Postpartum bleeding (lochia)


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Postpartum bleeding (lochia)


Immediately after delivery, you will have a bloody discharge (lochia) from the vagina. This will turn pinkish within a week and become white or yellowish after about 10 days. Lochia may last for 4 to 6 weeks, but it should be less bloody after 2 weeks. It can come and go for about 2 months.

Use pads, rather than tampons, during this time. If you have a tear next to the vagina (perineal tear) or an episiotomy that is healing, change the pad at least every 4 hours to prevent irritation and infection.

How much bleeding is too much?

Call your doctor right away if you:

  • Have bleeding that soaks through your usual pad each hour for 2 or more hours.
  • Have bloody discharge that continues beyond 4 to 6 weeks.
  • Pass blood clots larger than a golf ball over several hours.

Don't be concerned if you pass occasional blood clots, as long as they are smaller than a golf ball.

Credits


Author Bets Davis, MFA
Author Kathe Gallagher, MSW
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer Adam Husney, MD - Family Medicine
Specialist Medical Reviewer Kirtly Jones, MD - Obstetrics and Gynecology
Last Updated December 5, 2007

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Last updated: December 05, 2007
Author: Kathe Gallagher, MSW
Reviewed By: Sarah Marshall, MD - Family Medicine, Kirtly Jones, MD - Obstetrics and Gynecology
Editors: Kathleen M. Ariss, MS, Pat Truman, MATC

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