RDS
Analyze && Vacuum
RDS has automatic settings for these, they seem to be fine so far. Apparently can be insufficient when the DB gets really big though.
If you need a quick way to check the dead tuple/vacuum/analyze stats, open up a Rails console session through SSH and use
ActiveRecord::Base.connection.exec_query("")
with
SELECTrelname AS TableName,n_live_tup AS LiveTuples,n_dead_tup AS DeadTuples,last_autovacuum AS Autovacuum,last_autoanalyze AS AutoanalyzeFROM pg_stat_user_tables;
as the passed string.