LESSON PLAN ON

POST NATAL EXERCISE

SUBMITTED TO

Mrs. Somibala Thokchom

Tutor (OBG)

Rufaida College of Nursing

SUBMITTED BY

Ms. Sneha Sehrawat

M. Sc. IInd Year (OBG)

Rufaida College of Nursing

Time Specific Content Teaching Evaluati
objectives learning on
activity
2 min
INTRODUC
TION:-
INTRODUCT
ION- These
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.

5min After the class DEFINATION:- Student What is

the group will teacher will postnatal
able to define A series of physical exercise that are be able to exercise?
what are the performed by the postnatal mothers to discuss about
post natal bring about optimal functioning of all the definition
exercises. system and prevent complication. of post natal
 exercise with
the help of
OHP.

2min Purposes:-

After the class 1. To improve the tone of muscle Student What are
the group will which are stretched during pregnancy teacher will the
be able to and labour specially the abdominal be able to purposes
discuss about and perineal muscles. discuss about of
purposes of 2. To educate about correct posture the purposes postnatal
postnatal and body mechanism. of postnatal exercises
exercises. 3. To minimize the risk of puerperial exercises with ?
venous thrombosis by promoting the help of
circulation and preventing venous OHP.
stasis.
4. To prevent backache.
5. To prevent stress incontinence of
urine.

Time Specific Content Teaching Evalutio

Objective learning n
activity
2min After the class I-ABDOMINAL EXERCISE- Student
the class the 1. Instruct the women to assume a teacher will How to
group will be supine position with bent. be able to perform
able to discuss 2. Instruct her to inhale through the discuss about abdomin
about nose, keep the rib cage as stationary abdominal al
abdominal as possible and allow the abdomen to exercises by exercise?
exercises. expand and then contract the demonstrating
abdominal muscle as she exhales .
slowly through the mouth.
3. Instruct 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.
4. Repeat the exercise five times.

2min After the class B-HEAD LIFT- Student How to

the group will This exercise can be started within a teacher will perform
be discuss few days after child birth. be able to head lift
about the head 1. Instruct the mother to lie supine discuss about exercises
lift exercise. with knees bent and arms anterior head lifting ?
stretched at her side. by
2. Instruct her to inhale deeply at first demonstrating
and then exhale while lifting the head .
slowly, to hold the position for a few
seconds and relax.
Time Specific Content Teaching Evaluati
objective learning on
activity
5min After the class C-HEAD AND SHOULDER Student How to
Students will RAISING- teacher will perform
be able to On the second postpartum day instruct be able to head and
discuss about women to: discuss about shoulder
head and 1. Lie flat without pillow and raise head and raising
shoulder head until the chain touches the chest. shoulder exercise?
raising 2.On 3rd post partum day instruct her rising by
exercise. to: demonstrating
°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.
5min After the class D-LEG RAISING- Student How to
the group will This exercise may begin on the 7th teacher will perform
be able to postpartum day. Instruct women to : be able to the leg
discuss about 1. Lie Down on the floor with no discuss about raising
leg raising pillows under the head. Point toe and leg raising exercise?
exercise. slowly raise one leg keeping the knee exercise by
straight. demonstrating
2. Lower the leg slowly. .
3. Gradually increase to ten times
each leg.

Time Specific Content Teaching Evaluati

objective learning on
activity
5min After the class E-PELVIC TILTING OR student how to
the group will ROCKING-Instruct women to- teacher will perform
be able to 1. Lie flat on the floor with knees bent be able to pelvic
discuss about and feet flat, inhale and While ex discuss about tilting
the pelvic hating flatten the back hard against pelvic tilting exercise?
tilting or the floor so that there is no space exercise by
 rocking between the back and the floor. demonstrating
exercise. 2. Inhale normally holds breath for up .
to 10 seconds and then relaxes.
3. Repeat up to 10 times.

5min After the class F- KNEE AND LEG ROLLING - Student How to
the student Instruct women to- teacher will perform
teacher will be 1. Lie flat on her back with knees bent be able to knee and
able to discuss and feet flat on the floor or bed. discuss about leg
about knee and 2. Keep the shoulder and feet knee and leg rolling
leg rolling stationary and roll the knees to side to rolling exercise?
exercise. touch first one side of the bed, then exercise by
the other. demonstrating
3. Maintain a smooth motion as the .
exercise is repeated five times.
4. Later, as flexibility increases, the
exercise can be able varied by the
rolling of one knee only.

Time Specific content Teaching Evaluati

objective learning on
activity
5min After the class G-HIP HITCHING- Student How to
the group will Instruct mother to : teacher will perform
be able to 1. Lie on her back with one knee be able to hip
discuss about bent and the other knee discuss about hitching
hip hitching straight. hip hitching exercise?
exercise. 2. Slide the heel of the straight leg exercise by
3. Downwards, thus lengthening demonstrating
the leg. .
4. Shorten the same leg by
drawing the hip up towards the
ribs on the same side and
repeat.

5min After the class H-ABDOMINAL TIGHTEN- Student How to

the group will Instruct women to :- teacher will perform
be able to 1. Sit comfortable on knee on all be able to abdomin
discuss about fewer. discuss about al
abdominal 2. Breath in and extend them pull in abdominal tightenin
tightening the lower part of the abdomen below tightening g
exercise. the umbilicus while continuing to exercise by exercise?
breath normally. demonstrating
3. Hold for up to 10 seconds. .
4. Repeat up to 10times.

5min After the class FOOT AND LEGS EXERCISE: Student How to
the group will Instruct mother to: teacher will perform
be able to  Sit or half if i.e. with legs be able to foot and
discuss about supported. discuss about legs
circulatory  Bend arm stretched and ankles foot and leg exercise?
exercises. at least 12 times. exercise by
 Circle both feet at the ankle at demonstrating
 least 12 times in each direction. .
 Brace both knees hold for a
count of four then relax.
 Repeat 12 times.

Time Specific Content Teaching evaluati

objective learning on
activity

5min After the class PELVIC FLOOR EXERCISE; Student How to

the group will (Kegel exercise) teacher will perform
be able to Instruct woman to: be able to kegel
discuss about  Sit, stand or half lie with for discuss about exercise?
kegel exercise. front passages as if to stop the kegel exercise
flow of urine in mid stream. by performing
 Hold the contraction for ten demonstration
seconds. .
 This is repeated up to 10 times.
 Continue to do this exercise for
2-3 months.
 After three months if the
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.
5 min After the class CHEST EXERCISE: How to
the student Instruct mother to: Student perform
will be able to  Lie flat with arm extended teacher will chest
discuss about straighten to the side ,bring be able to exercise
chest both hands together above the discuss about in
exercises. chest while keeping the arms chest exercise postnatal
straight ,hold for a few seconds by performing period?
and return to the straight demonstration
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.
SUMMARY:-
These 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.

CONCLUSION:-
To improve the muscle tone which are stretched during pregnancy labour specially the abdominal and
perineal muscles. To educate correct posture to be attained when the patient is getting up from her bed.
This also includes the correct principles of lifting and working positions during day to day activities.
BIBLIOGRAPHY :-

 Margit copper. A, Myles textbook for midwives, 14th edition, 244-246.

 Jacob anamma, R.rekha, clinical nursing procedure the first of nursing perctice, 2nd edition,601-603