauma or negative experience, but fear is only the
result of a conditioned way of thinking that is the real culprit. Women are taught by our
society to be afraid of childbirth that it is the most painful thing that ever happens to you.
This is reinforced by the media AND many in the medical community.
Redefining “Pain”
When women learn to connect to their own bodies and the processes in their bodies as
well as connecting to the baby inside of them they are able to redefine the sensations
they are feeling and completely change their experience. A woman who is connected to
her body understands the energy she is feeling during childbirth is a powerful and
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dynamic force that she is creating
from deep within herself so that she
can birth her baby. There is no outside
force exerting pain upon her, even
when labor is augmented it is her own
body, her own self creating an incred-
ible amount of energy to give birth, to
assist her baby into the world. Women
have the ability to tap into this force
and work with it instead of fighting
against it. Redefining sensations is
only the beginning; women must learn
to communicate with their bodies in a
different way. They must first LISTEN
to their bodies and learn how to follow
and interpret the signals they receive.
Being aware of this need for connec-
tion is not enough, however, to make it
happen.
It takes practice. It is like learning another language, one you are vaguely familiar with,
and you can pick out only a few words at first but the more you immerse yourself in the
language the more fluent you become. Practicing this can take different forms for differ-
ent people. Yoga is a fantastic way to learn to communicate with your body on a deep-
er level, connecting your breath to your movements and observing the way your body
responds to different poses or positions can be invaluable. Making these practices part
of your everyday life and bringing awareness into every sensation in your body is very
helpful. We tend to only focus on the sensations we feel that we don’t like or are uncom-
fortable for us, to get us back to a state of “normal”. We don’t walk around thinking about
how comfortable our neck feels but when it hurts it absolutely gets our attention.
So what can the beginning of childbirth feel like to someone who is connected to her
body and not caught in the fear-tension-pain cycle?
She feels a twinge and takes a deep breath, as she exhales she feels her body begin to
rock back and forth, slowly as though she were under water being guided by the current
of the ocean. She knows she is instigating this movement but it feels so natural that she
can’t imagine not moving. She knows this is her body getting ready to birth her baby she
closes her eyes and brings her attention inward. As she feels another wave beginning to
build she instinctively begins to move again, allowing the force of the wave to build and
breathing with it to assist it in its work. As the wave starts to release she experiences an
expanding relief and rush of what can only be described as bliss. She rides this blissful
wave into a deep state of relaxation. As the waves get stronger she stays present in the
moment, she breathes in strength and breathes out tension, she imagines she can see
her baby moving down and her body opening up.
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Here are some things you can practice to increase your connection with your body and
help you become fluent in its language:
1. Observe yourself for one minute while eating a meal. Notice how the flavors in your
mouth mix together and how your body responds to different flavors and textures.
2. Take a walk and starting at your feet notice the sensations of your feet touching the
ground, the rhythm of your steps, the feeling of the air on your skin and in your hair,
focus on your breath and how it propels you forward. Exhale and feel your body re-
lax. Notice how it feels after a block or two to have the muscles in your legs working,
it can feel so good to use your muscles. After a few blocks stop and lean against a
tree or just stand or sit still and close your eyes, connect with your heart pumping
blood to every part of your body. Connect to your breath moving oxygen, feeding
your body. Take a sip of water and enjoy the thirst being quenched.
3. Take a piece of ice and hold it in your hand. Without using the word “pain” analyze
the sensations you are experiencing, notice them as if they were new and interest-
ing, resist the temptation to put the ice down and instead take a few deep breaths
and see how relaxing as you exhale changes the sensations you are feeling.
4. Lean against the wall with your feet 2 feet away from the wall. Bring your arms up
so they are parallel to the ground. Relax the shoulders and slide your back down
the wall until your thighs are parallel to the ground and hold this position for three
breaths. Each breath emphasize the exhale by relaxing another part of your body
that does not need to be tense. Now take 3 more breaths before coming out of
the pose.
Practicing these things once or twice is a good start but anything that you actually make
part of your life on a permanent basis takes practice (think about riding a bike) so you
must first make these practices part of your life before they will help in childbirth.
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Notes
Postnatal Vinyasa Yoga
Postnatal Precautions
Yoga is a great way to help your body and mind heal from the physical and mental stress-
es of childbirth. Just as every woman has different needs while pregnant and uses dif-
ferent prenatal yoga modifications based on her own body’s needs, recovery from child-
birth is a very individual thing as well. Women recover from childbirth at different rates
depending on their labor experience, length of pushing, trauma to the perineum, physical
condition before childbirth and type of birth (vaginal or cesarean).
Returning to Yoga
Here are some guidelines for practicing yoga after giving birth.
• Only gentle stretching should be done until there is a substantial decrease in
bleeding. (Usually about 2 to 4 weeks postpartum after a vaginal delivery)
• If bleeding increases with activity, the woman should decrease intensity
• If a woman has diastasis recti (see following pages for more information), she
should consult a health care provider and avoid poses that will make it worse
• She should start off doing five to fifteen minutes a day and gradually build up her practice
• If a woman has had a cesarean birth additional consideration should be taken.
Here are some guidelines for yoga after a cesarean birth:
• It is best to abstain from all but gentle stretching until 6 to 8 weeks after cesarean.
• Poses that stretch the area of the incision should be avoided until incision is
healed. (i.e., backbends)
• As with all prenatal and postnatal yoga if a pose doesn’t feel good, it should be avoided.
• The woman should remember that although cesareans are a type of birthing,
they are still major abdominal surgery and the body’s healing process should
be observed and respected.
• Full inversions should be avoided while the postpartum woman is still bleeding.
They may be resumed after 3 months and/or when cleared by her doctor or
midwife.
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Pelvic Floor Exercises
Pelvic floor exercises are important exercises to strengthen and tone the pelvic floor and
prevent prolapse of the organs of the lesser pelvis, and are often done improperly. Here
are some reasons people have trouble doing Pelvic floor exercises and some techniques
that will help to isolate the proper muscles.
There are many muscles surrounding the pelvic floor muscles that support the organs
of the lesser pelvis. It is sometimes difficult to tell which muscles are being used when
trying to engage the pelvic floor muscles.
The Puborectalis, Pubococcygeus, and Iliococcygeus muscles make up the Levator Ani
and, along with the Coccygeus muscle and the superficial perineal muscles, are very
important in holding up the lower internal organs. In order to isolate these muscles which
run all the way from the pubis to the coccyx and laterally between the two ischial
tuberosities, it is important to identify the muscles surrounding these areas.
The muscles that can be confused with the pelvic floor muscles are:
• The Adductors: These muscles run from the pubis to the inner femur and are used
in closing the legs. These muscles are close to the pelvic floor up near the pubis.
Moving into a squat position stretches these muscles and gets them out of the way.
• Gluteal Muscles: These are a large group of muscles, the gluteus maximus has
similar insertion points in the back, near the sacrum and coccyx as the pelvic floor
muscles and therefore can be confused with the pelvic floor muscles. The gluteal
muscles are pivotal in stabilizing the SI joints.
• Lower abdominal muscles: These can sometimes get confused with the pelvic
floor as well since the low fibers are close to the anterior perineal muscles.
• The Deep hip muscles: The muscles such as the Piriformis and the Obturator
internus and externus muscles are also sometimes confused with the pelvic floor
muscles because of their close proximity.
Most of these muscles are bigger and we are more used to using them on a daily basis
so we are more familiar with the feeling of having them engaged and therefore tend to
engage them instead of the pelvic floor. Isolating these muscles first and engaging them
can help determine what it feels like to use them, thereby allowing them to be avoided
during pelvic floor exercises.
Because there are several layers of the pelvic floor, pelvic floor exercises can be done
in stages by imagining lifting the superficial muscles first, then, as though going up an
elevator, lifting the deep muscles. To release them, first release the deep muscles, then
release the superficial ones.
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Poses for the Postnatal Woman
Remember that women have relaxin in their bodies until about 5 months postpartum if
they are not breastfeeding. If they ARE breast feeding, the relaxin stays in the body until
weeks after she weans her baby so all of these poses must still be modified in the same
ways we modified pregnancy poses, being careful not to overstretch or over twist.
Before 3 months:
Get back on your mat
Help to ground and center her by having her just sit on her mat in what ever position is
most comfortable.
For all the months that she was pregnant, she was likely sending positive energy and
love into the place in her body where the baby was living. After giving birth, all of that
love and attention becomes focused on the baby outside of her body and it can feel
like there is an emptiness or loss in the place where the baby lived.
Help her heal energetically and emotionally before practicing any asana, by having her
reconnect to her body, sending love and energy to the place that was her baby’s home
for all those months.
Cat/Cow
Getting reacquainted with the ujjayi breath here is important. This pose counters and
balances out all of the prone positioning taken after a baby is born. Make sure she
doesn’t over sway the back in cow.
Child’s pose
This pose is great to do postpartum as long as her perineum is healed from any tearing
or episiotomy. If she has had a cesarean she will need to wait longer to do child’s pose
as it can feel uncomfortable in the area of the incision.
Pelvic floor exercises
Pelvic floor exercises strengthen the pelvic floor muscles and help with incontinence.
It
is very common for postnatal women to have a small amount of incontinence after giv-
ing birth. Practicing exercises, like Pelvic floor exercises, that strengthen the pelvic floor
are really helpful. She also may experience trapped air in the vagina, especially after
doing forward folds; this can be embarrassing for a woman and keep her from attend-
ing yoga. She needs to be reassured that this is very normal and will likely go away in a
few months (it occasionally takes longer).
Tree & Eagle
Tree and eagle poses are balancing poses that help her regain her center of gravity.
Eagle also stretches the back and the shoulders, both of which hold a lot of tension in
postpartum women, especially those who are breastfeeding. Be careful not to bind the
foot too early as this can lead to over stretching in the lower back/sacrum area. Best to
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just cross the legs and gently squeeze the thighs.
Twists
Twists strengthen the back and abdominal muscles and help redefine the waist. Make
sure she is cleared for twists if she’s had a cesarean.
Ball Sequences
Using the ball can assist in safely strengthening the back and abdominals and takes
some of the stress off of the joints and connective tissue that are still under the influ-
ence of relaxin.
Legs-Up-the-Wall Pose
Great for fatigue and relaxation. Try some deep breathing or meditation in this pose as
well.
Pelvic Tilts
Great for working abdominals, start off against the wall with knees bent or lying on the
floor, feet on the ground, knees up and rock the pelvis up toward the navel, moving
with the breath.
Reclining Bound Angle
Reclining bound angle lengthens the abdominal muscles; it is also a great resting pose
to calm the mind and body.
After 3 months add in:
Downward facing dog (and other semi inversions)
Downward dog is a great pose for fatigue; this is very common in postpartum women.
(Make sure she is cleared for semi inversions before doing this pose)
Boat pose and Plank
These poses strengthen the abdominals and back. These poses should be eased into
slowly; they should not be done the first few weeks back to yoga.
Backbends
Backbends can be done once diastasis recti has been ruled out. Poses such as Bhu-
jangasana (Cobra Pose) and any other stomach lying poses might be uncomfortable to
nursing moms. If this is the case she can substitute them with Setu Bandha Sarvangasa-
na (Bridge Pose) or Ustrasana (Camel Pose), eventually moving into Urdhva Dhanurasa-
na (Wheel Pose) after a few months (or when she feels ready) back to yoga.
Abdominal exercises
As long as diastasis recti has been ruled out she can now focus on strengthening her
abdominal muscles. Focusing on obliques, transverse abdominals and rectus abdomi-
nal muscles.
Warriors
Make sure to shorten the stance if warriors are not comfortable when returning to yoga
following a cesarean. The warriors help to regain strength in the legs and arms and
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help her feel grounded, balanced and centered.
Triangle
This pose is really great for women who are breast feeding or just holding a baby all
day. It helps lengthen the sides, stretches hamstrings and chest and helps balance out
the postpartum body.
Other poses we can add in after 3 months if they feel good are:
Soft form Sun Salutations
Cat twist
Pigeon (with a rolled blanket under the hips)
Goddess
Half moon against the wall
Wall Squats
Seated Head-to-Knee Forward Fold (Janu Sirsasana)
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Diastasis Recti/Abdominal Separation
Diastasis Recti is the separation of the Rectus Abdominis muscles (also known as the 6
pack muscles). This separation does not occur in every pregnant woman but it is not un-
common to see it postpartum. The hormone Relaxin that is responsible for lubricating and
loosening the connective tissue of the pelvis and allowing it to open up for the baby to
pass through, also loosens and lubricates the connective tissue of the Rectus Abdominis
muscles allowing them to stretch more and potentially leading to their separation.
It is very important that a postpartum woman not do any abdominal exercises until she
has checked her rectus abdominis muscles for diastasis! If she strengthens the muscles
too much while they are separated they may not come back together effectively.
Here is how to test for abdominal separation (diastasis recti):
1. Have her lie on her back with her feet on the ground and knees up.
2. One hand should be behind the head to support the neck
3. With the other hand place two fingers on the Linea Alba (the midline connective
tissue that links to the Rectus Abdominis muscles) at the waistline
4. Gently lift just the head until you feel the abdominal muscles engage and notice
how much space is between the muscles
5. Repeat this with the fingers one to two inches below the navel as well
6. The gap your fingers are in should be no more than 2 fingertips wide otherwise
she probably has diastasis recti.
7. If you suspect she has diastasis recti have her check with her health care provider
before doing ANY abdominal exercises.
If diastasis recti has been diagnosed here are a few guidelines to follow:
1. DO NOT do crunches or any other aggressive abdominal strengthening exercises
until abdominals come back together to two fingertips apart or less.
2. Stay away from backbends including wheel, supported wheel with a ball, full
cobra, upward dog, or any other poses that drastically stretch the abdominals
3. Twisting while engaging abdominal muscles
4. Lifting anything heavy
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Prenatal Vinyasa Yoga ~ Before You Practice
Welcome to Prenatal Vinyasa Yoga
Congratulations on your pregnancy!
This is a wonderful, transformational time and yoga can help strengthen your body for
the enormous physical demands of childbirth and motherhood. Although prenatal vin-
yasa yoga is a safe form of exercise, there are a few precautions to be aware of before
starting ANY prenatal activity:
• Although we do not require a doctor’s note to attend class, we do require that you
have informed your health care provider (doctor or midwife) and gotten the “okay”
to practice yoga before taking this class.
• If you feel any pain in your back, knees, or abdominal area, you should come out
of the pose you are in. You should never have pain or discomfort in ANY pose
• If you feel menstrual-like cramping at any time, you should stop and rest and
inform the instructor.
• Typically before doing yoga, it is best to abstain from eating (at least 2 hours).
During pregnancy, you will need to eat more often to maintain stamina and keep
from feeling dizzy or lightheaded, therefore we recommend having a light snack
or a juice or smoothie 30 minutes to an hour before practicing. As well, if you feel
like you need it, it is fine to stop during class and have a small healthy snack.
• Do not overstretch! When you are pregnant, your body releases a hormone called
relaxin that is responsible for opening up the pelvis. This hormone is not specific
to the pelvis however; it lubricates every joint and connective tissues. If the joints
are overstretched, they may become unstable.
• You should be able to maintain normal (ujjayi) breathing throughout the practice
without getting winded or out of breath. Ujjayi breathing is slow and deep
through the nose. There is no limit on what your heart rate should be as long as
you can carry out a conversation while exercising.
• Please make sure you are drinking plenty of water as dehydration can cause
contractions, dizziness and headaches.
• Move into every pose slowly and mindfully.
• If this is your first class, only do 50-80% of what you think you are capable of to
see how your body responds. Rest in child’s pose often.
• Make sure you are not compressing your belly in any pose (especially forward
folds and twists). When forward folding, spread your legs wide enough for the
belly to comfortably fit between your thighs. If you are having any back pain, keep
your knees bent while entering and exiting forward folds.
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If you experience any of the following symptoms, please let your instructor know and
stop your practice:
• Vaginal bleeding
• Fluid leaking from the vagina
• Fainting
• Heart palpitations
• Dizziness
• Blurred vision
• Sharp pain in the abdomen or chest
• Swelling, pain and redness in the calf of one leg
Please inform the instructor of any injuries or medical conditions before class begins!
Specifically, please let your instructor know if you have or have had any of the following:
• Carpal tunnel
• Gestational diabetes
• Preterm labor **
• High or low blood pressure
• Twins or multiples
• Breech baby (after 35 weeks)
• Any other medical or pregnancy related condition or pre-pregnancy medical
condition or injury.
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Prenatal Vinyasa Yoga - 75 Minute Class
Section 1 – Preparing the body - 5 minutes
SEATED HAND ON HEART
• Take a couple of deep breaths
• Check in with your body
• Respect where your body is today, remember that your body is your baby’s
home until they are born so be nice to it
• Allow for days when your body needs more rest or a more gentle practice
• And most of all listen to the signs your body gives you if you have discomfort or
pain, back off and rest
• Begin Ujjayi breath, practice hugging baby in
• If your breath becomes uneven or labored pull back the intensity of your
practice until it evens out
• Introduce the concepts of practicing with intention and attention
Modifications:
• Sitting on the knees or in Hero pose sitting on a block, or elevate the hips in a
cross-legged position.
SIDE STRETCH
• Lengthen spine as you reach arms overhead
• Keeping spine long bring one arm down at a time and lengthen up and over to
the opposite side with the other arm
Introduce the concepts of practicing with intention and attention
Modifications:
• Arm can stay straight up if it is uncomfortable to reach up and over
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CAT/COW (MARJARYASANA)
• Make sure the hands are directly under the shoulders
• Knees hip-width apart, directly under the hips
• Try not to sway the back as you inhale
• As you exhale, press the hands into the mat to exaggerate the roundness of the
back, and drop the head down.
• This is a pose that should be done every day
• If your baby is in an uncomfortable position it will help to turn your baby into a
position which is more comfortable for you
• This also can help to turn your baby, in labor, into a position which is more
comfortable for you & more conducive for baby to be birthed
Carpal Tunnel variations:
• Hands in fists
• Wedge
• Rolled up mat
• Alternate leg/arm lift
CAT TWIST
• Cat with one leg up opposite arm up
• Make sure hips and shoulders are square
• Arm down, cross leg in back
• Make sure bottom arm is directly under the shoulder
• Make sure back foot is completely down on the ground
Modifications:
• Back leg never leaves the floor, instead curl toes under and press heel back
stretching the calf
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Section 3 – Soft Form Vinyasa A & B – 10 minutes
Inhale Exhale
Reach the arms up Lunge forward
One hand can come to thigh if needed • Make sure knee doesn’t go past the toes and
the front foot stays flat on the floor
• Make sure the lunge isn’t too deep by hugging
baby into the spine during exhalation
Inhale
Bend knees and sweep arms REPEAT
out to the side as you come to PRENATAL VINYASA SOFT FORM A
standing
2 TIMES TOTAL
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PRENATAL VINYASA SOFT FORM B
Inhale
to standing REPEAT
PRENATAL VINYASA SOFT FORM B
2 TIMES TOTAL
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Section 4 –Vinyasa– 30 minutes
Stand in Tadasana
Feet hip-width or wider to accommodate the belly when bending forward
Inhale
Arms up
Exhale
Bend the knees and fold forward to Uttanasana
Inhale
Ardha Uttanasana
Exhale
Left foot steps back moving into a lunge hold for 3 breaths.
• Back knee can be up or down in the lunge
Warrior 1
Bring back foot towards the front of the mat slightly and put it flat at a 45
degree angle. Line up the back arch with the left hand so the feet are hip
width apart.
Arm variations (use one or more):
• Bring arms behind the back move into humble warrior bringing torso to a
45 degree angle with the head lifted
• Move into eagle arms
• Cactus arms
Exhale
Move back into the lunge or bring back knee
down
Inhale
Crescent Lunge 3 breaths
Arm variations (use one or more):
• Bring arms behind the back
• Move into eagle arms
• Cactus arms
Additions to vinyasa for longer class: ARDHA HANUMAN WITH A BLOCK UNDER EACH HAND
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All fours
Walk the hands directly
under the shoulders
Prenatal Chaturanga
Lower just a few cm’s if
going all the way down is too
difficult
Downward Dog or
Child’s Pose
• 1 breath
or • Look up, bring thumbs together
Modification:
both knees down, then thumbs together
• Line up the right foot with the right hand
Step left foot to the outside of the left hand, moving into a lunge hold for 3
breaths. Back knee can be up or down in the lunge
or
Warrior 1
Bring back foot towards the front of the mat slightly and put it flat at a 45
degree angle. Line up the back arch with the left hand so the feet are hip
width apart.
Arm variations (use one or more):
• Bring arms behind the back move into humble warrior bringing torso to a
45 degree angle with the head lifted
• Move into eagle arms
• Cactus arms
Exhale
Move back into the lunge or bring back knee
down
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Inhale
Crescent Lunge 3 breaths
Modification:
Knee down
Arm variations (use one or more):
• Bring arms behind the back move into humble
warrior bringing torso to a 45 degree angle
with the head lifted
• Move into eagle arms
• Cactus arms
Additions to vinyasa for longer class: ARDHA HANUMAN WITH A BLOCK UNDER EACH HAND
All fours
Walk the hands directly
under the shoulders
Prenatal Chaturanga
Lower just a few cm’s if
going all the way down is too
difficult
or
Inhale
Ardha Uttanasana
Exhale
Uttanasana
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Inhale
Bend the knees and reach arms up
Exhale
Hands in prayer
Inhale
Arms up
Exhale
Bend the knees arms out to the side forward fold
Inhale
Ardha Uttanasana
Exhale
Bend the knees and walk the hands forward to
Downward Dog
Downward Dog or
Child’s Pose
• 1 breath
• Look up, bring thumbs together
or
Modification:
Both knees down, then thumbs together
• Line up the left foot with the left hand
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Inhale
Warrior II
• Hands in prayer, interlace fingers and press
hands out and up
• Warrior II hold for 3 breaths
Reverse Warrior
or
Right Elbow back on the thigh, left arm up (or up and over the head)
All fours
Walk the hands directly under the shoulders
or Prenatal Chaturanga
Lower just a few cm’s if going all the way down is too
difficult
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Downward Dog or
Child’s Pose
• 1 breath
• Look up, bring thumbs together
Modification:
both knees down, then thumbs together
• Line up the right foot with the right hand
Step left foot to the outside of the left hand, moving into a lunge hold for 3
breaths. Back knee can be up or down in the lunge
or
Inhale
Warrior II
• Hands in prayer, interlace fingers and press
hands out and up
• Warrior II hold for 3 breaths
Reverse Warrior
or
Left Elbow back on the thigh, right arm up (or up and over the head)
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Repeat one move for each breath
3 times
All fours
Walk the hands directly under the shoulders
Prenatal Chaturanga
Lower just a few cm’s if going all the way down is too
difficult
or
Widen the stance, bend the knees, and walk the hands
back to the feet
Inhale
Ardha Uttanasana
Exhale
Uttanasana
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Inhale
Bend the knees and reach arms up
Exhale
Hands in prayer
Squat (make sure both heels are on the floor or use a modification
Option: twist
Modifications:
• Bolster or Block
• Wedge or Blanket under the heels
Hip circles
(feet wide, knees bent)
Chair pose
Inhale
Lengthen to standing
Exhale
Bend the knees arms out to the side forward fold
Inhale
Ardha Uttanasana
Exhale
Bend the knees and walk the hands forward to
Downward Dog
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Downward Dog or
Child’s Pose
• 1 breath
• Look up, bring thumbs together
or
Modification:
both knees down, then thumbs together
• Line up the right foot with the right hand
Step right foot to the outside of the right hand, moving into a lunge hold
for 3 breaths.
Back knee can be up or down in the lunge
Walk the hands between the feet walk hands forward and lean back away from
the hands.
Hold for 3 breaths
• Walk hands back in
• Bring feet a little closer
• Walk hands up to thighs
Optional twist:
• Bring right shoulder down, right arm straight look up over the left shoulder
• Bring left shoulder down, left arm straight look up over the right shoulder
Goddess and Goddess with Eagle arms (right under left AND left under right)
Modifications:
• Come in and out of Goddess or straighten the legs whenever needed
• Hold opposite shoulders if eagle arms are uncomfortable
Warrior II
• Widen stance
• Straighten legs
• Turn left foot in and right foot out
• Raise arms
• Bend right knee
Reverse
Warrior
Triangle
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Place right hand on right thigh and bring left
hand to the ground
All fours
Walk the hands directly
under the shoulders
Prenatal Chaturanga
Lower just a few cm’s if going all the way down is too
difficult
Downward Dog or
Child’s Pose
• 1 breath
• Look up, bring thumbs together
or
Modification:
both knees down, then thumbs together
• Line up the right foot with the right hand
Step left foot to the outside of the left hand, moving into a lunge hold for 3
breaths.
Back knee can be up or down in the lunge
Walk the hands between the feet walk hands forward and lean back away from
the hands.
Hold for 3 breaths
• Walk hands back in
• Bring feet a little closer
• Walk hands up to thighs
Optional:
• Pelvic tilts with hands on thighs and knees bent
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Goddess and Goddess with Sun Breaths (3-4 repetitions of Sun Breaths)
Modifications:
• Come in and out of Goddess or straighten the legs whenever needed
Warrior II
• Widen stance
• Straighten legs
• Turn right foot in and left foot out
• Raise arms
• Bend left knee
Reverse
Warrior
Triangle
All fours
Walk the hands directly under the shoulders
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Prenatal Chaturanga
Lower just a few cm’s if going all the way down is too
difficult
or
Widen the stance, bend the knees, and walk the hands
back to the feet
Inhale
Ardha Uttanasana
Exhale
Uttanasana
Inhale
Chair pose then exhale sinking into it deeper
Inhale
Reach arms up
Exhale
Hands in prayer
Tree Pose
Modifications:
• Foot can be on the ground, ankle, calf, or thigh
• No foot on the knee
• Arms can be in prayer or up
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Section 5 – Wall – 5-10 minutes
WALL SQUATS
• Walk the feet away from the wall enough so that when the knees are bent, they
are directly over the ankles
• Place the block either between the knees or thighs, and bend the knees.
• Hold for 1 minute using “Sensation Control” variations
• Release pose
• Repeat 2 times total
Arm Position Modifications:
• Hands in prayer
• Arms out straight Parallel to the ground
• “Sun Breath” arms
• Free movement or arm positions of your choice
Additions to vinyasa for longer class: S
HOULDER OPENER AGAINST THE WALL
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Section 6 – Floor – 5-10 minutes
PIGEON
Over a rolled up blanket or bolster. Or double pigeon (1 minute each side)
• Start with knees on a rolled up blanket
• Hands forward
• Right leg forward and turned out
• Slide back so both hips are supported evenly
• Hips square to the ground
• Double pigeon (Stack shins, flex feet)
Modifications:
• Can be done from downward dog if advanced
• Can be done on a bolster if the blanket is too low
• Double Pigeon (Block under the knee if needed)
SIDE LUNGE
• Line up heel with knee
• Walk hands forward and widen them
• Turn toes to face the side of the room
• Lunge to the side then circles if comfortable
Modifications:
• Foot can move forward or back to make it more comfortable
Modifications:
• Open leg wide enough to accommodate baby keeping shoulders
squared to the ground
BOUND ANGLE
Modifications:
• If baby is breech and Mom is past 34-35 weeks cross legs instead
• Place blocks or blankets under the knees if needed
Optional:
• Quad stretch
• Reaching back for the foot
• Thigh parallel to the ground
• Move leg back until the stretch is felt at the front of the thigh
• Happy baby in between sides
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HAPPY BABY POSE
Rock side to side
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Gentle Prenatal Yoga Sequence - 60 Minute Class
Section 1 – Preparing the body - 5 minutes
SEATED HAND ON HEART
• Take a couple of deep breaths
• Check in with your body
• Respect where your body is today, remember that your body is your baby’s
home until they are born so be nice to it
• Allow for days when your body needs more rest or a more gentle practice
• And most of all listen to the signs your body gives you if you have discomfort or
pain, back off and rest
• Begin Ujjayi breath, practice hugging baby in
• If your breath becomes uneven or labored pull back the intensity of your
practice until it evens out
• Introduce the concepts of practicing with intention and attention
• ROCKING or Spine circles
Modifications:
• Sitting on the knees or in Hero pose sitting on a block, or elevate the hips in a
cross-legged position.
Section 2 – The Warm Up (Seated Postures) – 10 minutes
SIDE STRETCH
• Lengthen spine as you reach arms overhead
• Keeping spine long bring one arm down at a time and lengthen up and over to
the opposite side with the other arm
Modifications:
• Arm can stay straight up if it is uncomfortable to reach up and over
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CAT/COW (MARJARYASANA) AND CAT COW CIRCLES
• Make sure the hands are directly under the shoulders
• Knees hip-width apart, directly under the hips
• Try not to sway the back as you inhale
• As you exhale, press the hands into the mat to exaggerate the roundness of the
back, and drop the head down.
• If your baby is in an uncomfortable position it will help to turn your baby into a
position which is more comfortable for you
• In labor, this also can help to turn your baby into a position which is more
comfortable for you & more conducive for baby to be birthed
• For Cat/Cow circles bring hands forward and wider and widen knees
Modifications:
• Alternate leg/arm lift
Carpal Tunnel variations:
• Hands in fists
• Wedge
• Rolled up mat
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PRENATAL VINYASA SOFT FORM B
Inhale
to standing
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Turn to face the side of the mat
Exhale
Bend to the side
Goddess
Warrior II
Triangle
Warrior II
Lunge Modification:
• Back knee can be off the ground if desired
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Side squat Modification:
opposite leg • Hands can be on a block, on the ground or in prayer
• Knee bent halfway, right leg straight, left foot on the
ground, shoulders squared to the ground, hands
directly under shoulders on the ground
Lunge
Warrior II
Triangle
Warrior II
Goddess
Side Stretch
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Squat (make sure both heels are on the floor or use a
modification
Option: twist
Modifications:
• Bolster or Block
• Wedge or Blanket under the heels
Hip circles
(feet wide, knees bent)
Tree Pose
Modifications:
• Foot can be on the ground, ankle, calf, or thigh
• No foot on the knee
• Arms can be in prayer or up
PIGEON
Over a rolled up blanket or bolster. Or double pigeon (1 minute each side)
• Start with knees on a rolled up blanket
• Hands forward
• Right leg forward and turned out
• Slide back so both hips are supported evenly
• Hips square to the ground
• Double pigeon (Stack shins, flex feet)
Modifications:
• Can be done from downward dog if advanced
• Can be done on a bolster if the blanket is too low
• Double Pigeon (Block under the knee if needed)
SIDE LUNGE
• Line up heel with knee
• Walk hands forward and widen them
• Turn toes to face the side of the room
• Lunge to the side then circles if comfortable
Modifications:
• Foot can move forward or back to make it more comfortable
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BOUND ANGLE
Modifications:
• If baby is breech and Mom is past 34-35 weeks cross legs instead
• Place blocks or blankets under the knees if needed
Optional:
• Quad stretch
• Reaching back for the foot
• Thigh parallel to the ground
• Move leg back until the stretch is felt at the front of the thigh
• Happy baby in between sides
FINAL RELAXATION
RECLINING BOUND ANGLE
Use a rolled up blanket to support the knees/hips
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5 Minute Evaluation Sequence
Cat/cow
Hands under shoulders knees under hips
Inhale, lengthen spine look up, try not to sway back too much
Exhale, round the back hug baby into spine
Downward Dog
Make sure feet apart enough so belly is comfortable
Ardha Uttanasana
Inhale, lengthen the spine
You can modify 3 ways
- on floor, on block, or on thighs
Uttanasana
Stand
Knees bent
Forward Fold
Inhale, reach up
Exhale, forward fold
Arms out to the side (down and up)
Knees bent
Knees down
Hands under shoulders, knees under hips
(make sure both knees come down at the same time)
Block at fingertips
Demonstrate block usage - 3 heights
Thumbs together
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Lunge
Line up left knee with left hand
Step right foot forward to outside of right hand
Inhale, reach up lengthen spine
Exhale, hug baby into spine lunge forward
Make sure front knee doesn’t go past the ankle
Inhale, reach up
Exhale, hands to the inside of the foot
Prenatal Chaturanga
Both knees back
Walk hands back under shoulders, knees under hips
Inhale, chest forward
Exhale, hug baby in, bend elbows
Elbows over wrists
Shoulders should not go lower than elbows
Elbows in to body
(hips stay high in the air)
Inhale, straighten arms
Exhale, downward dog
Lunge
Inhale, bring gaze up
Thumbs together
Line up right foot with right hand
Exhale, step left foot forward (no block)
Back knee down
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Lunge
Inhale, reach up lengthen spin
Exhale, hug baby into spine lunge forward
Make sure front knee doesn’t go past the ankle
Inhale, reach up
Exhale, hands to the inside of the foot
Dolphin Chaturanga
Both knees back
Walk hands back under shoulders, knees under hips
Exhale, hips back toward heels
Inhale, scoop chest forward
Elbows over wrists
Shoulders should not go lower than elbows
(hips stay high in the air)
Exhale, straighten arms
Downward dog, 3 breaths
Ardha Uttanasana
Inhale, lengthen the spine
Uttanasana
Stand
Knees bent
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Pre-Pregnancy
Left Lung
Diaphragm
Liver
Stomach
Transverse
Colon
Small Intestine
Descending
Colon
Sacrum
Uterus
Cervix
Bladder Coccyx
Rectum
Pubic Symphysis
Urethra
Clitoris
Vulva
Anal Canal
© 2017 National Partnership for Women & Families. All rights reserved. Used with permission.
www.nationalpartnership.org 145
6 Weeks & 12 Weeks Pregnant
Yolk Sac
Amniotic Sac
Umbilical Cord
Developing
Placenta
Bladder
Fundus
Placenta
Mucus Plug
© 2017 National Partnership for Women & Families. All rights reserved. Used with permission.
www.nationalpartnership.org 146
20 Weeks Pregnant
Descending
Colon
Placenta
Pelvic
Colon
Bladder
© 2017 National Partnership for Women & Families. All rights reserved. Used with permission.
www.nationalpartnership.org 147
28 Weeks Pregnant
Stomach
Fundus
© 2017 National Partnership for Women & Families. All rights reserved. Used with permission.
www.nationalpartnership.org 148
36 Weeks Pregnant
Diaphragm
Liver
Stomach
Mucus Plug
Cervix
Vagina
Urethra
Perineum
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www.nationalpartnership.org 149
40 Weeks Pregnant
Descending
Colon
Pelvic Colon
Cervix
Mucus Plug
Bladder
Vagina
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www.nationalpartnership.org 150
40 Weeks Pregnant - Uterine Musculature
Diaphragm
Fundus
Descending
Colon
Broad Ligament
Round
Ligament
Uterosacral
Ligament
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www.nationalpartnership.org 151
Round Ligaments
Uterus
Round Ligaments
Increased
Tension
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Broad Ligaments
Broad Ligament
Ovary
Increased
Tension
Round Ligament
Increased
Tension
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Piriformis & Psoas
Piriformis
Muscles
12th Rib
Psoas
Minor
Psoas Iliac
Major Crest
Greater
Trochanter
Femur
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Fetal Decent Stations
Uterus
Placenta
Pelvis
Fetal 0 Station
descent intersects
stations the ischial
spines
-3 -3
-2 -2
-1 -1
0 0
+1 +1
+2 +2
+3 +3
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Copyright and Trademark
This manual is strictly intended to be used as a companion manual to a live yoga teacher training.
Do not use this manual in an attempt to learn to teach yoga without an instructor.
No part of this manual, including any text or graphic images, may be reproduced or used without
the consent of The Dolphin Method owners or Jennifer More.
The Dolphin Method, Dolphin Method Yoga, Dolphin Method Women’s Yoga, and Prenatal
Vinyasa Yoga are all registered trademarks, and are not to be used without the consent of The
Dolphin Method owners or Jennifer More.
Please contact The Dolphin Method at [email protected] for more information, or to ask
permission to use this manual, or any of its contents, in any of the ways described above.
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