Health-Talk-On-Postnatal-Exercise Jitendra bhargav SlideShare.com

Health-Talk-On-Postnatal-Exercise Jitendra bhargav SlideShare.com

1. NOOTAN COLLEGE OF NURSING,
VISNAGAR
SUBJECT: Midwifery and Obstetrical Nursing
TOPIC: A Health Talk on Postnatal Exercise
SUBMITTED TO: SUBMITTED BY:
Miss. Divya rohit, Miss. Ravina patel,
Assistant professor, 1
st
year M.sc (N) student,
Nootan college of nursing, NCN, visnagar
visnagar
SUBMISSION DATE: 29 / 03/2019
1
Mr.Jitendra barde
MSc Nursing 1st year students
SUBJECT:-MIDWIFERY &OBSTETRICAL NURSING
HEALTH EDUCATION
ON
POSTNATAL EXERCISE

2. INDEX:
SR.
NO
CONTENT PAGE NO.
1 General objective 04
2 Specific objective 04
3 Introduction of postnatal exercise 05
4 Definition 05
5 Purpose 05
6 General instruction 06
7 Detail of postnatal exercise 07
8 Importance 13
9 Summary 14
10 Bibliography 15
2

3. HEALTH TALKS ON POSTNATAL EXERCISE:
Name : Ms Ravina Patel
Subject : Midwifery and obstetric nursing
Topic : A health talks on postnatal exercise.
Group of participants : Postnatal mothers and their relatives.
Date : 29/03/2019
Time : 10:00 AM
Venue : Postnatal ward
Method of teaching : lecture cum discussion.
Av aids : flash card.
3

4. GENERAL OBJECTIVES:
After attending health talk on postnatal exercise participants are able to
know about the meaning of postnatal, postnatal exercise, types of postnatal
exercise and its important. They can also know about the how to demonstrate
the exercise.
SPECIFIC OBJECTIVES:
After completion of the health talk the participants will be able to:
Introduction to the topic.
Define postnatal exercise.
Purpose of postnatal exercise
General instruction
Explain the postnatal exercise
Importance of postnatal exercise.
4

5. SR
NO
.
TIMESPECIFIC
OBJECTIVE
CONTENT TEACHING
ACTIVITY
AV. AIDS EVALUATION
1 1
minute
Introduction
of the
postnatal
exercise
 Postnatal exercise should be started
as soon after birth as possible in
order to improve circulation.
Strengthen pelvic floor and
abdominal muscles and prevent
transient and long term problems.
Lecture cum
discussion
Flash card What is the
meaning of
postnatal
exercise?
2 1
minute
Definition of
postnatal
exercise
A series of physical exercise that are
performed by the postnatal mothers
to bring about optimal functioning of
all system and prevent complication.
Lecture cum
discussion
Flash card Define the
postnatal
exercise.
3 2
minute
Purpose of
postnatal
exercise
1. To improve the tone of muscle
which are stretched during
pregnancy and labour specially the
abdominal and perineal muscles.
2. To educate about correct posture
and body mechanism.
3. To minimize the risk of puerperial
venous thrombosis by promoting
circulation and preventing venous
Lecture cum
discussion
Flash card What is the
purpose of
postnatal
exercise?
5

6. stasis.
4. To prevent backache.
5. To prevent stress incontinence of
urine.
4 1
minute
General
instruction
Before starting and after
finishing exercise, the mother
must practice deep breathing.
Never hold breathing while
performing exercise
Relax the muscle after the
performing each exercise
Exercise must be done in a
controlled and rhythmical
manner.
Lecture cum
discussion
Flash card Which type of
general
instruction
follow during
the performing
of postnatal
exercise?
5 2
minute
Explain all the
postnatal
exercise.
ABDOMINAL EXERCISE
Explain the women to assume a
supine position with bent.
Explain her to inhale through the
nose, keep the rib cage as
stationary as possible and allow
the abdomen to expand and then
contract the abdominal muscle
Lecture cum
discussion
How to perform
abdominal
exercise?
6

7. as she exhales slowly through
the mouth.
Explain her to place one hand on
the chest and one hand on the
abdomen when inhaling. The
hand on the abdomen should rise
and the hand on the chest should
remain Stationary.
 Repeat the exercise five times.
1
minute
HEAD LIFT
This exercise can be started within a
few days after child birth.
Instruct the mother to lie supine
with knees bent and arms
anterior stretched at her side.
 Instruct her to inhale deeply at
first and then exhale while lifting
the head slowly, to hold the
position for a few seconds and
relax.
Lecture cum
discussion
How to perform
head lift
exercise?
7

8. 2
minute
HEAD AND SHOULDER
RAISING
On the second postpartum day
instruct women to:
Lie flat without pillow and raise
head until the chain touches the
chest.
On 3rd post partum day instruct
her to: Raise both head and
shoulder off the bed and lower
than slowly. Gradually increase
the number of repetitions until
she is able to do this for 20time.
Lecture cum
discussion
How to perform
head and
shoulder raising
exercise?
1
minute
LEG RAISING
This exercise may begin on the 7th
postpartum day. Instruct women to..
Lie 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.
Lecture cum
discussion
How to perform
leg raising
exercise?
8

9.  Gradually increase to ten times
each leg.
2
minute
PELVIC TILTING OR ROCKING
Lie flat on the floor with knees
bent and feet flat, inhale and
While ex hating flatten the back
hard against the floor so that
there is no space between the
back and the floor.
Inhale normally holds breath for
up to 10 seconds and then
relaxes.
Repeat up to 10 times.
Lecture cum
discussion
How to perform
pelvic tilting
exercise?
2
minute
KNEE AND LEG ROLLING
Instruct women to…
Lie flat on her back with knees
bent and feet flat on the floor or
bed.
Keep the shoulder and feet
stationary and roll the knees to
side to touch first one side of the
Lecture cum
discussion
How to perform
knee and leg
rolling exercise
during
postpartum
period?
9

10. bed, then the other.
Maintain a smooth motion as the
exercise is repeated five times.
 Later, as flexibility increases, the
exercise can be able varied by
the rolling of one knee only.
1
minute
HIP HITCHING
Instruct mother to:
Lie on her back with one knee
bent and the other knee straight.
Slide the heel of the straight leg
Downwards, thus lengthening
the leg.
Shorten the same leg by drawing
the hip up towards the ribs on
the same side and repeat.
Lecture cum
discussion
How to perform
hip hitching
exercise during
postnatal
period?
1
minute
ABDOMINAL TIGHTEN
Instruct women to :
Sit comfortable on knee on all
fewer.
Breath in and extend them pull
Lecture cum
discussion
How to perform
abdominal
tighten
exercise?
10

11. in the lower part of the abdomen
below the umbilicus while
continuing to breath normally.
Hold for up to 10 seconds.
Repeat up to 10times.
1
minute
FOOT AND LEGS EXERCISE:
Instruct mother to: Sit or half if i.e.
with legs supported. Bend arm
stretched and ankles at least 12
times. Circle both feet at the ankle at
least 12 times in each direction.
Brace both knees hold for a count of
four then relax. Repeat 12 times.
Lecture cum
discussion
Flash card How to perform
foot and leg
exercise?
2
minute
PELVIC FLOOR EXERCISE
(Kegel exercise)
Instruct woman to: Sit, stand or half
lie with for front passages as if to
stop the flow of urine in mid stream.
Hold the contraction for ten seconds.
This is repeated up to 10 times.
Continue to do this exercise for 2-3
months. After three months if the
Lecture cum
discussion
How to perform
pelvic floor
exercise?
11

12. mother is able to cough deeply with
a full bladder without leaking urine,
she may stop the exercise. If leaking
occurs, she may continue the
exercise for the rest of her life.
1
minute
CHEST EXERCISE:
Instruct mother to: Lie flat with arm
extended straighten to the side
,bring both hands together above the
chest while keeping the arms
straight ,hold for a few seconds and
return to the straight position.
Repeat exercise five initially and
follow the health care provided for
increasing the number of
repetitions. Instruct the mother to
bend her elbows, clasp her hands
together above her chest and press
her hands together for a few seconds
repeat this at least five times.
Lecture cum
discussion
Flash card How to perform
chest exercise
during postnatal
period?
6. 1
minute
Importance of
the postnatal
exercise
Reduce fat
Maintain figure, shape of breast
Lecture cum
discussion
Flash card What is the
importance of the
postnatal
12

13. Promote rapid recovery of the
strength
Prevent complication
Prevent backache
Correct posture
Increase general circulation
Prevent incontinence of urine
exercise?
13

14. SUMMARY:
Postnatal exercise should be started as soon after birth as possible in order to
improve circulation. Strengthen pelvic floor and abdominal muscles and prevent transient
and long term problems. A Series of physical exercise that are performed by the postnatal
mothers to bring about optimal functioning of all system and prevent complication.
Postnatal exercise includes abdominal exercise, head lift, leg rising, pelvic floor exercise,
chest exercise etc, are helpful to reducing to excessive fat and maintain the figure.
14

15. BIBLIOGRAPHY:
1.Annamma Jocob. A Comprehensive Textbook Of Midwifery And Gynecological
Nursing: Postnatal exercise. Fourth Edition. New Delhi: Jaypee Brother Medical
Publisher (P) Ltd; 2015. Pp (156-157)
2.BT Basavanthappa. Essential Of Midwifery And Obstetrical Nursing: Postnatal
exercise. First Edition. New Delhi: Jaypee Brothers Medical Publisher (P) Ltd; 2011.
Pp (206-207)
3.D.C. Dutta’s. Text Book Of Obstetrics: Postnatal exercise. Seventh Edition. New Delhi:
New Central Book Agency (P) Ltd; 2010. Pp (153-154)
4.Dr. Shally Magon. Sanju Sira. Textbook Of Midwifery And Obstetrical Nursing:
Postnatal exercise. Third Edition. New Delhi: Lotus Publisher; 2013. Pp (333)
5.Myles. Text Book For Midwives: Postnatal exercise. Fifth Edition. UK: Churchill
Livingstone Elsevier; 1964. Pp (176-177)
6.Nima Baskar. Midwifery And Obstetrical Nursing: Postnatal exercise. Seventh
Edition. Bangalore: EMMESS Medical Publisher; 2015. Pp (252-254)
15