Which postpartum red flags require medical evaluation for the mother?

• A. Heavy bleeding saturating a pad quickly.
• B. Mild fatigue after activity.
• C. Nasal congestion.
• D. Slight headaches that improve with rest.

Answer: (A)

Heavy vaginal bleeding after birth is a warning sign because the uterus normally clamps down to stop bleeding after delivery. When a pad is soaked quickly, it can indicate postpartum hemorrhage, which may arise from the uterus not contracting well, retained placental tissue, or other causes. This can progress rapidly and lead to shock, so it requires prompt medical evaluation to identify the cause and begin treatment, such as medications to contract the uterus or other interventions as needed.

The other options are less urgent on their own. Mild fatigue after activity can be common in the early postpartum period due to sleep disturbance and the body’s recovery. Nasal congestion is a frequent, non-urgent symptom that can come from hormones or a cold. Slight headaches that improve with rest can be normal for many new mothers, though any new or severe headaches, especially with vision changes, fever, or high blood pressure, should be evaluated.