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24. Postpartum problems that require investigation by
      physician/practitioner.

a. Vaginal bleeding soaking more than one pad per hour should be reported.

b. A foul or unusual odor to lochia (vaginal bleeding) is also important to report to the physician/practitioner.

c. The inability to void (urinate) or completely empty bladder needs investigation as well.

d. A flu-like feeling, fever, or chills should be referred to the physician/practitioner.

e. A fever above 100.4'F for more than a day requires attention. (Fever up to 100.4'F may occur for a day when the milk comes in.)

f. Any redness/tenderness of the breast or a reddened lump in the breast should be reported.

g. Any change in the odor and/or color in breast milk needs investigation.

h. Extreme tenderness of the episiotomy also requires the physician/practitioner's attention.

i. Tenderness above the pubic bone, accompanied by frequency and/or urgency when urinating should be referred to the physician/practitioner.

j. If any part of the incision becomes separated, call the physician/practitioner.

k. Drainage from the surgical incision requires medical attention.
 

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l. Increased redness or warmness of the incision should be reported.
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