POST NATAL EXERCISES AND ITS IMPACT.pptx

OBG NURSING

1. Presentation on postnatal exercises Prof.(Dr.) Geeta Chaudhary M.Sc.(N) OBG, PhD Nursing

2. DEFINITION A series of physical exercises that are performed by the postnatal mother to bring about optimal functioning of all body systems and prevent complications .

3. PURPOSES: To improve the tone of muscles. To educate about correct posture and body mechanics To prevent stress continence of urine.

4. Contd.. To minimize the risk of puerperal venous thrombosis. To prevent backache To prevent genital prolapse .

5. PROCEDURE: The exercise can be started soon after child birth and repeated upto five times twice a day, at first. The no. of exercises is gradually increased as the mother gains strength.

6. NURSING ACTION : Explain the procedure to the patient. Provide privacy.

7. ABDOMINAL EXERCISES Abdominal breathing Head lift Head and shoulder raising Leg raising Knee and leg rolling Pelvic tilting and rocking Hip hitching Abdominal tightening

8. Abdominal breathing : To instruct the women to assume the supine position with knees bent. Instruct her to inhale through the nose, keep the rib cage as stationary as possible, and allow the abdomen to expand . Then contract the abdominal muscles as she inhales slowly through the mouth.

9. Abdominal breathing

10. Contd.. Instruct her to place one hand on the chest and one on the abdomen when inhaling. Then the hand on the abdomen should rise and the hand on chest should remain stationary. Ensures that exercise is being done correctly and ensures the adequate intake of air while inhaling. Repeat the exercise five times .

11. Head lift: This exercise can be started within few days after childbirth. Instruct the mother to lie supine with knees bent and arms outstretched to her side. Instruct her to inhale deeply first and then exhale while lifting the head slowly. To hold the position for few seconds and relax.

12. Head lift

13. Head and shoulder raising : On the second post partum day instruct women to: Lie flat with pillow and raise the head until the chin touches the chest.

14. Contd.. On the 3 rd postpartal day instruct her to: Raise both head and shoulder off the bed and lower them slowly. Gradually increase the no. of repetitions until she is able to do this for 10 times.

15. Leg raising: This exercise may begin on 7 th post partum 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. Gradually increase to 10 times each leg.

16. Leg raising

17. Pelvic tilting and rocking: Instruct women to: Lie down on the floor with knees bent and feet flat , inhale and while exhaling flatten the back hard against the floor so that there is no space between the back and the floor. Inhale normally, hold breath for upto 10 sec., and then relax. Repeat upto 10 times. Tightens the abdominal muscles and muscles of buttocks.

18. Pelvic rocking

19. 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 shoulders and feet stationary and roll the knees to side to touch first one side of the bed then on other. Maintain a smooth motion as the exercise is repeated five times.

20. Contd.. Later, as flexibility increases, the exercise can be varied by the rolling of the knee only. This will strengthen the oblique abdominal muscles.

21. Hip hitching: Instruct mother to : Lie on her back with one knee bent and 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 ribs on the same side.

22. Contd.. Repeat up to 10 times keeping the abdomen pulled in. Change the opposite side and repeat.

23. Abdominal tightening: Instruct women to: Sit comfortably or kneel on the all fours. Breath in and out, then pull in the lower part of the abdomen below the umbilicus while continuing to breath normally. Hold for upto 10 seconds. Repeat upto 10 times.

24. Abdominal tightening

25. CIRCULATORY EXERCISES : Foot and Leg exercises: Instruct mother to : Sit or half lie with legs supported. Bend and stretch the ankles atleast 10 times. Circle both feet at the ankle atleast 20 times in each direction. Brace both knees, hold for a count of four, then relax. Repeat 12 times .

26. Foot and ankle exercises

27. PELVIC FLOOR EXERCISE: Kegel exercise: Instruct women to: Sit, stand or half-lie with legs apart, close and draw up around the anal passage as through preventing the bowel action, then repeat for front passages as if to stop the flow of urine mid-stream. Hold the contraction for ten seconds (to a count of six). Repeat up to 10 times. Continue to do this exercise for 2-3 months.

28. Contd.. After 3 months if the mother is able to cough deeply with full bladder without leaking the urine then she may stop exercise. If leaking occurs, she may continue the exercise for rest of her life. This exercise helps to regain the full bladder control, prevents uterine prolapsed, and ensures the sexual satisfaction in future.

29. Kegel exercises

30. CHEST EXERCISE : Instruct her to: Lie flat with arms extended straight out to the side, bring both hands together above the chest, while keeping the arms straight, hold for few seconds and return to the starting position. Repeat the exercise 5 times daily initially.

31. Contd.. Instruct the mother to bend her elbows, clasp her hands together above the chest, and press her hands together for a few seconds. Repeat this for at-least 5 times. This exercise increases the strength and tone of the chest muscles.

32. SUMMARIZATION we have discussed about: Definition of post natal exercises Purposes of post natal exercises Procedure/ how to perform exercises

33. RECAPTUALIZATION What are the abdominal exercises? For what time period kegel exercises should be done?

34. ASSIGNMENT Redemonstrate the procedure of postnatal exercises.

35. REFERENCES: Jacob annamma , “Clinical nursing procedures: the art of nursing practice” published by jaypee publishers, edition 2 nd (in 2010) pg no.602-605. Jacob annamma , “Textbook of midwifery”,1 st edition, jaypee publishers,Pg no.

36. Thank you