What is "lochia alba"?

Lochia alba refers to the post-delivery discharge that occurs during the recovery phase after childbirth. Specifically, it is characterized by a whitish-yellow discharge that is composed primarily of leukocytes (white blood cells), cervical mucus, and tissue debris. This type of discharge typically appears around 10 days postpartum and can last from two to six weeks as the body continues to heal and return to its pre-pregnancy state.

The progression of lochia is important for assessing postpartum recovery. Initially, lochia rubra consists of bright red blood and is present in the first few days after delivery. Then, it transitions to lochia serosa, which is a pinkish-brown discharge as the healing progresses, eventually leading to lochia alba. The persistence of lochia alba signals that the body is still eliminating remnants of the pregnancy, and it is a normal part of the postpartum healing process.

This knowledge is crucial for midwives and healthcare providers for monitoring the postpartum period and identifying any potential complications, making the understanding of lochia alba vital in maternity care.