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@article{205294,
        author = {Miss Anita Panche and Dr. Prof. Princey Shaji},
        title = {A STUDY TO ASSESS THE EFFECTIVENESS OF KEGEL EXERCISES AND PRONE POSITION ON AFTER PAINS AND INVOLUTION OF UTERUS AMONG POST NATAL MOTHERS AT SELECTED HOSPITALS OF JABALPUR, M.P.},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {1},
        pages = {6034-6040},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=205294},
        abstract = {Childbirth is a significant life event for women, involving profound physiological, psychological, and social changes. The postpartum period, also known as puerperium, is a critical phase during which the body undergoes involution and returns to the non-pregnant state. One of the most common and distressing postpartum discomforts is “after pains,” caused by uterine contractions during involution. These pains are often more intense in multiparous women and may be aggravated during breastfeeding due to oxytocin release.
The present study focuses on the effectiveness of non-pharmacological interventions—specifically Kegel exercises and prone position—in reducing after pains and promoting uterine involution among postnatal mothers. Kegel exercises strengthen pelvic floor muscles, improve blood circulation, enhance bladder control, and support pelvic organ stability. The prone position, by applying gentle pressure over the abdomen, helps maintain uterine contraction and reduces uterine relaxation, thereby alleviating pain.
Postnatal care is essential for preventing complications such as postpartum hemorrhage, infections, and subinvolution of the uterus. Early intervention using simple, cost-effective, and non-invasive methods like Kegel exercises, abdominal strengthening, and positional therapy can significantly improve maternal comfort, psychological well-being, and recovery outcomes.
This study emphasizes the importance of integrating non-pharmacological pain relief techniques into routine postnatal nursing care to enhance maternal recovery, reduce discomfort, and promote overall maternal health and well-being during the postpartum period.
Aim:- The aim of the present study was to assess the effectiveness of Kegel exercises and prone position on after pains and involution of uterus among postnatal mothers in selected hospitals of Jabalpur, Madhya Pradesh.
Methodology: - In view of the nature of the problem and to accomplish the objectives of the study, An Quantitative and Evaluative research approach used in this study. Quasi Experimental Post test only control group research design used in this study: the study was conducted in Government hospital Rani Durgawati Elgine Hospital Jabalpur, ( M.P.) will be included in study. The study population was Postnatal mothers from day 1 to day 3 of delivery admitted in the postnatal wards selected Hospitals of Jabalpur (M. P.)
Findings: - The results of the study showed that the majority of postnatal mothers in the control group experienced no pain (53.33%) according to the Visual Analogue Pain Scale, while in the experimental group 60% of mothers reported no pain after administration of Kegel exercises and prone position. The involution of uterus, measured by SFH, revealed that most mothers in the control group had slow involution (53.33%), whereas the experimental group showed fair involution in most cases (56.67%). The comparison between groups indicated that the experimental group had significantly reduced after pains and improved uterine involution compared to the control group, demonstrating the effectiveness of Kegel exercises and prone position. Statistical analysis also showed significant associations between selected demographic and clinical variables with after pains and involution of uterus in both groups.
Conclusion: - The study concluded that Kegel exercises and prone position were effective in reducing after pains and improving involution of the uterus among postnatal mothers. The findings revealed that the experimental group experienced significantly less pain and better uterine involution compared to the control group. It was also concluded that selected socio-demographic and clinical variables showed significant associations with after pains and uterine involution in both groups. Overall, the study confirmed that non-pharmacological interventions such as Kegel exercises and prone position were beneficial in promoting postpartum recovery and enhancing maternal well-being.},
        keywords = {Kegel exercises, prone position, after pains, uterine involution, postnatal mothers, postpartum period, non-pharmacological interventions, pain assessment, Visual Analogue Pain Scale (VAPS), Symphysis Fundal Height (SFH), Jabalpur, Madhya Pradesh.},
        month = {June},
        }