Postpartum Care: Unfolding Case Study on Postpartum Hemorrhage

08:00: Client is a 28-year-old G3P3 who delivered a 9lb 6oz (4252g) infant via spontaneous vaginal delivery 1 hour ago. Third stage of labor lasted 15 minutes. Episiotomy repaired. Client is breastfeeding. Epidural has been discontinued. Fundus firm, midline, at the level of the umbilicus. Lochia rubra moderate. 09:00: Client reports feeling "lightheaded and wet underneath." Upon assessment, the fundus is noted to be boggy and displaced to the right, 2 cm above the umbilicus. A large amount of lochia and several large clots were observed on the underpad.