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Perineal Examination Perineal Observation

How To Do Perineal Examination

Purpose

  • 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.

Definition-Perineal Examination

Perineal examination is the examination of the region overlying the pelvic outlet, including the anal and genitourinary regions.

Applicable Areas

Gyneac & Obstetric Department and Out Patient Department.

Responsibility

Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.

Equipment

  • Screen
  • Flash light

Procedure

  • 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.

Documentation

Nurses Observation Sheet