LESSON PLAN ON

POST NATAL EXERCISES

SUBMITTED TO:
Mrs. SOMIBALA
SUBMITTED BY:
VARSHA SHARMA
MSc NURSING FIRST YEAR
RUFAIDA COLLEGE OF NURSING

Time

Specific
objectives

Content

Teaching
learning
activity

Evaluati
on

2 min
INTRODUCTI
ON:INTRODUCTIO
N- 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 the
group will
able to
define what
are the post
natal
exercises.

2min

DEFINATION:A series of physical exercise that are

performed by the postnatal mothers to
bring about optimal functioning of all
system and prevent complication.

Student
teacher will be
able to
discuss about
the definition
of post natal
exercise with
the help of
OHP.

What is
postnatal
exercise?

Student
teacher will be
able to
discuss about
the purposes
of postnatal
exercises with

What are
the
purposes
of
postnatal
exercises
?

Purposes:After the
class the
group will
be able to
discuss
about
purposes of

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

postnatal
exercises.

venous thrombosis by promoting

circulation and preventing venous
stasis.
4. To prevent backache.
5. To prevent stress incontinence of
urine.

the help of
OHP.

Time

Specific
Objective

Content

2min

After the
class the
class the
group will
be able to
discuss
about
abdominal
exercises.

I-ABDOMINAL EXERCISE1. Instruct the women to assume a

supine position with bent.
2. Instruct 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 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.

Teaching
learning
activity
Student
teacher will be
able to
discuss about
abdominal
exercises by
demonstrating
.

Evalutio
n

How to
perform
abdomin
al
exercise?

2min

After the
class the
group will
be discuss
about the
head lift
exercise.

B-HEAD LIFTThis exercise can be started within a

few days after child birth.
1. Instruct the mother to lie supine
with knees bent and arms anterior
stretched at her side.
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.

Student
teacher will be
able to
discuss about
head lifting by
demonstrating
.

How to
perform
head lift
exercises
?

Time

Specific
objective

Content

Evaluati
on

5min

After the
class
Students
will be able
to discuss
about head
and
shoulder
raising
exercise.

C-HEAD AND SHOULDER RAISINGOn the second postpartum day

instruct women to:
1. Lie flat without pillow and raise
head until the chain touches the chest.
2.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.

Teaching
learning
activity
Student
teacher will be
able to
discuss about
head and
shoulder
rising by
demonstrating
.

How to
perform
head and
shoulder
raising
exercise?

5min

After the
class the
group will
be able to
discuss
about leg
raising
exercise.

D-LEG RAISINGThis exercise may begin on the 7th

postpartum day. Instruct women to :
1. Lie Down on the floor with no
pillows under the head. Point toe and
slowly raise one leg keeping the knee
straight.
2. Lower the leg slowly.
3. Gradually increase to ten times
each leg.

Student
teacher will be
able to
discuss about
leg raising
exercise by
demonstrating
.

How to
perform
the leg
raising
exercise?

Time

Specific
objective

Content

Evaluati
on

5min

After the
class the
group will
be able to

E-PELVIC TILTING OR ROCKINGInstruct women to1. Lie flat on the floor with knees bent
and feet flat, inhale and While ex

Teaching
learning
activity
student
teacher will be
able to
discuss about

how to
perform
pelvic
tilting

5min

discuss
about the
pelvic
tilting or
rocking
exercise.

hating flatten the back hard against

the floor so that there is no space
between the back and the floor.
2. Inhale normally holds breath for up
to 10 seconds and then relaxes.
3. Repeat up to 10 times.

pelvic tilting
exercise by
demonstrating
.

exercise?

After the
class the
student
teacher will
be able to
discuss
about knee
and leg
rolling
exercise.

F- KNEE AND LEG ROLLING Instruct women to1. Lie flat on her back with knees bent
and feet flat on the floor or bed.
2. Keep the shoulder and feet
stationary and roll the knees to side to
touch first one side of the bed, then
the other.
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.

Student
teacher will be
able to
discuss about
knee and leg
rolling
exercise by
demonstrating
.

How to
perform
knee and
leg
rolling
exercise?

Time

Specific
objective

content

Teaching
learning
activity
Student
teacher will be
able to
discuss about
hip hitching
exercise by
demonstrating
.

Evaluati
on

5min

After the
class the
group will
be able to
discuss
about hip
hitching
exercise.

G-HIP HITCHINGInstruct mother to :

1. Lie on her back with one knee
bent and the other knee
straight.
2. Slide the heel of the straight leg
3. Downwards, thus lengthening
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 the
group will
be able to
discuss
about
abdominal
tightening
exercise.

H-ABDOMINAL TIGHTENInstruct women to :1. Sit comfortable on knee on all

fewer.
2. Breath in and extend them pull in
the lower part of the abdomen below
the umbilicus while continuing to
breath normally.
3. Hold for up to 10 seconds.
4. Repeat up to 10times.

Student
teacher will be
able to
discuss about
abdominal
tightening
exercise by
demonstrating
.

How to
perform
abdomin
al
tightenin
g
exercise?

5min

After the
class the
group will

FOOT AND LEGS EXERCISE:

Instruct mother to:
Sit or half if i.e. with legs

Student
teacher will be
able to

How to
perform
foot and

How to
perform
hip
hitching
exercise?

be able to
discuss
about
circulatory
exercises.

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.

discuss about
foot and leg
exercise by
demonstrating
.

legs
exercise?

Time

Specific
objective

Content

Teaching
learning
activity

evaluati
on

5min

After the
class the
group will
be able to
discuss
about kegel
exercise.

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 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.

Student
teacher will be
able to
discuss about
kegel exercise
by performing
demonstration
.

How to
perform
kegel
exercise?

Time

Specific
objective

content

5 min

After the
class the
student will
be able to
discuss
about chest
exercises.

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.

Teaching
learning
objective
Student
teacher will be
able to
discuss about
chest exercise
by performing
demonstration
.

Evaluati
on
How to
perform
chest
exercise
in
postnatal
period?

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