What are the signs that may indicate the presence of clots following delivery?

The presence of clots following delivery can be indicated by signs such as an enlarged uterus and a gradual increase in trickle bleeding. An enlarged uterus may suggest that there is retained placental tissue or blood clots within the uterus. When blood clots form, they can lead to an inability of the uterus to contract effectively, which may result in persistent bleeding or trickle bleeding as the body attempts to expel the clots.

In contrast, other options do not directly relate to the presence of clots. Increased fetal movement and stronger contractions are typically associated with pregnancy and labor rather than postpartum care. Signs of infection and elevated blood pressure could indicate other conditions that may arise after delivery but are not specific indicators of clots. Decreased uterine tone with no bleeding could suggest uterine atony, which can also occur postpartum, but without visible bleeding it does not specifically indicate the presence of clots. Thus, the combination of an enlarged uterus and a gradual increase in trickle bleeding is particularly telling of possible clots needing evaluation and management.