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References - Controlling Anxiety During Pregnancy for a Safer and Healthier Labor and Delivery
Pregnancy can be stressful and especially difficult if you are anxious, sensitive, nervous, high-strung, tense, or prone to panic. It is a time in your life when you are more vulnerable and this reduced level of control can add to your perceptions of stress and anxiety. Emotional responses can cause physical changes that can negatively affect your pregnancy. Conversely, effective stress management can promote the heal
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
th and well being of the mother and the developing baby. Anxiety can help create conditions which may cause premature labor, reduced weight of baby, slow labor and delivery, and possible contribute to complications for the labor and birth.
Practicing stress management, and possibly temperature training biofeedback, as early in the pregnancy as possible, will help to minimize the negative impact of stress and anxiety
Practicing stress management, and possibly temperature training biofeedback, as early in the pregnancy as possible, will help to minimize the negative impact of stress and anxiety
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
n the pregnancy and labor/delivery. Consider the following suggestions on controlling the effects of panic and anxiety.
Symptoms of panic and anxiety can be confused with life threatening physical disorders! Please consult your physician to determine the source of your symptoms.
These devastating occurrences of panic or anxiety can negatively affect your day to day quality of life. But this is not news for anyone su
Symptoms of panic and anxiety can be confused with life threatening physical disorders! Please consult your physician to determine the source of your symptoms.
These devastating occurrences of panic or anxiety can negatively affect your day to day quality of life. But this is not news for anyone su
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
fering from this terrible disorder. Millions of people live in fear of these "attacks." Major transitions, trauma, and stress can lead to feelings of little or no control over one's life! This can affect people in major ways.
A scary symptom which can develop is called Panic (or Panic Attack.) A panic episode can come on suddenly or can awaken you from your sleep with a nasty feeling of apprehension. Some people beli
A scary symptom which can develop is called Panic (or Panic Attack.) A panic episode can come on suddenly or can awaken you from your sleep with a nasty feeling of apprehension. Some people beli
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
eve that they are having a heart attack because often there is chest pain, a shortness of breath, neck or arm pain, major stomach upset, an adrenaline rush, lightheadedness, dizziness, and other unpleasant feelings of fear and apprehension. These feelings can be triggered by specific events such as: driving (getting stuck in traffic), shopping, waiting in lines at stores, banks, post offices, etc, feeling trapped in c
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
urch/movies/classes, traveling distances from home (especially flying, etc.), making a presentation in front of a group of people (drawing attention toward yourself), doing new or unfamiliar activities, meeting new people, basically, doing anything new or seemingly stressful where you may fear "LOSING CONTROL."
Loss of control is the main feature that makes this so frightening for the people who suffer from panic and
Loss of control is the main feature that makes this so frightening for the people who suffer from panic and
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
anxiety. We may not know a panic sufferer by looking at him or her because they can maintain such good control that unless we were to look very carefully we might not notice the nervousness below the surface.
Heart problems, chest pain, and respiratory difficulties(hyperventilation and dizziness are common symptoms of panic/anxiety attacks) should be carefully examined by your physician! If no heart related problem e
Heart problems, chest pain, and respiratory difficulties(hyperventilation and dizziness are common symptoms of panic/anxiety attacks) should be carefully examined by your physician! If no heart related problem e
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
xists, but you are still in great fear of these occurrences of panic then the following behavioral program, with practice, will greatly aid you in preventing or at least minimizing the episodes of panic. Also, remember that exciting/positive actions or events can raise your heartrate. This excitement is not bad or life threatening, but you fear of the physical symptoms of excitement can really hamper your enjoyment of
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
life!
The keys to controlling panic and anxiety are:
1. Breathe slowly/diaphragmatically
2. Remain in the present... in your body, in a positive way
3. Positive self-talk... not negative ruminations
4. Avoid caffeine and stimulants
5. Regular aerobic exercise
6. Regular deep relaxation with Biofeedback Temperature monitoring... Learn to warm your hands and feet
7. Use relaxation t
The keys to controlling panic and anxiety are:
1. Breathe slowly/diaphragmatically
2. Remain in the present... in your body, in a positive way
3. Positive self-talk... not negative ruminations
4. Avoid caffeine and stimulants
5. Regular aerobic exercise
6. Regular deep relaxation with Biofeedback Temperature monitoring... Learn to warm your hands and feet
7. Use relaxation t
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
pes/CD's regularly!
8. Get support in confronting and then desensitizing yourself to fears/phobias
9. Taper your anti-anxiety medication after you have mastered the relaxation-biofeedback
1. Learn to breathe diaphragmatically
A) Place a hand over your upper abdomen 1. Push it OUT as you inhale 2. Let in move IN as you exhale
B) Let your chest, shoulder, neck, and back relax as you breathe Only on a ve
8. Get support in confronting and then desensitizing yourself to fears/phobias
9. Taper your anti-anxiety medication after you have mastered the relaxation-biofeedback
1. Learn to breathe diaphragmatically
A) Place a hand over your upper abdomen 1. Push it OUT as you inhale 2. Let in move IN as you exhale
B) Let your chest, shoulder, neck, and back relax as you breathe Only on a ve
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
y deep breath should these parts move in the breath. This may be the most important Panic Control Technique you can learn!
2. Use any of the Stress Management tapes/CD's, especially, #205 Stress Management for Controlling Panic and Anxiety or the #201 Stress Management for Prenatal Care from the Stress Education Center’s Health Series, 1-3 times per day for 8-12 weeks. Or make your own tape from the exercises in this
2. Use any of the Stress Management tapes/CD's, especially, #205 Stress Management for Controlling Panic and Anxiety or the #201 Stress Management for Prenatal Care from the Stress Education Center’s Health Series, 1-3 times per day for 8-12 weeks. Or make your own tape from the exercises in this
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
book. (You may wish to order a copy of any of the tapes available from the Stress Education Center, if so, check the order form in the back of the book or on the tape page of this website (the #205 is strongly recommended for panic/anxiety control).) If you do not have an audio tape or CD for relaxation yet, then the general indirect relaxation which is discussed in a separate article Relaxation is recommended or use
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
any other deep relaxation from the book, Guide to Stress Reduction, or any other deeply relaxing tape/CD or exercise that you may have available.
After achieving a level of controlled deep relaxation, repeat suggestions of "control," especially control of slow, regular breathing and slow regular heart rate. Suggestions of "letting go" to help achieve hand and foot warming, along with any visualizations that can encou
After achieving a level of controlled deep relaxation, repeat suggestions of "control," especially control of slow, regular breathing and slow regular heart rate. Suggestions of "letting go" to help achieve hand and foot warming, along with any visualizations that can encou
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
age this increase of peripheral blood flow, would be very useful, as well. Use some sort of temperature training biofeedback device on your hands to learn how to warm your hands with relaxation. When you can consistently get above 90 degrees Fahrenheit (93-95 degrees is ideal) then you can begin to master warming your feet to 90 degrees. See the article on temperature training at the Stress Education Center’s website.
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
When you can "let go" by relaxing and warming your hands and feet, you will be able to control if not prevent your panic episodes. Then you must develop the confidence in your control so the fear of panic will not control your life.
3. Regular exercise will help you to work off the effects of life's stresses. If you are pregnant, you may want to get some professional assistance building an appropriate exercise progr
3. Regular exercise will help you to work off the effects of life's stresses. If you are pregnant, you may want to get some professional assistance building an appropriate exercise progr
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
m.
3-5 times per week of regular exercise that can elevate your heart rate for 15-45 minutes would be best. Check with your doctor before beginning an exercise program if you have been inactive for a long while. Even though elevating your heart rate can be a little scary, the release of tensions and the strengthening of your cardiovascular system will have great benefits.
4. Eat regular meals. Low fat and complex
4. Eat regular meals. Low fat and complex
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
carbohydrates are better than fast foods with lots of sugar. AVOID CAFFEINE and other stimulants. Caffeine is found in coffee, black teas, cola drinks, chocolate, some over-the-counter pain medications, and other foods/drugs. Read labels. Eating as closely as you can to natural foods (lots of: fruits, vegetables, whole grains, etc.) will benefit any one.
5. Practice positive self-talk. Do not let your fears escalat
5. Practice positive self-talk. Do not let your fears escalat
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
e into you losing control of your body and your mind. By breathing slowly and staying in your body, in present time, you avoid falling into the negative pattern of fear and panic.
6. Get support from your friends, doctor, and a therapist if necessary. Check your area for panic/anxiety support or treatment groups! Regular use of anti-anxiety medications may be better than just taking your prescription only after the
6. Get support from your friends, doctor, and a therapist if necessary. Check your area for panic/anxiety support or treatment groups! Regular use of anti-anxiety medications may be better than just taking your prescription only after the
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
panic has begun. Reduce your medication in a supervised way after you have mastered the relaxation/biofeedback control techniques.
Remember you can get back in control of your body and your life! You must make this a priority so you can avoid being a victim to this set of scary symptoms.
Panic/anxiety is not always your enemy. This reaction is designed to protect you and may teach you something about the stresses an
Remember you can get back in control of your body and your life! You must make this a priority so you can avoid being a victim to this set of scary symptoms.
Panic/anxiety is not always your enemy. This reaction is designed to protect you and may teach you something about the stresses an
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
transitions you are going through. Denial of these challenges only creates a more stubborn set of symptoms that can be more debilitating.
Other good books that can help you learn more about panic or anxiety:
David Barlow, Ph.D. and Jerome Cerny, Psychological Treatment of Panic, Guilford Press, New York. 1988.
Susan Lark, MD, Anxiety & Stress: A Self-Help Program, Westchester Publishing Company, Los Altos, CA. 199
Other good books that can help you learn more about panic or anxiety:
David Barlow, Ph.D. and Jerome Cerny, Psychological Treatment of Panic, Guilford Press, New York. 1988.
Susan Lark, MD, Anxiety & Stress: A Self-Help Program, Westchester Publishing Company, Los Altos, CA. 199
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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