Which color change indicates late postpartum hemorrhage?

Which color change indicates late postpartum hemorrhage?

• A. Red after pink or white
• B. Pink discharge only
• C. White discharge only
• D. Green discharge

Answer: (A)

Recognizing lochia color changes helps identify secondary postpartum hemorrhage. After birth, the vaginal discharge (lochia) moves from red (lochia rubra) to pink/brown (lochia serosa) to white/yellow (lochia alba) as healing occurs. When red lochia reappears after a period of pink or white, it signals renewed uterine bleeding from the placental site or endometrium—secondary postpartum hemorrhage. This red return is a warning sign that needs prompt assessment of bleeding, uterine tone, and possible infection. Pink or white discharge alone is part of the normal progression, not a sign of renewed bleeding, and green discharge is not a typical stage and may indicate infection or other issues.

Recognizing lochia color changes helps identify secondary postpartum hemorrhage. After birth, the vaginal discharge (lochia) moves from red (lochia rubra) to pink/brown (lochia serosa) to white/yellow (lochia alba) as healing occurs. When red lochia reappears after a period of pink or white, it signals renewed uterine bleeding from the placental site or endometrium—secondary postpartum hemorrhage. This red return is a warning sign that needs prompt assessment of bleeding, uterine tone, and possible infection. Pink or white discharge alone is part of the normal progression, not a sign of renewed bleeding, and green discharge is not a typical stage and may indicate infection or other issues.