LESSON PLAN ON

POST NATAL EXERCISES

SUBMITTED TO:

Mrs. SOMIBALA

SUBMITTED BY:

VARSHA SHARMA

MSc NURSING FIRST YEAR

RUFAIDA COLLEGE OF NURSING

Time Specific Content Teaching learning Evaluation
objectives activity
2 min
INTRODUCTION:-
INTRODUCTION-
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 teacher What is

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

2min Purposes:-

After the class 1. To improve the tone of muscle which are Student teacher What are
the group will stretched during pregnancy and labour specially will be able to the
be able to the abdominal and perineal muscles. discuss about the purposes of
discuss about 2. To educate about correct posture and body purposes of postnatal
purposes of mechanism. postnatal exercises?
postnatal 3. To minimize the risk of puerperial venous exercises with the
exercises. thrombosis by promoting circulation and help of OHP.
preventing venous stasis.
4. To prevent backache.
5. To prevent stress incontinence of urine.
Time Specific Content Teaching learning Evalution
Objective activity
2min After the class I-ABDOMINAL EXERCISE- Student teacher
the class the 1. Instruct the women to assume a supine will be able to How to
group will be position with bent. discuss about perform
able to discuss 2. Instruct her to inhale through the nose, keep abdominal abdominal
about the rib cage as stationary as possible and allow exercises by exercise?
abdominal the abdomen to expand and then contract the demonstrating.
exercises. 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 teacher How to

the group will This exercise can be started within a few days will be able to perform
be discuss after child birth. discuss about head lift
about the 1. Instruct the mother to lie supine with knees head lifting by exercises?
head lift bent and arms anterior stretched at her side. demonstrating.
exercise. 2. 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.
Time Specific Content Teaching learning Evaluation
objective activity
5min After the class C-HEAD AND SHOULDER RAISING- Student teacher How to
Students will On the second postpartum day instruct women will be able to perform
be able to to: discuss about head and
discuss about 1. Lie flat without pillow and raise head until head and shoulder
head and the chain touches the chest. shoulder rising by raising
shoulder 2.On 3rd post partum day instruct her to: demonstrating. exercise?
raising °Raise both head and shoulder off the bed and
exercise.
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 teacher How to

the group will This exercise may begin on the 7th postpartum will be able to perform
be able to day. Instruct women to : discuss about leg the leg
discuss about 1. Lie Down on the floor with no pillows under raising exercise raising
leg raising the head. Point toe and slowly raise one leg by exercise?
exercise. keeping the knee straight. demonstrating.
2. Lower the leg slowly.
3. Gradually increase to ten times each leg.
Time Specific Content Teaching learning Evaluation
objective activity
5min After the class E-PELVIC TILTING OR ROCKING-Instruct women student teacher how to
the group will to- will be able to perform
be able to 1. Lie flat on the floor with knees bent and feet discuss about pelvic
discuss about flat, inhale and While ex hating flatten the back pelvic tilting tilting
the pelvic hard against the floor so that there is no space exercise by exercise?
tilting or between the back and the floor. demonstrating.
rocking 2. Inhale normally holds breath for up to 10
exercise. seconds and then relaxes.
3. Repeat up to 10 times.

5min After the class F- KNEE AND LEG ROLLING - Instruct women to- Student teacher How to
the student 1. Lie flat on her back with knees bent and feet will be able to perform
teacher will be flat on the floor or bed. discuss about knee and
able to discuss 2. Keep the shoulder and feet stationary and knee and leg leg rolling
about knee roll the knees to side to touch first one side of rolling exercise by exercise?
and leg rolling the bed, then the other. demonstrating.
exercise. 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 learning Evaluation
objective activity
5min After the class G-HIP HITCHING- Student teacher How to
the group will Instruct mother to : will be able to perform
be able to 1. Lie on her back with one knee bent and discuss about hip hip hitching
discuss about the other knee straight. hitching exercise exercise?
hip hitching 2. Slide the heel of the straight leg by
exercise. 3. Downwards, thus lengthening the leg. demonstrating.
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 teacher How to

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

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

5min After the class PELVIC FLOOR EXERCISE; Student teacher How to
the group will (Kegel exercise) will be able to perform
be able to Instruct woman to: discuss about kegel
discuss about  Sit, stand or half lie with for front kegel exercise by exercise?
kegel exercise. passages as if to stop the flow of urine performing
in mid stream. demonstration.
 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 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.
Time Specific content Teaching learning Evaluation
objective objective
5 min After the class CHEST EXERCISE: How to
the student Instruct mother to: Student teacher perform
will be able to  Lie flat with arm extended straighten to will be able to chest
discuss about the side ,bring both hands together discuss about exercise in
chest above the chest while keeping the arms chest exercise by postnatal
exercises. straight ,hold for a few seconds and performing period?
return to the straight position. demonstration.
 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