Govt.

COLLEGE OF Nursing, jodhpur

health talk
on
postnatal Exercises

SUBMITTED TO: SUBMITTED

BY:
MRS. JYOTI BALA JANGID HEMLATA BHANWARIA
NURSING LECTURER M.Sc. NURSING (FINAL)
GOVT. COLLEGE OF NURSING, JODHPUR BATCH –2018-19
DATE OF SUBMISSION:
INRODUCTION
 STUDENT TEACHER NAME - HEMLATA BHANWARIA

 SUBJECT - OBSTETRIC AND GYNAECOLOGICAL NURSING- II

 TOPIC - POST- NATAL EXCERICES

 GROUP -

 VENUE -

 DATE AND TIME -

 DURATION - 30 MINUTE

 METHOD OF TEACHING - LECTURE CUM DISCUSSION

 A.V. AIDS -

 Name of Supervisor - Mrs. JYOTI BALA JANGID

 PREVIOUS KNOWLEDGE OF THE GROUP- Some of the woman is less aware about POST NATAL EXERCISE.
SPECIFIC OBJECTIVE: After the completion of health education, post natal mothers will be able to gain the knowledge regarding
post natal exercise..

GENERAL OBJECTIVE:
At the end of the health education……

 Introduce about the post natal exercise.

 Define post natal exercise, post natal period.
 Explain importance of postnatal exercise.
 Enumerate benefits of exercise.
 Describe the principles of exercise.
 Explain the preparation for postnatal exercise.
 Enlist the general instruction.
 Enumerate the post natal exercise.
 Discuss the warning sign.
 Explain the after care of the patient
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1. 1min. SELF
INTRODUCTION:
Good morning to all of
you. I am HEMLATA
BHANWARIA
msc.nursing(final)
student. Today I will be
discussing post natal
INTRODUCTION: exercises.
2. 2 min Introduce
Post-Natal Exercises ppt - What is post
about the post
Postnatal exercises are the natal
natal exercise.
reinforcement of ANC exercises and these exercise ?
should be started soon after the delivery.
Childbirth and care of the newborn are both
Lecture cum discussion
physically exhausting tasks. Most new
mothers' find that they do not have the same
energy level, which they had before their
baby was born.
In the first few months, the mother's
night sleep is disturbed and this adds to the
exhaustion. The pressures of taking care of a
newborn and managing the house leaves the
mother mentally and physically drained. A
number of new mothers have found that
finding the time to do a few simple exercises
increases their energy levels and makes
them feel better mentally as well. During
exercise keep your breath smooth work
gradually according to your capabilities.
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2. 1 min Define post DEFINITION: Lecture cum discussion What is post
natal exercise, natal
post natal These are the exercises that are performed in exercise?
period. the postnatal period, in order to strengthen
pelvic floor and abdominal muscles and
prevent complications i.e. till six weeks after
the birth of the-baby.

Post natal Period

--
• It refers to the time from termination
of pregnancy till 42 days\6 week.
Exercises
Exercise is a physical activity that is planned
, structured and repetitive for the purpose of
conditioning any part of the body .

3. 2 min Explain Importance of Postnatal Exercises Lecture cum discussion What is

importance of To strengthen muscles that was importance
postnatal during labour or pregnancy i.e. abdominal of exercise?
exercise. and pelvic floor muscles.

The purpose of performing these exercises is

to:
 Reduce excessive fat.
 Maintain figure, shape of breasts
and secure adequate milk supply.
 Promote woman's rapid recovery
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of strength.
 Increase general circulation and
prevent complications.
 Prevent backache.
 Prevent genital prolapse and
stress incontinence of urine.
 Correct posture.
4. 1 min Enumerate Benefits of Exercises Lecture cum discussion What is
benefits of  Reduces the risk of developing heart benefit of
exercise. disease, diabetes, and cancer. exercise?
 Reduces high blood pressure, high
cholesterol.
 Reduces body weight, depression,
anxiety and improves psychological
wellbeing. --
 Builds and maintains healthy
muscles, bones and joints.

 To prevent genital prolapse and

stress incontinence of urine.
5 1 min Describe the Principles of Exercises Lecture cum discussion What are the
principles of  Frequency. principles?
exercise.  Intensity- mild to moderate exercise
--
are recommended.
 Duration-30 minutes of exercise per
day.
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6. 1 min Explain the PREPARATION FOR POSTNATAL Lecture cum discussion What to do
preparation for EXERCISES before doing
postnatal postnatal
exercise.  Explain to the woman the exercise?
purpose/importance of postnatal
exercises.
 Explain the guidelines.
 Describe the procedure.
 Take consent.
 Prepare the area for excercise; i.e. a
firm bed or a mat and a pillow.
 Ensure privacy.

7. 2 min Enlist the GENERAL INSTRUCTIONS Lecture cum discussion What are the
general i. Before starting and after finishing general
instruction. instruction
exercises, the mother must practice for
deep breathing. exercise?
ii. Never hold breath while performing an
exercise
iii. Relax all muscles at the finish of each
exercise. --
iv. Exercise must be done in a controlled
and rhythmical manner.
v. If the mother feels tired after exercise,
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she should be advised to practice them
less strenuously.

8. 20 min Enumerate the Post Natal Exercises- Lecture cum discussion What are the
post natal steps to o
exercise. 1 ) Deep breathing exercise ppt the deep
• Lie on bed with knees bent, with a breathing
pillow behind. exercise?
• Breathe in deeply through nose. Sigh
out.
• Repeat 5 times.

Breathin Lecture cum discussion

g exercises help to improve your
circulation

2) FOOT AND ANKLE EXERCISE

 Keep knees relaxed for both
exercises.
Bend and stretch ankles vigorously up and
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down for 30 seconds.
 Circle both feet 10 times in each
direction.
 Repeat these exercises frequently

3) PELVIC FLOOR EXERCISE-KEGAL Lecture cum discussion

EXERCISE:-
• Pelvic floor muscles are stretched
during pregnancy and childbirth. How to do
kegal
• Strong pelvic floor muscles are
exercise?
essential to prevent leakage of urine
when sneeze or cough, for enjoyable
sexual intercourse and to give
complete control of bowels.
• Strong muscles will also help
prevent developing a prolapsed
womb.
• Can do this exercise standing, sitting
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or lying.
• Pull the area around vagina up and
Enumerate the down.
post natal
exercise. • The contraction should be held for
10 seconds(to a count of 6) and
repeated upto 10 times
• The exercise should be continued for
2-3 months. Lecture cum discussion
• This exercise is especially important
if mother have stitches.
• It helps to improve the circulation
and will help to heal quickly.

4) PELVIC TILTING EXERCISE:-

Lecture cum discussion
• Lie on a firm surface with knees bent
and a comfortable pillow beneath the
Can you
head. show the
pelvis tilting
• Pull in your tummy(inhale, while exercise?
exhale flatten the back).
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• Press the lower part of back down

flat.

• Hold for several seconds and repeat.

Lecture cum discussion

5) ABDOMINAL BREATHING
This is to strengthen the
diaphragm.
• Take a deep breath, raising her
abdominal wall and exhale slowly.
• To ensure correct method ask to Lecture cum discussion
keep one hand on chest and one on
abdomen, while inhaling the hand --
on the abdomen should be raised and
hand on the chest should remain What are the
Enumerate the stationary. steps?
post natal • Repeat the exercise five times.
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exercise. Lecture cum discussion

6) HEAD AND SHOULDER RAISING:-

• On the 2nd post partum day-Lie flat

and raise head until the chin is
touching the chest.

• On the 3 rd post partum day-raise

Lecture cum discussion
both head and shoulder off the bed
and lower them slowly , increase
gradually.
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Lecture cum discussion

7) LEG RAISING:-
• Begun on the 7th post partum day
• Lying down on the floor with no
pillows under the head.
• Point toe and slowly raise one leg
keeping the knee straight.
• Lower the leg slowly.

8.
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8) KNEE ROLLING:-
• This is to strengthen the oblique
abdominal muscles.
• In back lying with knees bent, pull in
the abdomen and roll both knees to
one side as far is comfortable,
keeping shoulders flat. Lecture cum discussion
• Return knees to upright position and
relax the abdomen.
• Pull in again and roll both knees to
other side. Perform 10 times.

Show the
knee rolling
exercise?

9) HIP HITCHING OR LEG

SHORTENING:
• In back lying with one knee bent and
the other knee straight.
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• Slide the heel of the straight leg
down word thus lengthening the leg.
• Shorten the same leg by drawing the
hip up towards the ribs on the same
side.
• Repeat up to 10 times.
• Change to the opposite side and
repeat.

Lecture cum discussion

Which are
the exercise
after
cesarean
section?
10) Exercise after cesarean section:

 Foot and leg exercise should be started

after operation when woman’s condition
has stabilized. Specially in case of spinal
anesthesia which hamper distal
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circulation.
 The woman is asked to take four deep
breaths to expand her lungs and causing
pumping action on the inferior venacava.
 Cough secretion by supporting sutures
with both the hands / pillow in sitting
position in case of general anesthesia to What are the
avoid inspiration. Deep breathing warning
followed by coughing will loosen the sign?
secretions.
Discuss the
warning sign.  Practice abdominal tightening and pelvic
exercise after 24hours of operation.
These are helpful in flatulence and
backache.
 After 4-5 days of operation the mother
can practice pelvic floor and hitching
exercise.
 Take adequate rest which is essential to
regain tissues normal functioning
Explain the  WARNING SIGNS
after care of
the patient • Increased fatigue.
• Muscle aches and pains.
• Changing the color of lochia –pink
to red.
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• Heavier lochia flow.
• Lochia starts flowing again after it
had stopped.
 After care of the patient
and environment :-

 Give proper position after exercise.

 Advice about taking care of baby
and her self.
 Advice not to do so much exercise if
strain or complication may arise.
 Advice for regular follow up.

SUMMARY:
After the completion of this teaching, post
natal mothers will be clear about the
introduction, Definition, importance of
exercise, Principles of exercise, general
instruction, different postnatal exercise
,warning sign, after care of patient.

CONCLUSION:
Postnatal mothers are understand about the
postnatal exercise and their definition, steps
of exercise, principles.
 BIBLIOGRAPHY:

1. Bennett V. Ruth and Brown Linda K., “ Myle’s- Textbook For Midwives”; 12th edition; 1996; Churchill living stone Pvt. Ltd; New
Delhi. Pp: 163

2. Dutta D. C.,“Textbook of Obstetrics including Perinatology &Contraception”; 6th edition; 2004, New Central Book Agency Pvt.
Ltd, Calcutta. Pp: 152-153

3. Parulker Shasank V.,“Textbook for Midwives”; 2nd edition; 1995,Vohra Medical Publication, Bombay. Pp: 219-220

4. Sweet Betty R., “ May’s Midwifery- A Textbook For Midwives”;11thedition; Reprinted 1991; ELBS with Bellaire Tindal; British.
Pp:135