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The acronym represents redness, edema (i.e., swelling), ecchymosis (i.e., bruising), discharge, and approximation of the wound edges.
While performing the BUBBLE-HE, the RN often uses the assessment time to provide for patient education. BUBBLE-HE. The BUBBLE-HE Acronym B: U: B: Bladder B: L: Lochia E: Episiotomy H: Homans sign E: Emotional status.
Assessment tools have been proposed for assessing perineal healing in the postpartum period, such as the PAT (Perineal Assessment Tool) and REEDA (Redness, Oedema, Ecchymosis, Discharge, Approximation) scales( 7 ).
The easiest way to remember the warning signs is using the acronym, POST-BIRTH. The first four letters (POST) signify signs to call 911 immediately. If youre experiencing signs from the second set of letters (BIRTH), you can call your health care provider for advice.
The document provides information on the BUBBLE-HE method for assessing postpartum patients. It describes each component of the acronym: , , Bladder, , Lochia, Homans sign, and Episiotomy/perineum. For each component, it outlines what to assess, normal findings, and nursing considerations.
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All postpartum women should have regular assessment of vaginal bleeding, uterine tonus, fundal height, temperature and heart rate (pulse) routinely during the first 24 hours, starting from the first hour after birth. Blood pressure should be measured shortly after birth.
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The REEDA method (redness, edema, ecchymosis, discharge, and approximation) can be used to assess these incisions.

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