NURSE-UN 1242 Lecture Notes - Lecture 1: Lochia, Vaginal Bleeding, Postpartum Period
17 Dec 2018
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As uterine bleeding subsides, it becomes paler and more serous. (b) lochia serosa is the second stage. It is pinkish brown and is expelled 3 ~ 10 days postpartum. Lochia serosa primarily contains leukocytes, decidual tissue, red blood cells, and serous fluid. (c) lochia alba is the final stage. The discharge is creamy white or light brown and consists of leukocytes, decidual tissue, and reduced fluid content. Week 1: post-partum care: right after childbirth: shapeless and edematous, easily distensible for several days, the internal cervical os gradually closes and returns to normal by 2 weeks, the external os widens and never appears the same. The co to prelabor values 24 ~ 72 hrs postpartum, rapidly falls over the next. 2 weeks and usually returns to nonpregnant levels within 6 ~ 8 weeks postpartum. Blood plasma volume is further through diuresis, which occurs during the early postpartum period.
