A post-partum client asks how to differentiate between normal post-partum bleeding and a possible complication. What is the most reliable indicator that the bleeding may be abnormal?
A sudden increase in the amount of bleeding or passing large blood clots can indicate a post-partum hemorrhage, which is a serious complication requiring immediate medical attention. While it's common to have moderate bleeding and occasional small clots in the post-partum period, significant changes in volume or size of clots are not normal. Fever suggests infection, but it is not specific to abnormal bleeding. Mild cramping is expected as the uterus contracts, and slight pain during breastfeeding is a normal response to oxytocin release.
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