How do you assess for reeda?
REEDA scale consists of 5 major assessment areas (redness, edema, ecchymosis/bruising, discharge, approximation). Each area is given a minimum score of 0 and maximum score of 3. The total score is 15. It is scored as No infection (0), mild infection (1-5), moderate infection (6-10) and severe infection (11-15).
How do you assess an episiotomy?
If the perineum is obstructing the delivery of the head, an episiotomy should be considered. Feel for stretch or give in the tissues of the posterior forchette. If the tissues feel rigid and a tear appears likely, then consider an episiotomy.
What does the D stand for in the reeda assessment?
The REEDA method (redness, edema, ecchymosis, discharge, and approximation) can be used to assess these incisions.
How do you assess perineum after birth?
For problems after childbirth, your doctor will give you a thorough physical examination, including a pelvic examination and a rectal examination. Blood or urine tests may be done. A sample of abnormal discharge may be sent to a laboratory for cultures or other studies.
What are the types of lochia?
What are the three types of lochia and lochia stages? ‘Lochia rubra, lochia alba and lochia serosa are the three different stages of lochia following birth,’ says Mr Downes. ‘These are the recognised types of lochia, but each woman is an individual and some stages of lochia may be shorter, or longer, than others. ‘
How do you measure wound drainage?
Drainage can be serous (clear), serosanguinous (blood-tinged) or sanguinous (bloody). Drainage from heavily colonized wound may have a tan or milky appearance. Odor in wounds is a significant diagnostic tool. Blue-green drainage combined with a musty odor usually indicates presence of Pseudomonas in the wound.
What are the indications of episiotomy?
The indications of episiotomy included forceps delivery, concerns with FHR, ventouse delivery, vaginal breech, face to pubes, previous history (H/O) of perineal tear, maternal exhaustion, rigid perineum, good size baby, and no specific reason.
How long does involution of the uterus take?
In a week, your uterus will be half the size it was just after you gave birth. After two weeks, it will be back inside your pelvis. By about four weeks, it should be close to its pre-pregnancy size. This process is called involution of the uterus.
How is pain assessed postpartum?
Methods: Pain assessment was performed using two subjective scales: the Verbal Numeric Scale (VNS) of 11 points and the Verbal Rating Score (VRS) of 4 points. Data collection period ran from the first postnatal day until 6 months after delivery, with two intermediate measurements at 1 and 7 weeks after birth.