Lochia Teaching

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The Mother of All Periods:

Lochia

Lochia
Lochia is defined as blood flow from
from the uterus post-childbirth. For
the first 2 hours after the birth of your
baby, the amount of discharge should
be approximately that of a heavy
menstrual period. The flow of lochia
should decrease after that time. Over
the next 6 weeks you will experience
three stages of lochia:

Lochia Rubra:
Duration: 1-3 days after delivery
Color: Bright red
Consistency: Bloody, may contain
small clots Odor: Fleshy

Lochia Serosa:
Duration: 4-10 days after delivery
Color: Pinkish brown
Consistency: Serosanguineous
(discharge containing serum and
blood, watery blood)

Lochia Alba:
Duration: 11 days after delivery and
beyond 6 weeks postpartum
Color: Yellowish, creamy white
Odor: Fleshy

Measurement for lochia flow

Normal Lochia:

Uterine massage

Uterine massage may result in a gush of


fluid but should decrease back to a trickle
Flow typically increases with walking and
breastfeeding
Lochia may pool in a relaxed vagina when
the woman is lying down and gush out on
standing
Flow of lochia is typically lighter with
cesarean births

Abnormal Lochia:

Excessive spurting of bright red blood

Numerous large clots and excessive bleeding

Foul odor

Lochia rubra, serosa, or alba that lasts


beyond normal length of time especially is
accompanied with fever, pain, or abdominal
tenderness

Warning:
Not all vaginal bleeding is lochia; excessive spurting
of bright red blood from the vagina after birth may
be caused by vaginal or cervical tear

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