● it is intended for pain relief

during labor
MODULE 1
Leoppold’s Maneuver 2. Kegel’s exercise
- Involves repeatedly contracting and
relaxing the muscles that form part of
Prior to procedure
the pelvic floor
- Let the mother void
3. Wall side
- Assist in a comfortable position (dorsal
- Sitting on the wall actually feels good
recumbent position)
for a pregnant mom’s posture and is
- Handwashing
an effective way to strengthen and
- Rub hands to warm prior to touching the client
tone legs and pelvic floor muscles
- Benefits:
Fetal parts assessed per procedure
● Relieve back pain
1. Fundal grip
● strengthens leg muscles
- Perform the first maneuver to identify
● tightens muscle in the
and the fetal part in the upper uterus
abdomen
(fetal lie) and to determine
● strengthen pelvic floor muscles
consistency, shape , and mobility
4. Brisk walking
2. Umbilical grip
- It is performed by walking continuously
- Perform the second maneuver to
at a fast speed for moderate intensity
determine the direction that the fetal
- Benefits:
back is facing (fetal presentation).
● Reduce risk of complications
3. Pawlik’s grip
during pregnancy
- Perform the third maneuver to
● lower risk of developing
determine the part of the fetus at the
gestational diabetes
inlet and it's mobility (engagement). If
● less risk of cesarean section
the presenting part moves upward, the
● Help burn calories
fetus is not engaged in the pelvis.
5. Jogging
4. Pelvic grip
- Is a form trotting or running at a slow
- If the baby is not breech , perform the
and leisurely place
fourth maneuver to determine the
- Benefits:
position of the fetal brow (fetal
● Improved cardiovascular
attitude) and degree of fetal extension
function
into the pelvis.
● limited pregnancy weight gain
● it decreases musculoskeletal
Antenatal exercises
discomfort
1. Diaphragmatic exercises
● helps reduce incidence of
- This exercise is intended to help you
muscle cramps lower-limb
use the diaphragm correctly while
edema, mood stability, and
breathing especially during labor and
attenuation of gestational
delivery
diabetes and gestational
- Benefits
hypertension
● It strengthens the diaphragm
● it decreases the work of
Postnatal exercises
breathing by slowing your
1. Sit-ups
breathing rate
- This exercise is important in stomach
● it decreases oxygen demand
muscles tightening
● it uses less effort and energy to
- Benefits:
breath
● Lose “baby fat”
 ● tighten abdominal muscles
● good circulation
● to flatten tummy
2. Reach the toes
- Can also be done as an antepartum
exercise
- this exercise is done to prevent lower
back pain and helps to get mother get
back in shape
- Benefits:
● Prevent lower back
● tightens abdominal muscles
● promote good circulation
3. Leg stretch
- This exercise can help focus on the
legs, particularly after an epidural, as
well as help to prevent blood clots
- Benefits:
● Posture shift
● distribute weight
● tightness in lower back, neck
and chest
● help alleviate post pregnancy
pain
● improve range of motion
4. Pelvic floor exercises
- This exercise strengthens pelvic floor
muscles and prevents incontinence
- Benefits:
● Improve a bladder control
● reduce risk of prolapse
● improves recovery from
childbirth
● strengthen the muscles
5. Elbow to knee
- This exercise is effective in
strengthening the abdominal muscles
- Benefit:
● Can strengthen the core
● boost energy
● prevent postpartum depression
● promote sleep
● relieve stress