The effects of an epidural combined with the need for early ambulation in the postpartum patient create a high risk for falls. We developed a standardized assessment score, based on 8 areas of assessment, to evaluate the fall risk of a postepidural patient. This score was developed using 2 other assessment tools, as well as considering the unique issues associated with the post-epidural patient. The scoring system is user-friendly and applicable to the labor and delivery setting.