Postpartum bleeding
Complete SOAP example
Example narrative
34-year-old woman from HOME, lives with partner, five days postpartum after vaginal delivery, reports sudden heavy bleeding with clots and lightheadedness. Pregnancy/delivery complications and medications reviewed.
Primary survey intact but perfusion concerning. Patient found supine on bed, pale and anxious. Blood loss estimated from pads/linen; serial HR and BP obtained. Abdomen and mental status assessed; newborn safe with partner.
Differential considerations: 1) secondary postpartum hemorrhage, 2) retained products or uterine infection, 3) other gynecologic bleeding. Active bleeding with volume-loss symptoms.
Hemorrhage-focused care, warming, vascular access and monitoring provided per guideline. Hemodynamics and bleeding reassessed. Transported priority with obstetric pre-alert; delivery history, estimated loss and trend transferred.