Lochia is the vaginal discharge that occurs after birth.

The outermost layer of the uterus that becomes necrotic and is being expelled.

Lochia is similar to menstrual flow and consists of blood, fragments of the decidua, white blood cells (WBCs), mucus, and some bacteria.

Lochia is categorized as rubra (red vaginal discharge with fleshy odor and small clots that occurs during the first 3 days after delivery); serosa (pinkish brown serosanguineous discharge with fleshy odor that occurs during days 4 to 9); and alba (yellow to white vaginal discharge that usually begins about 10 days after delivery and can last from 2 to 6 weeks).

Lochia is commonly assessed in conjunction with fundal assessment.

Gloves

Perineal pad

Linen-saver pad

Perineal care supplies, such as peri bottle, soap, water, and washcloth

Explain the procedure to the patient.

Wash your hands.

Provide privacy.

Help the patient into the lateral Sims’ position.

Put on gloves and then inspect the perineal pad.