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階段 6 — 評估結果。回顧組合式產後出血治療後的趨勢，並選擇最佳的判讀與後續計畫。

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Time	Data
Recognition	Fundus soft and shifted right; heavy lochia with clots; QBL 700 mL; BP 92/58; HR 116; pale and lightheaded子宮底柔軟且右移；大量惡露含血塊；QBL 700 mL；血壓 92/58；心率 116；蒼白且頭暈
After massage, bladder emptying, and increased oxytocin	Fundus firms briefly then relaxes; QBL 1,100 mL and rising; BP 88/54; HR 122; delayed capillary refill子宮底短暫變硬後又鬆弛；QBL 1,100 mL 且持續增加；血壓 88/54；心率 122；微血管回填延遲
15 minutes after expanded bundle	Bimanual compression, TXA, methylergonovine, warmed IV fluid, and continued oxytocin given; fundus firming; lochia decreasing; QBL 1,180 mL; BP 104/66; HR 100已給予雙手壓迫、TXA、甲基麥角新鹼、加溫靜脈輸液及持續催產素；子宮底變硬；惡露減少；QBL 1,180 mL；血壓 104/66；心率 100
60 minutes later	Fundus firm and midline; lochia small to moderate without large clots; QBL stable at 1,200 mL; BP 118/72; HR 86; urine output 0.8 mL/kg/hr; alert without lightheadedness子宮底堅實且位於中線；惡露少量至中量，無大血塊；QBL 穩定於 1,200 mL；血壓 118/72；心率 86；尿量 0.8 mL/kg/hr；清醒無頭暈

Q1. How is the client responding to treatment?個案對治療的反應如何？

Clinically improving with bleeding currently controlled臨床改善且出血目前受控 Stable while bleeding continues at the original rate穩定但出血仍以原本速率持續 Deteriorating with worsening uterine atony and perfusion惡化，子宮收縮乏力和灌注變差

Q2. What is the best next plan?最佳的後續計畫為何？

Continue enhanced postpartum surveillance; reassess symptoms, QBL, perfusion, and anemia; provide individualized recovery teaching before determining discharge readiness繼續加強產後監測；重新評估症狀、QBL、灌注和貧血；在決定出院準備度前提供個別化的恢復衛教 Stop surveillance and discharge immediately because the latest blood pressure is normal停止監測並立即出院，因為最新血壓正常 Activate MTP now solely because cumulative QBL exceeded 1,000 mL despite controlled bleeding and normalized perfusion現在啟動大量輸血方案，僅因累計 QBL 超過 1,000 mL，儘管出血已受控且灌注正常 Repeat methylergonovine every 30 minutes and encourage breastfeeding as the primary hemorrhage treatment每 30 分鐘重複給予甲基麥角新鹼，並鼓勵以哺乳作為主要出血治療

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