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What is lochia? Lochia is the vaginal discharge you have after giving birth. It contains a mix of blood, mucus and uterine tissue. It has a stale, musty odor like menstrual period discharge and can last several weeks.

my.clevelandclinic.org - Lochia (Postpartum Bleeding): How Long, Stages, Smell & Color

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Overview

What is lochia?

Lochia is the vaginal discharge you have after giving birth. It contains a mix of blood, mucus and uterine tissue. It has a stale, musty odor like menstrual period discharge and can last several weeks. Lochia is heavy at first but gradually subsides to a lighter flow until it goes away. This can last for a few weeks. Lochia is a normal part of the postpartum healing process and doesn’t usually cause complications.

What does lochia look like?

Every person is different, but generally, lochia follows a similar progression in color and volume. It begins as blood before tapering to a whiteish mucus. Lochia is dark or bright red for at least three or four days. The flow is heavy, and you may also pass small clots. You can expect to soak one thick maxi pad every two to three hours. After about a week, lochia is more watery and transitions to a pinkish brown color. The flow is lighter, and you may not fill pads as quickly. Finally, after about 10 to 14 days, lochia changes to a creamy, yellowish-white color. At this point, some people can wear thin panty liners in their underwear.

What are the three stages of lochia?

Lochia has three stages. The duration of each stage and the way lochia looks can vary. Lochia is postpartum bleeding and vaginal discharge. It has three stages and lasts up to six weeks.

Lochia rubra is the first stage of lochia. You can expect:

Dark or bright red blood.

Lasts for three to four days.

Flows like a heavy period.

Small clots are normal.

Mild, period-like cramping.

Lochia serosa is the term for the second stage of lochia. You can expect:

Thinner and more watery than lochia rubra.

Lasts for four to 12 days.

Flow is moderate.

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Less clotting or no clots.

Lochia alba is the last stage of lochia. You can expect:

Yellowish white discharge.

Little to no blood.

Light flow or spotting.

Lasts from about 12 days to six weeks.

No clots.

What is lochia made of?

Lochia is postpartum bleeding and discharge. Your uterus is essentially “starting fresh” and shedding any blood, tissue and other materials from months of pregnancy. Lochia is made up of:

Blood.

The tissue lining of your uterus.

Amniotic fluid.

Bacteria and microorganisms.

Any leftover fetal membranes.

Cervical mucus.

Lochia will smell like menstrual blood. Some describe it as musty, metallic, sour or stale. However, it shouldn’t smell fishy or foul. This could mean bacteria has gotten into your vagina and caused an infection.

Why does my vaginal discharge smell postpartum?

Lochia consists of all the contents in your uterus from nine months of pregnancy. There will be an odor to the blood and discharge like a typical menstrual period. The best thing you can do is practice good hygiene. Contact your healthcare provider if your discharge is extremely foul or fishy, as it could indicate an infection.

How long does lochia last?

It can vary between people, but lochia typically lasts about six weeks. However, some people have traces of lochia for up to eight weeks.

How is lochia different than period blood?

There are some similarities between menstrual period blood and lochia. They both have a distinct smell and begin as a dark red, heavy discharge. Lochia and menstrual blood are similar in that the bleeding subsides before going away. The biggest difference between the two types of discharge is that lochia lasts much longer. A typical period lasts about one week. Lochia lasts about six weeks in most people.

my.clevelandclinic.org - Lochia (Postpartum Bleeding): How Long, Stages, Smell & Color

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