What is the typical description of Lochia Alba?

• A. White vaginal discharge that changes to pink
• B. Red vaginal bleeding that soaks a pad hourly
• C. White-yellowish discharge that can persist for up to 6 weeks postpartum
• D. Clear serous discharge for 2 days

Answer: (C)

Lochia alba is the final stage of the postpartum vaginal discharge during uterine involution. It is described as a white to yellowish discharge that can persist for several weeks after birth, commonly up to about six weeks. This progression follows lochia rubra (red, fresh bleeding) and lochia serosa (pink-brown discharge), reflecting the uterus healing and clearing remaining debris. The description of white-yellowish discharge lasting up to 6 weeks fits this stage exactly. In contrast, heavy red bleeding points to lochia rubra, and a brief clear serous discharge does not align with the typical color progression or duration of lochia. If the discharge becomes foul-smelling, accompanied by fever, or if there is heavy bright red bleeding after the first days, that could indicate infection or subinvolution and warrants evaluation.