Obstetric and Gynecological Nursing - The Carter Center

Lochia- discharge from the uterus during puerperium.
Reaction of lochia is alkaline which favors growth of
organisms
Amount – varies with each woman
Odour- heavy and unpleasant but not offensive
The lochia undergo sequential change as involution
progresses.
1. Lochia Rubra – Red in colour last 1-4 days consists of
blood, chorion, decidua, amniotic fluid, lanugo, vernix
caseosa and meconium.
2. Lochia serosa – purple, lasts 5-9 days contains less
blood more serum as well as leukocytes & organisms.
3. Lochia alba – creamish pale discharge lasts 9-12 days
N:B: It is important that midwife/nurse realize the danger of
retained products which is indicated persistent red lochia .
Changes in other body system
Urinary tract – Physiological changes which occurred during
pregnancy are reversed. The urinary tract is revived from
pressure of delivery.
Alimentary canal:- Heart burn improves due to hormonal fall
and released pressure on the sphincter. Constipation presents
for few days; painful perineum inhibits defecation.
Circulatory system:- blood volume decreases to pregravid
level & blood regains its normal viscosity. Muscle tone of
123