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 bubble stand for postpartum?
Routine Postpartum Assessment and Patient Education
| BUBBLE-LE | |
|---|---|
| L | Lochia |
| E | Episiotomy/perineum |
| L | Lower extremities |
| E | Emotions |
What is wound approximation?
Most wounds heal with primary intention, which means closing the wound right away. 1 Wounds that fit neatly together are referred to as “well approximated.” This is when the edges of a wound fit neatly together, such as a surgical incision, and can close easily.
What is lochia and types?
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.
What is bubble nursing?
The nurse can remember the key points of a postpartum assessment by learning the acronym BUBBLE-LE, which stands for breasts, uterus, bladder, bowels, episiotomy, lower extremities, and emotions.
What is a 2nd degree episiotomy?
Second Degree: This is the most common type of episiotomy. It extends through the vaginal lining as well as the vaginal tissue. However, it doesn’t involve the rectal lining or anal sphincter.
