“A STUDY TO EVALUATE THE EFFECTIVENESS OF VIDEO TEACHING

PROGRAMME ON POSTNATAL EXERCISES AMONG POSTNATAL MOTHERS IN

A SELECTED HOSPITAL AT BANGALORE”

PERFOMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

BY

Ms. OINAM MONIKA DEVI

1ST YEAR M.Sc. NURSING

OBSTETRICAL AND GYNAECOLOGICAL NURSING

THE YEAR 2023-2024,

UNDER THE GUIDANCE OF

Mrs. KOKILA

HOD DEPT. OBESTERICAL AND GYNAECOLOGICAL NURSING

SPURTHY COLLEGE OF NURSING, CHANDAPURA,

ANEKAL ROAD, MARSUR,

KARNATAKA-562106
 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE, KARNATAKA.

PERFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1. NAME OF THE CANDIDATE OINAM MONIKA DEVI

AND ADDRESS 1st YEAR Msc.NURSING
SPRUTHY COLLEGE OF
NURSING, BANGALORE

2. NAME OF THE INSTITUTION SPRUTHY COLLEGE OF

NURSING, BANGALORE

3. COURSE OF THE STUDY AND 1st YEAR M.Sc. NURSING,

SUBJECT OBSTETRICAL AND
GYNAECOLOGICAL NURSING

4. DATE OF ADMISSION 12/09/2022

5. TITLE OF THE STUDY “A STUDY TO EVALUATE THE

EFFECTIVENESS OF VIDEO
TEACHING PROGRAMME ON
POSTNATAL EXERCISES AMONG
POSTNATAL MOTHERS IN A
SELECTED HOSPITAL AT
BANGALORE”
6. BRIEF RESUME OF INTENDED WORK

6.1 INTRODUCTION
“Part of taking care of your baby is taking care of yourself”

Exercises are any bodily activity that enhances or maintains physical fitness and
overall health and wellness. Frequent and regular physical exercises boost the immune system,
and helps prevent the "diseases of affluence" and improves mental health, through that it
develops positive self esteem. Child birth is a significant event in women. It is a privilege the
mother to deliver a baby. The postnatal period is the time during which mother’s body adjusts
physically and psychologically to the process of childbearing1.
The postnatal period is an adjustment after pregnancy. During this time women recover
from the stress of pregnancy and delivery. The requirements during this period are the notorious
diet, personal hygiene, postnatal exercises, breast feeding, family planning and immunization of
the baby. In reality the postpartum period is comprised of an amazing variety of complex
physiological and psychological adaptation. The important role of the nurse is to assist the
mother to adjust with the postpartum period and also support them to make a new life.2
Postnatal exercises are playing important role in many ways like encourage drainage of
lochia and ante-version of the uterus. Movement of in and outside the bed and breathing
exercises are advised during this period to minimize the risk of deep venous thrombosis (DVT),
contraction and relaxation of the pelvic floor muscles, diminish respiratory and vascular
complications, minimize future prolapsed and stress incontinence, prevent backache and genital
prolapsed, including losing that extra baby weight and getting fit and healthy, concentrate on
proper postures, body alignments and keep abdominal muscles contracted.3
The postnatal exercises are important during postpartum period, neglecting the mothers
doing postnatal exercises is the one of the factor contributing to develop complication. A major
reason for the high mortality rate is lack of care at birth and less awareness about the postnatal
exercises. In India most the mothers are not aware of postnatal exercises. It is the responsibility
of the nurse to educate mothers regarding the postnatal exercises, which is an extended activity
for promotion of maternal and child well being.4
There are several reasons why it's a good idea to start some gentle exercise soon after the
mother had a baby. It help boost the mood, help to regain the pre-baby figure and lose weight,
protect from aches and pains and give more energy if the mother is feeling tired, improve
physical strength and stamina which will make looking after a new born baby easier, Speedier
healing and recovery from the rigours of the birthing process, helps to reduce post-natal
depression known as the “baby blues and Stress release.
Postnatal period demands a lot a physical and psychological adaptation. While some exercise is
very good for a new mother, doing too much too soon can be harmful also. About of exercise
helps to suppress and appetite.5
Exercise is now universally advocated as a means to maintain and enhance good physical
and mental health. In fact there is general agreement that regular exercise by healthy individuals
has psychological and physical benefits that include improved physical fitness and enhanced
quality of life. Women today are more autonomous and feel empowered to be in control of their
health, mind and body and for many women exercise has become an integral part of normal life.
Over recent decades, the increasing trend for exercise is reflected in number of pregnant women
who are also adopting a more active lifestyle.6
Exercise during pregnancy has benefits not just for expectant mothers but for their
growing fetus. Sutter health says that antenatal exercise can relieve back pain, get women ready
for labour by improving muscle strength and flexibility and improve energy levels. Most women
benefit greatly from exercising throughout their pregnancies and these exercises are called
antenatal exercises for example transverse exercises, pelvic tilting or rocking, pelvic floor
exercises, foot and leg exercises, breathing exercises, walking and aerobics etc.6
Childbirth can be a moment of supreme beauty and joy which a nurse is privileged to
share with the mother, and these feelings are born out of confidence and commitment between
mother, nurse and the family. Out of the members of health team; nurse spends the maximum
time with postnatal mother. Due to the awareness in society about health, the institutional
deliveries have increased tremendously since, last two decades in all over the world as well as in
India. Because of the inadequate infra structure facilities in the hospitals, nursing/maternity
homes; the trend of early discharge from the hospital came into existence.
Postnatal mothers and their neonate receive care only for two to three days in the
hospital and rest of the postnatal care has to be continued by the mother at home. Mothers
coming to the hospital have various opportunities to acquire knowledge, like, planned /incidental
teachings whenever needed during and after an antenatal and postnatal period from nurses and
doctors. Because of the increase in hospital deliveries, the nurse patient ratio was not adequately
maintained. In postnatal wards, nurse had to look after the mothers as well as their neonates.
During this short hospitalization period, she had to provide them information /instructions about
postnatal care. Postnatal period is an important period during which proper care is very essential
to maintain the health of mother, and to prevent early and late postnatal complications for
mother, e.g. venous thrombosis, urinary incontinence, back pain, fecal incontinence, depression,
etc. Every mother needs to have correct and adequate knowledge about the postnatal care in
relation to importance of postnatal exercise complication, type of exercises and how to perform.
The present study tried to highlight the effectiveness of planned teachings on knowledge and
practices of postnatal exercises to know the areas of physiological changes during pregnancy,
concept of postpartum care, postnatal complications as well as, to know the postnatal exercises
and how to perform, what precautions have to take before and after postnatal exercise.7
The process of pregnancy child birth challenge the woman’s physiological coping mechanism. It
is during 4th trimester of pregnancy that time women must adjust to the reality of her new role as
mother.8
Maternal and women’s health is a nation wealth. There is Chance for the welfare of the
world only when the condition of the women improves. There are difference programmes and
facilities organized by governmental and non governmental agencies for the purpose of
providing medical and social services for mother and children.9
Mother has true nobility and unique capacities pregnancy and child birth are special
events in women’s life. This can be time of great hope and joyful anticipation. It can also be time
of fear and suffering .Losing physical bearly, charms contour and curves of a women in
pregnancy is a myth. Regular postnatal exercises with well balanced diet can preserve her
charms and can turn her into new women.10
Pregnancy and child birth are special events in woman lives and indeed in the lives
their families. It can be a time of fear, suffering and even death. Pregnancy is not a disease but it
is a normal physiological process. It is associated with certain risk to health and survival both for
the women and for the infant she bears. In developing countries where each pregnancy represents
a journey into the unknown from which all too many women never return due to lack of care
provision.11
6.2 NEED FOR THE STUDY
“It’s not about having time, it’s about making time”

The period following childbirth during which the body tissues, in particular the genital and
the pelvic organs, return to the condition they were in pre-pregnancy. There are many factors
such as diet, activity, rest, exercises, that will determine the mother’s postnatal recovery.12
An epidemiological study shows that effect of postpartum exercises contribute in mother’s
obesity. Effect of postpartum exercises is on weight loss and/or energy balance in mostly
lactating women. These studies concluded that moderate exercises without specific calorie
restriction does not promote greater weight or fat loss.
There is also some research which shows that taking part in regular exercises after the birth
of the baby can help to alleviate the symptoms of postnatal depression. A study conducted on the
role of exercises in treating postpartum depression. This study concluded that exercises may be
efficacious in reducing symptoms of depression and also exercises can promote mental health
and feelings of well-being.12
Postnatal care should be unique special and delivered to mother in a sensitive and caring
way. So, that the feel able to recover, adjust and enjoy themselves.14
In 1998,330 women were reported of death due to maternal causes. Among that those attribute to
complication of pregnancy child birth and the puerperium. The maternal rate per annum was 8.4
death per 1,00,000 live births Hence national health policy which focus on maternal and child
health aim to reduce maternal morbidity 2 by the year 2000 AD.15
The uterus involve to its pre pregnancy size in six weeks. The lochia discharge gradually
diminishes within 3-6 weeks. The abdominal wall remains soft and flabby for weeks and only
gradual training will return to its pre pregnancy shape .The change in the urinary tract takes at
least 8 weeks to reverse. Hence, a post natal exercises is started as early as possible to regain
their ‘‘former figure’’ without any ill effects.16
Almost 6000,000 women die each year, pregnancy related causes 99% of them in
developing countries about 80% of the maternal death due to direct causes, such as
complications of pregnancy, labour and postpartum. There is incorrect treatment of 25% of
maternal death due to postpartum hemorrhage.17
 After giving birth to a child, our abdominal and pelvic floor muscles can be significantly
weaker. They have been stretched and pulled during the process of carrying and delivering your
baby in addition to still looking pregnant, there are some pretty nasty problems that can occur
from the weakening of abdominal and pelvic floor muscles. Incontinence or the inability to hold
urine while coughing laughing or straining is a common problem that arises from weakened
muscles. We can prevent these things from happening with postnatal exercise and if you feel that
you really need help with loosing the baby fat as well as trimming your muscles.18

Post partum months starting a moderate exercises program can be beneficial in many
ways, it helps you to sleep better at night and feel more energetic during the day. It can help with
postpartum depression if the exercise is stress relieving not provoking regular exercise also
improve immune function and increase the production of antioxidant substance in the body.
According to statistical evidence of postnatal complication, in mother is very high (80%) due to
lack of knowledge regarding post natural exercise, in main cities of south India.19

Maternal death occur suddenly and unpredictably .Between 11% to 17% of maternal
deaths happen during pregnancy itself and Between 50% to75%in the postpartum period
therefore a joyful events can suddenly turn into crisis esesituation,45% of postpartum material
death occur 1st 24 hrs and more than two thirds during the first.20

According recent estimates by WHO and UNICEF, nearly 585,000 women die each year
worldwide from complication related to pregnancy and birth, unfortunately about 99% of those
death occur in developing countries alone of which 55% occur Asia.21

One of the main aspects of nursing is to prevent ill effect in future by educating the
individual family. Most of the existing studies regarding postnatal exercise are done abroad so,
the researches felt to the under taken study to effectiveness of video teaching program on
postnatal exercise among postnatal mothers. It can helped for enhancing such knowledge and
promote the pre pregnancy state.22

A study has been done on the knowledge; practice and experience of woman on different
postnatal exercises were experiencing great differences such as decreasing postpartum
complication, promoting maternal well being and help the mothers to regain the pre-pregnant
stage.23
6.3 REVIEW OF LITERATURE

“A literature review involves the systemic identification, location scrutiny and summary of
written material and that contains information on research problem”.24

Review of literature refers to the activities involved in searching for information and
developing a comprehensive picture of knowledge on the topic. The written literature reviews
provide the background for the reader understanding what has been already learned and
illuminate significant of the new study.24

A study to assess the effectiveness of video teaching programme on physical care of

newborn among primigravida mothers admitted in urban health .Maternity centers, Coimbatore,
Tamilnadu. Distribution of experimental group according to their level of pre and post test
knowledge regarding physical care shows in post test all of them had excellent knowledge.
Whereas in pre test it shows 40% of mothers had very poor knowledge and remaining 60% had
poor knowledge on physical care aspects. From the findings it can be concluded that after
implementation of video teaching programme the experimental group mothers gained excellent
knowledge and completely adoptive practice on physical care aspects whereas control group had
very poor knowledge and not adoptive practice in pre and post test scores. There was highly
significant difference was found between pre and post test knowledge scores in experimental
group when compared to control group it was only significant.25

A study conducted to identifying the knowledge of mothers regarding postnatal visit in

Nepal. A descriptive cross sectional study was carried out in 2 neighboring village in 2006. A
total of 150 women who had delivered in previous 24 months were asking to participate in the
study using a semi structured questionnaire. The study was found that the proportion of women
who had a postnatal check up after the delivery was low (34%). Less than one in 5 women
received a postnatal health check up within 48 hours after delivery.

Women in one village had less access to postnatal care than women in the second village
studied. The study concludes that there is a need to give education and awareness to the mother
the need of postnatal care and visit.26
 Megumi H, (2013) conducted the study on the effects of an exercise program on health-
related quality of life in postpartum mothers. They selected methods a randomized controlled
trial in Tokyo, Japan. The intervention groups participated in ball-exercise classes (weekly
exercise of 90 minutes for four weeks) at three months postpartum. The primary outcome
measure was health-related Quality of Life (QOL) assessed using the MOS Short-Form 36-Item
Health Survey (SF-36v2). Sampling technique is used Rosenberg Self-Esteem Scale (RSES) and
Edinburgh Postnatal Depression Scale (EPDS) scores. The intervention group was compared to
the control group at four months postpartum. Results of the 120 women screened, 110 women
met the study criteria. Analysis of covariance adjusting for baseline values indicated that the
SF36 subscales of physical functioning (p = 0.018) and vitality (p = 0.016) significantly
improved in the intervention group compared to the control group, although there were no
significant differences between the groups in the SF36 Physical Component Summary (PCS) and
Mental Component Summary (MCS) scores. The RSES increased in the intervention group (p =
0.020) compared to the control group. No significant group differences were observed in EPDS
scores. They concluded that the postpartum exercise class program provided to healthy
postpartum women appears to have contributed to promoting health-related QOL and self-
esteem.27

Chen SY, et.al, (2009) conducted a study on “Path analysis for adherence to pelvic floor
muscle exercise among women with urinary incontinence’’. The objective of this study was
designed to predict adherence to a pelvic floor muscle exercise regimen by Taiwanese women
with urinary incontinence. The prescribed pelvic floor muscle exercise for at least 6 weeks which
included adherence to pelvic floor muscle exercise, self-efficacy for the exercise, knowledge of
the exercise, attitudes toward the exercise, dyadic cohesion, perceived benefits of the exercise,
and severity of urine loss. Self efficacy for pelvic floor muscle exercise strongly and directly
affected adherence to the exercise regimen Severity of urine loss also directly affected
adherence. Exercise knowledge affected neither self-efficacy nor adherence. The conclusion of
this study was self-efficacy for exercise can be an indicator for nurses to tailor exercise-training
programs for women with urinary incontinence. Nurses can use the study findings to develop
interventions to increase women’s adherence to the exercise.28
 Susan W.G, et.al(2008) they conducted an exploratory & qualitative study on new
mothers view on weight and exercise sample including forty-nine ethnically diverse women and
sampling technique was interviewed method which was conducted during the first year following
child birth, regarding beliefs of weight, choices of exercise, walking for exercise, perceived
benefits, barriers, and facilitators of exercise. Content analysis techniques were used to analyze
the data. Results of their study weight was a significant concern for women, although the
importance varied by race. New mothers reported that they would like to weigh less, and they
endorsed walking for exercise. Clinical implication of their study since new mothers perceive
walking a good form of exercise, nurses can use this information to help them plan a daily
walking schedule to aid in weight loss and control postpartum weight.29

Dumoulin C (2007) Conducted a study was postnatal pelvic floor muscles training for
preventing and treating urinary incontinence. The objective of this study was postnatal pelvic
floor muscle training aims to rehabilitate the pelvic 37 floor muscles. Recent trials evaluated the
effect of different programs on prevention/ treatment of urinary incontinence immediately after
delivery and in treatment of persistent incontinence. The finding of this study was postnatal
pelvic floor muscle training a program is observed throughout the literature, making comparisons
difficult. In the prevention/treatment of postnatal urinary incontinence immediately after delivery
and in persistent incontinence, supervised intensive programs prove more effective than standard
postnatal care. The conclusion of this study was standard care does not seem to reduce the
prevalence of postnatal urinary incontinence; obstetrics services must address delivery of
postnatal pelvic floor muscle training.30

Chase.J, et.al, (2006) conducted a study on Comparison between the health belief model
& subjective expected utility theory: Predicting incontinence preventing behavior in post natal
mother. The objective of this study was a structured questionnaire was used to gather dada
relevant to both models from sample antenatal and postnatal primigravida women. Question
examined the perceived utility of incontinence the perceived probability of pelvic floor exercise
preventing future urinary incontinence. The conclusion of this study was multiple regression
analysis focused on whether or not respondents intended to perform pelvic floor exercise and the
factors influencing their decisions aggregated data were analyses to compare the health belief
model and subjective expected utility theory directly.31
 Vandana balaji (2006) Puerperium is the final stage with duration of 6-8 weeks. Post
delivery the reproduction tract returns to the non pregnant state. This follows the third stage is
which the placenta and cord are expelled out.32

Ballard D.J (2005) Conducted a study on the treatment of erectile dysfunction can pelvic
muscle exercise improve sexual function. The outcome of this study was it affects 10 to 20
million American men. The perineal muscles, specifically the ischiocaverosus and
bulbospongisus, play a role in human penile erection. This study explores the role of pelvic
muscle exercise designed to strengthen the perineal muscles. It is the treatment of erectile
dysfunction secondary to venous leakage.33

Who-(2004), Reproductive health is a state of complete physical mental and social well
being and not merely, the absence of disease or infirmity in all mothers relating to the
reproductive system and to its function and process.34

Dolan LM, et.al. (2003) conducted a study on Stress incontinence and pelvic floor
neurophysiology 15 years after the first delivery. The objective of this study was the natural
history of stress urinary incontinence arising during the first pregnancy, to determine whether
postnatal pelvic floor intervention progresses with time and whether it predisposes to stress
urinary incontinence in the future. The outcome of this study was Symptoms of urge urinary
incontinence and anal incontinence; more unit potential duration and pudenda nerve terminal
latency; vaginal squeeze pressure measured by perineometry. The conclusion of this study was
when stress urinary incontinence arises during the first pregnancy; the risk of stress incontinence
occurring 15 years later is doubled. Although pelvic floor re intervention progressed after the
postnatal period, the absence of an adequate marker of pelvic floor intervention makes it of
uncertain clinical significance.35

Lynna littlenxl–(2002) abdominal muscle exercises primary aims are to shorten stretched
muscle fibers, close any diastics and strengthen weakened muscles. It helpful to suggest that
women breath- in, breath-out draws the tummy in and then relaxes.36

Sudha Sadan (2001) Postnatal exercise demonstrate promising physical and

psychological outcomes such as improved cardiovascular fitness, weight loss, energy, better
mood, and greater confidence in child rearing abilities however considered within the context of
the larger exercise literature, relatively few postnatal exercise have examined adherence to
physical activity as the dependent variable.37

Pillitteri (2000) the postnatal period or puerperium begins after the third stage and in
crude’s the first six weeks after delivery. During this time, the women reproductive organs
gradually return to the normal size and shape. There are good opportunities during puerperium to
teach exercise to new mother how to care properly them, so her health is maintained.38

6.4 PROBLEM STATEMENT:-

‘‘ A study to evaluate the effectiveness of video teaching programme on postnatal exercise

among postnatal mothers in a selected hospital at Bangalore.’’

6.5 OBJECTIVES OF THE STUDY:-

The objectives of the study are,

1. To assess the knowledge of postnatal mothers regarding postnatal exercise before

administration of video teaching program.
2. To develop and administer a video teaching programme regarding postnatal exercises.
3. To assess the knowledge of postnatal mothers regarding postnatal exercise after
administration of video teaching program.
4. To compare the knowledge score before and after administration of video teaching
program.
5. To find out the association between the pre test knowledge score with selected
demographic variables such as age, religion, education, occupation, monthly income of
the family type of family, age at menarche, age at marriage, Residential area, Source of
information about postnatal exercises.

6.6 OPERATIONAL DEFINATION:-

1. EFFECTIVENESS:-
It is the significant gain in knowledge as determined by significant difference in pre test
and post test knowledge regarding video teaching program on post natal exercises.
2. VIDEO TEACHING PROGRAMME:-
 Video teaching program consist of teaching regarding postnatal Exercise. It is the video
show the postnatal Exercises.
3. KNOWLEDGE:-
Knowledge refers to the understanding of the postnatal mothers on important of postnatal
Exercise.
4. POSTNATAL EXERCISE:-
The exercise that performed after delivery is to faster return to the pre pregnancy shape
and level of fitness of postnatal mothers.

6.7 ASSUMPTION:-

The study assumes that

1. Postnatal mothers may have inadequate knowledge regarding postnatal exercise.

2. Knowledge of postnatal mothers will be influenced by socio demographic variables such
as age, religion, Educational qualification, Occupation.
3. Monthly income, type of family, age at menarche and marriage, Residential area, source
of information about postnatal Exercises.
4. Use of video teaching program help to improve the knowledge of postnatal mother
regarding postnatal Exercise.

6.8 LIMITATION:-

1. Postnatal mother who are willing to participate

2. The study was limited to the mothers admitted in the postnatal ward in Motherhood
hospital Bangalore.
3. The study is limited to only 40 postnatal mothers.

Study is limited to mother who undergone normal vaginal delivery.

6.9 HYPOTHESES:-

H1: There is significant difference between pre test and post test score on knowledge on
postnatal exercises.
 H2: There will be a significant relationship between pre test score with selected demographic
variables such as age, religion, Educational qualification, Occupation, Monthly income, type of
the family, residential area, source of information of about postnatal exercise.

7. PROJECTED OUTCOME OF THE STUDY

The postnatal mother will get good knowledge regarding postnatal exercises.

7.1 MATERIAL AND METHODS:

SOURCES OF DATA:-
The data will be collected from 60 postnatal mothers who fulfill inclusion criteria.

7.2 RESEARCH DESIGN:-

The research design for the study will be pre-experimental, design that is one group pre-test
and post- test design.

7.3 SETTING OF THE STUDY:-

The study will be conducted in selected hospital at Bangalore.

7.4 TARGET POPULATION:-

Population refers to all the postnatal studying in selected hospital at Bangalore.

7.5 VARIABLES UNDER STUDY

7.6 INDEPENDENT VARIABLES:-

In the present study the independent variable under study was a video teaching Program on
postnatal exercises during postnatal period.

7.7 DEPENDENT VARIABLES:-

In this study the dependent variable knowledge scores of postnatal mothers on postnatal
exercises before and after video teaching program.

8. METHOD OF COLLECTION OF DATA:

8.1 SAMPLING PROCEDURE:-

 To accomplish the objectives of the study, non-probability sampling that purposive
sampling will be used in the study.

8.2 SAMPLE:-

In this present study the sample consists of postnatal mothers will be present during the time
of data collection in a selected hospital at Bangalore.

8.3 SAMPLE SIZE:-

In this present study the sample consists of 60 postnatal mothers in selected hospital at
Bangalore.

8.4 SAMPLING TECHNIQUE:

Simple random, Sampling technique.

8.5 CRITERIA FOR SELECTION OF SAMPLES:

8.6 INCLUSION CRITERIA FOR SAMPLING:-

• Postnatal mother who are admitted in postnatal ward after normal vaginal delivery.
• Postnatal mothers who are willing to participate.

8.7 EXCLUSION CRITERIA FOR SAMPLING:-

• Postnatal mothers who were not willing to participate in the study

• Postnatal mothers who were ill
• Postnatal mothers admitted with after cesarean section.

8.8 TOOLS FOR DATA COLLECTION:-

Tools consist of two sections.

SECTION-A: -It consists of demographical variables such as age, sex, religion, qualification,
marital status, year of experience, family income, and previous source of information.
SECTION-B: - It consists of self-structured knowledge questionnaire used to assess the level of
knowledge regarding postnatal exercise.

8.9 DATA COLLECTION METHOD:-

After obtaining formal administrative approval from the concerning authorities and informed
consent from the samples the investigator personally collects the demographic data. After which
data will be collected in the following three phases;

PHASE-1:- Pre-test will be conducted to assess the knowledge regarding postnatal exercise in
selected hospital among postnatal mothers.

PHASE-2:- Video teaching programme regarding postnatal in selected hospital will be

administered to the postnatal mothers on the same day.

PHASE-3:- After a period of one-week to assess the post-test level of knowledge regarding

Duration of data collection is 4 to 6 weeks.

9. DURATION OF THE STUDY

The duration of the study is one month

9.1 DATA ANALYSIS:

The data collected will be analyzed by using descriptive and inferential statistics.

9.2 DESCRIPTIVE STATISTICS:

 Frequency, percentage distribution will be used to analyzed the demographic variables.

 Mean and standard deviation will be used to assess the knowledge regarding postnatal
exercise among postnatal mothers.

9.3 INFERENTIAL STATISTICS:

 Paired ‘t’ test will be used to analyze difference between the pre-test and post-test
knowledge regarding postnatal exercise among postnatal mothers.
 Chi-square test will be used to analyze the association between pre-test knowledge
regarding postnatal exercise among postnatal mothers will their selected demographic
variables.
 SECTION-I
DEMOGRAPHIC DATA
1. Age in years
a. Below 20 yrs
b. 21-25yrs
c. 26-30yrs
d. Above 30yrs
2. Religion
a. Hindu
b. Muslim
c. Christian
3. Educational Qualification
a. Illiterate
b. Primary Education
c. Higher Secondary and Above
d. Graduate
4. Mothers Occupation
a. House wife
b. Coolie
c. Government Employee
d. Private Employee
5. Monthly Income of the family
a. Below Rs2000
b. Rs2001-Rs3000
c. Rs3001-Rs4000
d. Above Rs4001
6. Age at menarche
a. 9-12yrs
b. 13-16yrs
c. Above 16yrs
7. Age at Marriage
 a. 15-19yrs
b. 20-24yrs
c. 25-29yrs
d. 30 and above
8. Type of family
a. Nuclear
b. Joint
9. Residential area
a. Urban
b. Rural
10. No of children
a. One
b. Two
11. Have you got any information regarding postnatal exercise
a. Yes
b. No
12. If yes, from where
a. Health personnel
b. Mass media
c. Family members
d. Others
 SECTION-II
KNOWLEDGE OF POSTNATAL MOTHERS REGARDING
POSTNATALEXERCISE
13. What is mean by postnatal period
a. Period before delivery
b. Period during delivery
c. Period following child birth
14. How many weeks call it as puerperium period
a. First one week after birth of the child
b. First three weeks after birth of the child
c. First six weeks after birth of the child
15. What are the changes occur in postnatal period
a. weight reduced and uterus become firm
b. Nausea and vomiting
c. Abdominal tightening
16. What is mean by exercise
a. Range of motion
b. Range of running
c. Involved in yoga
17. What do you mean by postnatal exercise
a. Exercise for mother after delivery
b. Exercise used to prevent injury
c. Exercise before delivery
18. When should a mother start the post natal exercise after normal Delivery
a. As soon as after delivery
b. Within 2 days after delivery
c. Within 3 days after delivery
19. What is the total duration of postnatal exercise/day
a. 20- 30 minutes/day
b. 30- 35 minutes/day
c. 35-40 minutes/day
20. What are the types of postnatal exercises
a. Abdominal tightening, pelvic tilting, pelvic floor, Knee rolling exercises
b. Foot and leg, abdominal breathing exercises
c. All the above
21. What are the types of abdominal exercises
a. Pelvic tilting and knee rolling exercise
b. Pelvic floor exercise
c. Chest exercise
22. How long breath should be hold while doing pelvic tilting exercise
a. 2seconds
b. 4seconds
c. 6seconds
23. Knee rolling exercise will strengthen which muscles
a. Abdominal muscle
b. Leg muscle
c. Thigh muscle
24. Which position knee rolling exercise will do
a. Back lying position with knee bent
b. Sitting position
c. Standing position
25. How many times will you do the hip hitching exercise
a. 6-10times/day
b. 7-10times/day
c. 8-10times/day
26. When you start curl up exercise after delivery
a. After one week of delivery
b. After two week of delivery
c. After three weeks of delivery
27. Which position foot and leg exercise will do
a. Sitting position
b. Lying position
 c. Knee bend position
28. When will you do the pelvic floor exercise
a. After empty the bladder
b. After drinking water
c. After taking food
29. How many times will do this pelvic floor exercise
a. 10times at one section
b. 2times at one section
c. 1time only
30. How will you test the effectiveness of pelvic floor exercise
a. Cough deeply without leaking urine
b. Relive fear
c. Prevent infection
31. How will you do this abdominal breathing exercise
a. Breath in and out
b. Mouth breathing
c. Breath inhale with nostrils and exhale with mouth
LIST OF REFERENCES

1. Dutta D.C. Text Book of Obstetrics. Sixth edition. Calcutta: New Central Book Agency;
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