Vaginal Discharge

Evidence 

https://www.sciencedirect.com/topics/medicine-and-dentistry/lochia 

Suzanne Yates 

Lochia is the name given to the discharge coming from the placental site. The normal pattern is for red discharge in the first 3 or 4 days: lochia rubra or red lochia. It consists mainly of blood mixed with shreds of decidua. This becomes lighter (more brownish) and eventually serous after about 5 or 6 days: lochia serosa or serous lochia. This is altered blood and serum and contains leucocytes and organisms. The final discharge is known as lochia alba, yellowish-white lochia, in which there is little blood. It is mostly white blood cells, cervical mucous and organisms. Discharge decreases in amount as the site heals. The average time for lochia to become colourless is about 3–4 weeks. 

Education 

Vaginal discharge, known as lochia, is a normal part of post pregnancy recovery. It consists of blood, mucus and uterine tissue as the body sheds the lining of the uterus after birth. Lochia typically lasts for four to six weeks and progresses through different stages, from bright red bleeding to a lighter, yellowish or white discharge. Understanding what is normal and when to seek medical advice can help ensure a smooth recovery. 

Stages of Vaginal Discharge After Birth 

• Lochia Rubra (Days 1–4): Bright red discharge, heavy flow similar to a menstrual period, may contain small clots. 

• Lochia Serosa (Days 4–10): Pinkish-brown discharge, lighter flow, fewer clots. 

• Lochia Alba (Days 10–6 Weeks): Yellowish-white discharge, minimal flow as healing continues. 

Managing Vaginal Discharge 

• Use Maternity Pads: Avoid tampons or menstrual cups to reduce the risk of infection. 

• Maintain Proper Hygiene: Change pads regularly and wash hands before and after use. 

• Monitor for Heavy Bleeding: If you soak through a pad in an hour or pass large clots, seek medical attention. 

• Look for Signs of Infection: Foul-smelling discharge, fever, or abdominal pain may indicate an infection and should be checked by your healthcare team. 

• You should avoid intercourse, inserting anything into the vagina or swimming in pools/ocean, or sitting in a bath until 6 weeks post delivery.  

Empowerment 

Post pregnancy recovery involves many changes and vaginal discharge is a natural part of healing. It is important to be patient with your body and allow it to recover at its own pace. If something does not feel right, trust your instincts and reach out for medical support. Taking care of yourself is important too while bonding with your baby. 

Useful Links 

For When Perinatal Mental Health and Wellbeing 

https://forwhenhelpline.org.au/parent-resources/postpartum-care-first-weeks/ 

The Royal Women’s Hospital, Victoria 

https://www.thewomens.org.au/health-information/pregnancy-and-birth/your-health-after-birth/what-to-expect 

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