What to Assess
When to contact Physician
Lochia is discharge of blood and debris following delivery. Heaviest in morning and during/after breastfeeding. May pool in vaginal vault as pt. rests and then may gush (increase) when standing (Gravity!) Do NOT confuse with hemorrhage.
Assess pad saturation in terms of how much blood in one hour. Saturating more than one full pad in 1 hour is excessive. Documentation of lochia is by color and amount. For example: moderate, rubra.
Lochia decreases every few days (see above). Starts off rubra (bright red) then goes to serosa (reddish-brown) and then to alba (whitish). After bleeding decreases there should NOT be any increase in bleeding. Increase in bleeding or recurrence of rubra after lochia already serosa is abnormal.
If there is a foul odor, clots present (larger than a 50 cent piece) or rubra persists past 3 days—notify practitioner.