Subject: OBSTETRICS AND GYNAECOLOGICAL NURSING

HEALTH EDUCATION ON ANTENATAL

EXERCISES
TIME SPECIFIC CONTENT TEACHERS ACTIVITY LEARNERS A.V AIDS EVALUATION
OBJECTIVE ACTIVITY
INTRODUCTION:
Good morning, I will be discussing
Antenatal exercises Here are some exercises that
will help you stay fit during your pregnancy.
Before you start an exercise program, consult with
your health care provider, who can provide
exercise guidelines based on your medical history
and level of risk.

Announcement of the topic:

“ANTENATAL EXERCISES”
TIME SPECIFIC CONTENT TEACHERS LEARNERS A.V EVALUATIO
OBJECTIVE ACTIVITY ACTIVITY AIDS N
Define DEFINITION: Explain the Patients pay Flash What is meant
antenatal definition of attention card by antenatal
exercises It is a planed examination and observation for the antenatal exercises
woman from conception till the birth . Exercises
OR
Antenatal care refers to the care that is given to an
expected mother from time of conception is confirmed
until the beginning of labor

Explains the Goals of antenatal exercises; Explains the Patients Flash What are the
goals of goals of listen card goals of
antenatal  To reduce maternal and perinatal mortality and antenatal carefully antenatal
exercises morbidity rates. exercises exercises
 To improve the physical and mental health of
women and children.
 To prepare the woman for labor, lactation, and
care of her infant.
 To detect early and treat properly complicated
conditions that could endanger the life or impair
the health of the mother or the fetus.

Describe the Purposes of antenatal exercises: Describes Patient Flash What is

purposes of  To develop a good posture. purposes of listening card purposes
antenatal  To reduce constipation & insomnia. antenatal antenatal
exercises exercises exercises
 To alleviate discomfortable, postural back
ache& fatigue.
 To ensure good muscles tone& strength pelvic
supports.
 To develop good breathing habits, ensure good
oxygen supply to the fetus.
  To prevent circulatory stasis in lower
extremities, promote circulation, lessen the
possibility of venous thrombosis

Discuss the Guidelines for exercises: Discusses and Listening Flash Explain the
guideline for  Maintain adequate fluid intake. explains. card guideline for
antenatal  Warm up slowly, use stretching exercises but exercises
exercises avoid over stretching to prevent injury to
ligaments.
 Avoid jerking or bouncing exercises.
 Be careful of loose throw rugs that could slip&
cause injury.
 Exercises on regular basis (three times per
week).
 After first trimester, avoid exercises that require
supine position.
Explain in Explains the Listening Flash What are the
Types of antenatal exercise:
brief the types types of card antenatal
of antenatal antenatal exercises.
(1) Pelvic floor exercise:
exercises exercises
 Sit on a chair with your back against the
seatback
 Tighten the vaginal, urethral and anal muscles as
if trying to withhold urination or defecation.
You can also do this exercise in a standing
position.
Pelvic floor exercise enhances the control and support
of pelvic floor muscles. It helps you prepare for
childbirth and prevents uterine prolapse, urinary
incontinence and haemorrhoid.
(2) Back and abdominal exercise:

 Sit on a chair with your back against the

seatback
 Breathe naturally
 Tighten the abdomen and then press the pelvis
 downwards to flatten your low back against the
seatback. Hold for 5 seconds, and relax
This exercise helps you by correcting the low back and
pelvic posture. It strengthens your abdominal muscles
and prevents back pain.

(3) Ankle exercise:

 Sit on a chair with your back against the

seatback
 Start with one ankle and turn the foot upwards
and downwards. Each up-and-down movement
is counted as one time. Repeat ten times
 Rotate the ankle to draw an inward or outward
circle. Each circular movement is counted as
one time. Repeat ten times
 Repeat the same steps at the other ankle
 Ankle exercise helps reduce leg swelling and
varicose vein, thus alleviating the problem of leg
cramps

(4) Lower limbs relaxation exercise:

 This exercise enhances the flexibility and

strength of inner thighs and pelvic muscles. It
helps you get accustomed to the delivery
 position and prevent thigh spasm during
delivery
 Sit on a stable low chair against a wall and
spread your thighs sideways. Hold for 5 seconds
and relax

(5) Breathing exercise:

Breathing techniques for pain relief during labour.

Exhale before inhale is suggested

A. Abdominal breathing

 Suitable for mild pain

 Breathe in through the nose and feel the
abdomen expand. Then breathe out through the
mouth

B. Lower costal breathing

 Suitable for medium pain

 Put your hands on the lower rib cage. Breathe in
through the nose and feel your chest expand.
Then breathe out lightly through the mouth

C. Apical breathing:

 Suitable for severe pain

 Cross your hands below the clavicles with your
mouth slightly open. Breathe in through the nose
and the mouth. Breathe out lightly as if trying to
flicker the flame of a candle without blowing it
 out, and feel the upper lungs moving slightly up
and down

Explain the Contraindications: Explains the Listening Flash What are

contraindicatio contraindicatio cards contraindicati
n  Vaginal bleeding. n ons
 Sever anemia.
 History of preterm labor,
 Extreme over or under weight.
 Hypertension, heart, lung, thyroid diseases
Conclusion:

Womens who were most active prior to pregnancy

reduced their exercise level but continued to be the most
active during pregnancy as to overcoming the problems
of getting risk the antenatal exercises most powerful to
the pregnant womens might benefits from intensified
antenatal advice concerning physical activity during
pregnancy through this the womens will entirely resolve
the future occurrence risk.
Name of the student teacher : Mrs. Rashmi C.S

Class : 1st year MSc(N), OBG

Subject : Obstetrics and Gynaecology

Topic : Antenatal exercises

Group : Patients admitted in the OBG wards

Time : 10.00 AM to 11. 00 AM

Date : 20/01/2019

Method of teaching : Lecture cum Discussion

A.V aids : Flash Cards

Previous knowledge : The patients have previous knowledge of antenatal exercises

Central objectives : At the end of the section they gain the knowledge of antenatal exercises and apply the types of exercises in practice
during antenatal period.

Specific objectives:

1. Define antenatal exercises

2. Explains the goals of antenatal exercises
3. Describe the purposes of antenatal exercises
4. Discuss the guideline for antenatal exercises
5. Explain in brief the types of antenatal exercises
6. Explain the contraindication
Bibliography:

https://www.webmd.com/baby/pregnancy-safe-exercises

https://madhavuniversity.edu.in/antenatal-exercises.html

https://www.fhs.gov.hk/english/health_info/woman/14744.pdf