Maternal and Child health nursing

Care of the childbearing and childbearing Family ADELE PILITTERI Lippinkott Williams and Wilkins (2007 yung nkalagay dun sa gilid ng book nto) Kegel exercises kegel exercises are exercises designed to strengthen the pobococccygeal muscles. Each is a separate exercise and should be done about three times a day. Exercises are as follows: 1. Squeeze the muscles surrounding the vagina as is stopping the flow of urine. Hold for 2 seconds. Repeat this sequence 10 times. 2. Contract and relax the muscles surrounding the vagina as rapidly as possible 10 to 25 times. 3. Imagine that you are sitting in a bathtub of water ans squeeze the muscles as if sucking water into the vagina. Holds for 3 seconds. Relax. Repeat this action 10 times. It may take as long as 6 weeks of exercise before pubococcygeal muscles are strengthened. In addition to strengthening urinary control and preventing stress incontinence, kegel exercises can lead to increased sexual enjoyment because of tightened vaginal muscles. (ewan ku kung pwede to apol, pero itinuturo ksi d2 kung pano yung tamang paraan para gawin ang kegel exercise) (same book to..) Some women find that carrying out perineal exrcises three ot four times a day greatly relieves episiotomy discomfort. The exercise consists of contracting and relaxing the muscles of the perineum five to ten times in succession, as if trying to stop voiding (Kegel exercises). This aids comfort by improving circulation to the area and decreasing edema. When repeated frequently, Kegel exercises also help a woman regain her prepregnant muscle tone and form. (Harvey, 2003) (tas eto naka-table to, paghiwahiwalayin nlang natin.) Muscles-strengthening exercises. Abdominal breathing abdominal breathing may be started on the first day after birth, because it is relatively easy exercise. Lying flat on her back or sitting, a woman should breathe slowly and deeply in and out 5 times, using her abdominal muscles. Check by her abdominal wall rise that she is actually using these muscles. Chin-to-chest- the chin-to-chest exercise is excellent for the second day. Lying on her back with a pillow, a woman raises her head and bends her chin forward on her chest without moving any other part of her body while exhaling. She should start this gradually, repeating it no more than 5 times the first time and then increasing it into 10-15 times in succession. The exercise can be done 3 or 4 times a day. She will feel her abdominal muscles pull and tighten if she is doing it correctly. Perineal contraction- if a woman is not already using this exercise as a means of alleviating perineal discomfort, it is a good one to add on the third day. She should tighten and relax her perineal muscles 10-25 times in succession as if she were trying to stop voiding (kegel exercise). She will feel her perineal muscles working if she is doing it correctly. Arm raising - arm raisings helps both the breast and the abdomen return to good tone and is a good exercise to add on the fourth day. Lying on her back, arms at her sides, a woman moves her arms out from her sides until they are perpendicular to her body. She then raises them over her body until her hands touch and lower them slowly to her sides. She should raise a moment, the repeat the exercise 5 times.

Abdominal crunches- it is advisable to wait until 10th to 12th day after the birth before attempting abdominal crunches. Lying flat on her back with her knees bent, a woman folds her arms across her chest and raise herself to a sitting position. This exercise expends a great deal of effort and tires a postpartal woman easily. Caution her to begin very gradually and work up slowly to doing it 10 times in a row. Maternal child nursing 2nd edition Emily Slone McKinney Susan Rowen James Sharon Smith Murray Jean Weiler Ashwill (2005 yung nakalagay sa gilid ng book) Kegel exrcises. All mothers should become familiar with Kegel exercises. These movements strengthen the pubococcygeal muscle, which surround the vagina and urinary meatus. This exercise helps prevent the loss of muscle tone that can occur after child birth. The Kegel exrcise involves contracting muscles around the vagina (as though stopping the flow of urine), holding tightly for 10 seconds, and then relaxing for 10 seconds. The woman should work up to 30 contraction-relaxing cycles each day. Teach exercises in the early postpartum period to strengthen the abdominal muscles and firm the waist. The exercises can be started soon after childbirth and repeated five times twice a day, at first. The number of exercises is gradually increased as the mother gains strength.