How can I effectively counsel patients on the signs and symptoms of postpartum

To effectively counsel patients on the signs and symptoms of postpartum haemorrhage (PPH) to ensure timely intervention, General Practice staff should discuss what vaginal bleeding (lochia) to expect after birth NICE NG194. It is crucial to advise women to seek medical advice if they experience specific concerning signs NICE NG194. Patients should be counselled to seek medical attention if they notice any of the following:

• The vaginal bleeding is sudden or very heavy NICE NG194.
• The bleeding increases NICE NG194.
• They pass clots, placental tissue, or membranes NICE NG194.
• They have symptoms of possible infection, such as abdominal, pelvic, or perineal pain, fever, shivering, or vaginal bleeding or discharge with an unpleasant smell NICE NG194.
• They have any concerns about vaginal bleeding after the birth NICE NG194.

Additionally, it is important to advise women on the general symptoms and signs of potential postnatal health problems, when to seek help, and who to contact if they have any concerns NICE CKS. Providing access to reliable information, such as the Royal College of Obstetricians and Gynaecologists (RCOG) information leaflets on heavy bleeding after birth, can also support patient understanding and timely action NICE CKS.