What should a nurse assess when examining lochia flow?

When assessing lochia flow, evaluating color changes and consistency is essential. Lochia, the vaginal discharge following childbirth, varies over time in color and consistency, which reflects the stages of uterine healing.

Initially, lochia rubra is bright red and consists mostly of blood, which is expected in the first few days postpartum. As healing progresses, it transitions to lochia serosa, a pinkish-brown discharge, and eventually to lochia alba, which is yellowish-white. Assessing these changes can help identify normal recovery as well as potential complications, such as retained placental fragments or infection.

Consistency also plays a role; lochia should be serous without large clots. If the consistency changes significantly or if there are large clots, it may indicate a need for further evaluation. Therefore, color changes and consistency are critical indicators a nurse must assess to ensure the patient's well-being during the postpartum period.