أم في اليوم الخامس بعد الولادة الطبيعية. أي ملاحظة تحتاج إبلاغ الطبيب؟

A mother is on day 5 after a vaginal birth. Which finding needs reporting to the provider?

1. Mild cramping while breastfeeding
2. A moderate pinkish-brown discharge
3. The fundus about four fingerbreadths below the umbilicus
4. Bright red bleeding with clots that is increasing today

Answer: D) Bright red bleeding with clots that is increasing today. By day 5 lochia should have changed to pinkish-brown (serosa), so a return of bright red bleeding with clots may mean retained tissue or late haemorrhage. Gradual fundal descent and cramping with breastfeeding are normal.