REEDA Acronym to Guide the Perineal Assessment

Points Redness Edema Ecchymosis Discharge Approximation

0 None None None None Closed

1 Within 0.25cm of Less than 1-2cm from Serum Skin separation 3mm
incision 1cm from incision or less
bilaterally incision
2 Within 0.5cm of 1-2cm from 0.25-1cm Serosanguineous Skin and
incision incision bilaterally or Subcutaneous fat
bilaterally 0.5-2cm separated
unilaterally
3 Beyond 0.5cm of Greater than Greater than Bloody, Purulent Skin, Subcutaneous
incision 2cm from 1cm bilaterally fat and Fascial
bilaterally incision or 2 cm Separation
unilaterally

APGAR Scale (Evaluate at 1 and 5 minutes Postpartum)

Sign 2 1 0
A Activity (Muscle Active Arms and Legs Flexed Absent
Tone
P Pulse >100 bpm <100 bpm Absent
G Grimace (Reflex Sneezes, Coughs, Pulls Grimaces No Response
Irritability) Away
A Appearance (Skin Normal Over Entire Body Normal Except Extremities Cyanotic or Pale All Over
Color)
R Respirations Good, Crying Slow, Irregular Absent

Components of a Postpartum Assessment

Inspection of Nipples: Everted, Inverted, Or Flat? Breast Tissue: Soft,
B Breasts Filling, Firm? Temperature/Color: Warm, Pink, Cool, Red Streaked,
Blisters, Bleeding?
Location (Midline or Deviated to right or left side)
U Uterus
Tone (Firm, Firm with Massage, Boggy)
Last time the patient emptied her bladder (Spontaneous or Via Cath)?
B Bladder Color/Odor/Amount?
Date/Time of last BM? Presence of Flatus?
B Bowels
Color/Amount/Presence of Clots/Free Flow?
L Lochia
Type? Assess using REEDA
E Episiotomy/Incision
Pain, Varicosities, Warmth, Discoloration in calves? Presence of Pedal
H Homan's Sign/Legs
Pulses? Sensation/Movement (After C/S or Epidural)?
E Emotional Status Affect/Patient-Family Interaction/Effects of Exhaustion/Bonding