Observational studyRevista latino-americana de enfermagem
Episiotomy healing assessment: Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability.
Observational study in Revista latino-americana de enfermagem. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07748182 (The Effect of Boric Acid Wet Dressing on Perineal Wound Healing and Pain Level in Postpartum Perineal Care), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Boric Acid Wet Dressing on Perineal Wound Healing and Pain Level in Postpartum Perineal Care
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perineal resuturing versus conservative treatment for dehisced perineal wounds and episiotomies: a systematic review and meta-analysis.International urogynecology journal · 2023Pooled it
- Effects from a single application of photobiomodulation on pain intensity from perineal trauma related to childbirth: A randomized controlled trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Trial
- Efficacy of topical moxifloxacin on therapeutic laparoscopy-induced wound healing: a double-blind, randomized clinical trial.BMC surgery · 2025Trial
- Trial
- The effect of probiotic supplementation on episiotomy wound healing among primiparous women: a triple-blind randomized clinical trial.BMC complementary medicine and therapies · 2023Trial
- The Effect of Malva Sylvestris Cream on Episiotomy Pain and Healing: A Randomized Controlled Clinical Trial.International journal of community based nursing and midwifery · 2022Trial
- Photobiomodulation for Pain, Healing, and Analgesic Use after Perineal Lacerations: A Double-Blind Randomized Controlled Trial.International urogynecology journal · 2026Article
- Platelet-Rich Plasma in Postpartum Wound and Scar Repair: A Narrative Review of Clinical Evidence, Patient-Centered Outcomes, and Translational Challenges.International journal of women's health · 2026Review
- Immediate perineal cryotherapy during labor: effects on early postpartum pain, edema, and pelvic floor recovery in primiparous women.American journal of translational research · 2026Article
- Effects of two different perineal preparations before vaginal birth on maternal and neonatal infections and hospital resources: A randomized controlled trial.European journal of midwifery · 2026Article
- The Effect of Topical Propolis Ointment on Severity of Episiotomy Pain and Wound Healing: A Triple-Blinded Randomized Controlled Clinical Trial.Journal of caring sciences · 2025Article
- Analysis of risk factors and prediction model construction for poor healing of perineal wounds after vaginal delivery: A retrospective case-control study.International journal of nursing studies advances · 2025Article
- The Efficacy of Honey for the Treatment of Perineal Wounds Following Vaginal Birth: A Narrative Review.Pharmaceuticals (Basel, Switzerland) · 2025Review
- Exuberant Granulation Complicating an Episiotomy Wound: Case Report on the Treatment Using Surgical Excision and Estrogen Vaginal Cream.International medical case reports journal · 2025Article
- Article
- Article
- Article
- Article
- The Effects of Ginger (Journal of caring sciences · 2023Article
- Measurement of perineal tears as an additional tool for laceration assessment during vaginal birth.European journal of midwifery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto analyse the Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability when evaluating perineal healing after a normal delivery with a right mediolateral episiotomy.
methodobservational study based on data from a clinical trial conducted with 54 randomly selected women, who had their perineal healing assessed at four time points, from 6 hours to 10 days after delivery, by nurses trained in the use of this scale. The kappa coefficient was used in the reliability analysis of the REEDA scale.
resultsthe results indicate good agreement in the evaluation of the discharge item (0.75< Kappa ≥0.88), marginal and good agreement in the first three assessments of oedema (0.16< Kappa ≥0.46), marginal agreement in the evaluation of ecchymosis (0.25< Kappa ≥0.42) and good agreement regarding redness (0.46< Kappa ≥0.66). For the item coaptation, the agreement decreased from excellent in the first assessment to good in the last assessment. In the fourth evaluation, the assessment of all items displayed excellent or good agreement among the evaluators.
conclusionthe difference in the scores among the evaluators when applying the scale indicates that this tool must be improved to allow an accurate assessment of the episiotomy healing process.
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