ASSESSMENT PROTOCOL FOR POSTPARTUM CHECKUP (Logic Tree No. 32) o IRECTION : Determine/identify which of the following symptoms/ signs (S/S) or history data (Hx D) are present and follow the flowchart for the appropriate: plan of management. RED YELLOW GREEN S/5 or Hx D S/S or Hx D S/S or Hx D Profuse vaginal Foul-smelling vagina Vaginal discharge change bleeding discharse from bloody durine Abdominal pain Vaginal discharge the first few days and Altered level of continues to be gradually becoming consciousnes!. bloody even after whitish but non-foul- Patient in pain the third day smelting Pulse is weak and fast Tempera ture of 37. sc Breast engorged and and above heavy but not painful Blood pressure Blood pressure slightly and swollen either very high high (systolic of 140 Patient Is alert (systolic above to 160 mm mercury Pulse is strong and l60 mm mercury) and/or diastolic regular or very low (only of90-100 mm Blood pressure within palpatorvl mercury) norm. I limits cold, clammy skin Pale lips, nallbeds or Temperature is below Womb is soft and not inner aspect of the 37 ·c contracted eyelids Womb hard and well Abdomin al wall cracked or bleeding contracted (gradually very rigid nipples becomes smaller) Breast is painful, swollen and red wound at the genital area, especially if infet1ed . 273 