How can I effectively counsel patients on the signs and symptoms of postpartum haemorrhage to ensure timely intervention?

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 ². It is crucial to advise women to seek medical advice if they experience specific concerning signs ². Patients should be counselled to seek medical attention if they notice any of the following:

• The vaginal bleeding is sudden or very heavy ².
• The bleeding increases ².
• They pass clots, placental tissue, or membranes ².
• They have symptoms of possible infection, such as abdominal, pelvic, or perineal pain, fever, shivering, or vaginal bleeding or discharge with an unpleasant smell ².
• They have any concerns about vaginal bleeding after the birth ².

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 ³. 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 ³.