The REEDA Scale (Redness, Edema, Ecchymosis, Discharge, Approximation) is a scale for grading the severity of perineal trauma associated with episiotomy or laceration associated with delivery.
- The patient is in the lateral Sims position.
- A 4 cm wide piece of paper tape is placed so that its midline runs along the length of the wound.
|within 0.25 cm of the incision bilaterally||1|
|within 0.50 cm of the incision bilaterally||2|
|beyond 0.50 cm of the incision bilaterally||3|
|perineal, < 1 cm from the incision||1|
|perineal and/or vulvar, 1-2 cm from the incision||2|
|perineal and/or vulvar, > 2 cm from the incision||3|
|within 0.25 cm bilaterally or 0.5 cm unilaterally||1|
|within 1.0 cm bilaterally or 0.5-2.0 cm unilaterally||2|
|> 1 cm bilaterally or > 2 cm unilaterally||3|
|skin separation <= 3 mm||1|
|skin and subcutaneous fat separated||2|
|skin, subcutaneous fat and fascial layer separation||3|
REEDA score =
= SUM(points for all 5 parameters)
- minimum score: 0
- maximum score: 15
- The higher the score the more severe the perineal trauma.
- Measurement is somewhat intrusive and is somewhat difficult to perform in a non-hospital setting without an assistant.
- The tape can be difficult to read if it becomes soiled.
- Davidson NS. REEDA: evaluating postpartum healing. J Nurs & Midwif. 1974; 19: 68
- Hill P. Effect of hot and cold on the perineum after episiotomy/laceration. J Obstet & Gynecol Neonatal Nurs. 1989; 18: 124-129.
- Steen M, Cooper K. A tool for assessing perineal trauma. J Wound Care. 1997; 6: 432-436.
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