ROHILKHAND COLLEGE OF NURSING, BAREILLY

LESSON PLAN ON
SUBINVOLUTION OF UTERUS

SUBMITTED TO: SUBMITTED BY:

B.Sc. Nursing: Course Coordinator (Mrs. Birjeni Devi, Asso. Professor) PREETI BAHUGUNA
GNM: Course Coordinator (Mrs. Kavita Sharma, Asst. Professor) ASSOCIATE PROFESSOR
ANM Course Coordinator (Mrs. Linthoi Devi, Asso. Professor)

SUBMITTED ON: .....................

General Guidelines for the faculties to make an effective lesson plan for the students:

 Lesson plan should be clear and specific to the particular topic.

 Lesson Plan should meet the Learning Objectives.

 Lesson plan Objectives should be based on the General and specific approach.

 The Time limit for the session (class) should 45 Minutes.

 Use Maximum number of AV aids During the class.

 Lesson plan includes summary and conclusion.

 Assignments for students should be mentioned in lesson plan.

 Minimum 5 book references to be mentioned at last in lesson plan.

 IDENTIFICATION DATA

NAME OF TEACHER: PREETI BAHUGUNA

SUBJECT: OBSTETRICS AND GYNAECOLOGY

UNIT:.................................

TOPIC:SUBINVOLUTION OF UTERUS

GROUP................................Should mention Class Name ( like ANM 2 Year)

NO. OF STUDENTS: .......................

DURATION: 45 Minutes

VENUE: .................... Class room

METHOD OF TEACHING: Lecture cum discussion teaching method

A.V Aids: PPT & Black Board, Flash cards, Charts, Pamphlet etc.

PREVIOUS KNOWLEDGE: The students may have some knowledge regarding subinvolution of uterus
GENERAL OBJECTIVE: (What you expect the student to know before you begin this portion of the class & what the student is expected to
know and do at the end of the class.

Executive Plan of action - At the end of the class student will be able to acquire the knowledge regarding subinvolution of uterus
TEACHER POINT OF VIEW:

 To enhance the effectiveness of teaching learning process

 To use appropriate teaching strategies
 To make learning strategies

GROUP POINT OF VIEW:

 To gain knowledge regarding the topic

 To clarify the doubts and generate the new ideas

SPECIFIC OBJECTIVES: At the end of the teaching session the group will be able to: (what the student is expected to know and do at the
end of the class.)

Introduce the subinvolution off uterus

o Define the subinvolution of uterus

o Explain the causes of subinvolution of uterus
o Enlist the clinical featurees
o State the management of subinvolution of uterus
 TEACHING
SPECIFIC A.V
S.No TIME CONTENT LEARNING ACTIVITY EVALUATION
OBJECTIVE TEACHING LEARNING
AIDS
1 INTRODUCTION: Guess the
3.min To Introduce the Lecture Students are PPT & topic?
subinvvolution of Subinvolution of the uterus is impaired and deficient cum actively black
uterus discussion participating board
involution of the uterus following delivery.
method .
After nine months of housing a growing baby. The uterus
has to shrink back down to its pre-pregnancy shape and
size, the uterus continues to contract after this. If the
process happens too slowly, the uterus remains enlarged.
This condition is called subinvolution.

2
3min Define the Lecture Students are PPT & What is
DEFINITION: cum actively black subinvolution
subinvolution of
uterus discussion participating board of uterus?
Involution is a process where by the genital organs method
revert back approximately to the state as they were
pre pregnant stage.

when the uterus is impaired or retarded. To revert back in

pre pregnant stage It is called subinvolution of uterus.
Acc to DC Dutta

What are the

3. 5min Explain the causes CAUSES OF SUBINVOLUTION UTERUS Lecture Students are PPT & causes?
cum actively black
discussion participating board
Predisposing Factors method
 Grand multiparity
 Over-distension of uterus as in twins and
hydramnios
 Maternal ill health
  Cesarean section

 Prolapse of the uterus

 Uterine fibroids (leiomyomas)No sucking of the
baby.
Aggravating Factors
 Retained products of conception Uterine sepsis
 Retention of lochia (lochiametra).

CLINICAL FEATURES Lecture Students PPT & Describe the

4. 5min Enlist the clinical cum are actively black clinical
features  Excessive or prolonged discharge of lochia discussion participating board features?
 Irregular or excessive uterine bleeding method
 Irregular cramp like pain Uterine height more than
normal for the particular day of postpartum.
 Subsequently the patient may suffer from
conditions such as uterine prolapse or retro version,
which is the cause of subinvolution.

5. 15min MANAGEMENT
State the
management  Subinvolution is managed by treating the cause. Lecture Students PPT & Explain the
 Antibiotics for sepsis cum are actively black management?
 Exploration of the uterus for retained products discussion participating board
method
 Pessary in prolapse or retroversion.
 Ergometrine so often prescribed to enhance the
involution process by reducing the blood flow of
the uterus.
 SUMMARY:
6. 4min To summarize the Uterine subinvolution is a slowing of the process of Lecture Students are
involution or shrinking of the uterus, a causes, Method actively
topic. participating.
clinical features and their management.

To recapitulation of RECAPITULATION
7. 4min the topic.
Tell me about the clinical features of subinvolution
of uterus?
What is the meaning of subinvolution?
What are the aggravating factors?

CONCLUSION:
8. 5min To conclude the
topic.
Uterine subinvolution bed is a rare but with high
maternal mortality and morbidity process, which is
necessary to know to suspect the diagnosis, which is
only confirmed by histology.

ASSIGNMENT/ APPLICATION:
Assignment Topic- An Assignment on nursing care
regarding subinvolution of uterus
Date of Submission.....................................
9. To enhance the REFERENCES:
Further reading.  Jacob Annamma “A comprehensive textbook on
midwifery and gynaecoloical nursing” 1st edition
2005 Jaypee brothers medical publisher Pp.no 435

 Lawrence sunita”A Textbook of midwifery and

obstetrical Nursing” 1st edition2021,CBS Publisher
Pp.no 713