
Q How long does lochia last? I still have afterpains too — is this normal?
A Lochia usually changes from red to gradually clearer, lighter discharge over several weeks. Afterpains also ease gradually as the uterus recovers. However, if lochia suddenly turns bright red again, increases in amount, or is accompanied by a foul odor or fever, see an OB-GYN.
Detailed Answer
Lochia is discharge that appears as the postpartum uterus recovers — it starts red and, over several weeks, lightens to brown, yellow, and then white as it decreases. Afterpains occur as the uterus contracts back to its original size; they can be more noticeable during breastfeeding but ease over days to weeks. However, if lochia that had been decreasing suddenly becomes bright red and heavy again, or is accompanied by large clots, a foul odor, or fever, this may indicate infection or a bleeding problem and requires an OB-GYN visit.
Our Korean Medicine Clinic's Perspective
In Korean Medicine, recovery goes smoothly when stagnant blood is cleared well after childbirth and fresh qi and blood are replenished. At Dongjedang, we support circulation so the postpartum body isn't harmed further, and replenish the greatly depleted qi and blood — but if there are warning signs such as abnormal lochia or fever, we recommend an OB-GYN visit first.
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