A 28-year-old G3P3 client gave birth vaginally 60 minutes ago to a 4.1-kg infant after oxytocin-augmented labor lasting 14 hours. She had a postpartum hemorrhage after her last birth. The placenta delivered intact. At the 15-minute check, the fundus was firm at the umbilicus and midline with QBL of 300 mL and moderate lochia. Since birth she has voided a small unmeasured amount only once. Admission BP was 124/78. Now: BP 92/58 and HR 116, RR 22, T 36.9 C, and SpO2 98 percent on room air. She is pale and reports new lightheadedness. The uterus is soft and boggy, with the fundus 2 cm above the umbilicus, deviated right. There is heavy lochia with clots; QBL now 700 mL. She rates cramping 4/10 during breastfeeding, and the perineum is intact with mild edema.
一位 28 歲 G3P3 個案在催產素增強分娩 14 小時後，於 60 分鐘前陰道分娩一名 4.1 公斤嬰兒。她上次分娩後曾發生產後出血。胎盤完整娩出。在 15 分鐘檢查時，子宮底在肚臍處堅硬且位於中線，定量失血量為 300 毫升且惡露量中等。自生產以來，她僅排尿一次少量且未測量。入院時血壓為 124/78 毫米汞柱。現在：血壓 92/58 和心率 116，呼吸速率 22 次/分，體溫 36.9 攝氏度，室內空氣下血氧飽和度 98%。她臉色蒼白並表示新出現頭暈。子宮軟且鬆弛，子宮底位於肚臍上方 2 公分處，向右偏移。有大量惡露合併血塊；定量失血量現為 700 毫升。她表示哺乳期間痙攣疼痛評分為 4/10，且會陰完整合併輕度水腫。