What Is Lochia?

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What is Lochia?

Lochia, also known as postpartum bleeding, is a normal discharge of blood and mucus from the uterus after childbirth. It begins right after delivery and can continue for four to six weeks postpartum, with the heaviest flow occurring for the first 10 to 14 days. Some women may have a shorter period of discharge, while others may have lochia for slightly longer than four to six weeks.

Characteristics 

Lochia is similar to menstrual blood, but is typically heavier and lasts longer than a normal period. It also contains elements not found in menstrual blood, like remnants from the placenta. As the lochia passes, it may look pink, brown, yellow, or watery. 

It’s possible that you may see small clots of blood contained in the lochia. As long as these are no larger than a plum and you don’t pass several of them in a 24-hour period, this is normal. If you’re worried at all about a clot you have passed, don’t hesitate to call your provider.

Causes

For nine months, your uterus has not only housed your baby but your placenta and lots of excess uterine tissue and blood (remember, you weren’t getting a monthly period!). When your baby is born, the uterus sheds all this extra material through postpartum uterine contractions, which are also normal—they help your uterine shrink back down to its normal size.

The uterus is usually about the size of an orange. By the time you deliver your baby, it will have stretched to about 38 centimeters, or in other words, the size of a watermelon!

Types

Lochia changes in appearance over time, as the uterus clears out the excess blood and tissue.

  • At first, lochia will look dark red and the flow may be heavy.
  • After about four to 10 days, the lochia should lighten and look pinkish or brownish in appearance.
  • After 10 to 14 days, the lochia should become similar to spotting, like what you may notice just before or after your period.
  • For the remaining days or weeks, the lochia will look more like watery mucus and will be white or yellow in color. It may also become very irregular.

If you had a cesarean section, you will still have lochia, though it’s possible you may have less of it than if you had a vaginal delivery. After a cesarean procedure, doctors inspect the uterine cavity to be sure all of the placenta has been removed; some of what would traditionally pass later as lochia is often removed as well.

Treatment 

You don’t need to do anything to prevent lochia or stop it from happening—it’s a normal part of your body’s postpartum healing process. By the time your uterus has returned to its normal size, you won’t be passing much lochia anymore (if at all).

But it’s important to keep an eye on the lochia and make sure it’s staying within the range of normal. You should call your provider right away if:

  • You are soaking through pads very frequently, like one pad every hour.
  • You have a fever or chills.
  • You have severe abdominal or pelvic pain or cramping.
  • You notice your lochia has a foul-smelling odor.
  • Your lochia has been getting lighter but suddenly turns very heavy again without warning.
  • You pass any blood clots larger than a plum or pass several clots in one day.

These may be signs of infection or postpartum hemorrhage. You should also call your provider if your lochia remains heavy for more than two weeks postpartum, or if you are still having any lochia at all after about eight weeks postpartum.

Coping 

Unfortunately, you can’t make your lochia go away any sooner, but you can do a few things to make life easier while you wait it out.

  • Wear pads, not tampons. You may need heavy-duty pads at first, and it may be easier to continue wearing the mesh underwear from the hospital to keep everything in place.
  • Wear comfortable undergarments and loose-fitting clothes.
  • Take OTC pain relievers (unless otherwise directed by your doctor) to reduce the pain of postpartum cramping.
  • Get plenty of rest. If you overdo it, you may notice an increase in lochia—that’s your body’s way of telling you to take it easy!
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