Postpartum Lochia Characteristics and Warning Signs

Normal Lochia Patterns and Warning Signs

• Women with the classic type 1 pattern of lochia are more likely to be breastfeeding, with a progression from rubra to serosa to alba, which is the most common pattern (51% of women) 1
• Sudden heavy bleeding or passing large clots after lochia has lightened is a warning sign that requires medical attention 1
• Foul-smelling discharge, which may indicate infection (postpartum endometritis), is a warning sign that requires medical attention 1
• Fever >100.4°F (38.0°C) on more than two occasions >6 hours apart is a warning sign that requires medical attention 1, 2
• Severe abdominal pain or uterine tenderness is a warning sign that requires medical attention 1