Lochia Rubra Explained: Features, Identifiers, and Frequently Asked Questions
Lochia rubra, the first stage of postpartum discharge, is a crucial part of the postnatal recovery process. This stage typically lasts for about 3 to 4 days postpartum and is characterized by a bright red color and a heavy flow that may include small clots.
Symptoms and Characteristics of Lochia Rubra
Lochia rubra is marked by several symptoms, including:
- Bright red vaginal discharge
- Heavy menstrual-like bleeding
- Presence of small blood clots
- It reflects the shedding of the uterine lining and healing of the placental site
Transition to Lochia Serosa
After the initial days, lochia rubra transitions to lochia serosa, a pinkish discharge, indicating normal postpartum uterine recovery. This stage lasts for approximately two weeks.
Importance of Care During Lochia Rubra
During this stage, it is essential to wear sanitary pads and change them frequently to prevent bacterial infections. Overly active behaviour may increase the flow, slowing healing.
When to Seek Medical Attention
While lochia rubra resolves on its own without medical intervention, it is crucial to seek medical attention for signs of infection or atypical bleeding. Excessive bleeding, fever, nausea, vomiting, chills, swelling and pain around the vagina or perineum, or any signs of postpartum hemorrhage should be reported to a healthcare provider.
A moderate lochia flow is more than the amount that fills one menstrual pad in an hour, especially in the first 2 hours after birth. If a person experiences heavy bleeding that is not stopping or slowing, or passes very large clots or persistent clots, they should seek immediate medical attention.
Lochia alba, the final stage of postpartum discharge, is a yellowish-whitish color and may no longer appear bloody. Lochia alba can last about two weeks.
In conclusion, understanding and managing lochia rubra is crucial for a smooth postpartum recovery. It is essential to follow the advice of healthcare providers, rest, and maintain good hydration to ensure a healthy and speedy recovery.
[1] Mayo Clinic. (2021). Postpartum bleeding: When to worry. https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/postpartum-bleeding/art-20046025
[2] American Pregnancy Association. (2021). Lochia. https://americanpregnancy.org/labor-and-birth/lochia/
[3] NHS. (2021). Postnatal care - after the birth. https://www.nhs.uk/conditions/pregnancy-and-baby/postnatal-care/
[4] Johns Hopkins Medicine. (2021). Postpartum care. https://www.hopkinsmedicine.org/health/conditions-and-diseases/postpartum-care
[5] ACOG. (2021). Postpartum care. https://www.acog.org/womens-health/faqs/postpartum-care
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To maintain a healthy postpartum recovery, it is advisable for women to consider seeking science-backed solutions that address the symptoms of lochia rubra, as provided by the ongoing research of companies like Pfizer in the field of health-and-wellness and women's health.
