What symptom in a postpartum patient should be reported immediately?

Vaginal bleeding in a postpartum patient can be a significant indicator of potential complications, such as postpartum hemorrhage, which is a leading cause of maternal morbidity and mortality. Normal vaginal bleeding occurs during the postpartum period, but it should be monitored closely. Any excessive bleeding, such as soaking through a sanitary pad in an hour or larger clots, requires immediate medical attention, as it may signify a serious problem like uterine atony, retained placental fragments, or lacerations.

In contrast, while diaphoresis (excessive sweating), a respiratory rate of 12 breaths per minute, and a headache with visual disturbance can all be concerning, they do not carry the same immediate risk to life as excessive vaginal bleeding. Diaphoresis can be a normal part of recovery, a respiratory rate of 12 is typically within acceptable limits, and while a headache with visual disturbance should be evaluated—particularly for conditions like preeclampsia—vaginal bleeding is a more urgent concern that requires prompt intervention. Therefore, reporting vaginal bleeding immediately is crucial to ensure the safety and health of the postpartum patient.