The evaluation of vaginal bleeding after delivery begins with a history and physical exam.

Physical findings in a woman with vaginal bleeding after delivery may include:

• Vaginal bleeding on pelvic exam
• Vaginal discharge
• Uterine tenderness

Usually tests are necessary to make the diagnosis of vaginal bleeding after delivery.

Tests that may be used to evaluate vaginal bleeding after delivery include:

• Coagulation profile
• Complete blood count
• Vaginal culture
• Testing for sexually transmitted disease:
• Gonorrhea testing
• Chlamydia testing
• Ultrasound of the pelvis