- To observe perineal trauma and the state of healing.
- To detect any abnormality as early as possible.
- To prevent health hazards which mother may expose.
Perineal examination is the examination of the region overlying the pelvic outlet, including the anal and genitourinary regions.
Gyneac & Obstetric Department and Out Patient Department.
Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.
- Flash light
- Explain the procedure and its purpose to the patient.
- Prepare equipment for procedure and take to bedside.
- Screen the mother’s bed.
- Close window door if open.
- Wash hands with following all hand hygiene steps and put on clean gloves.
- Request the mother to assume a Sims position and flex her upper leg and expose perineum.
- Lower the perineal pad and lift the superior buttocks.
- Use a flash light to.
- Note the extent and location of edema or bruising – Extensive bruising or edema may indication formation of a hematoma.
- Examine the episiotomy or laceration for (REEDA) Redness, Ecchymosis, Edema, Discharge and Approximation.
- Note number and size of hemorrhoids.
- Instruct mother to turn on back and cover her.
- Remove equipment and clean it.
- Wash hands with following all steps of hand hygiene.
- Report any abnormalities.
Nurses Observation Sheet