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1. LOCHIA PRESENTED BY : HEENA RAKWAL (M.SC (N) 1 st Year ) SKSS COLLEGE OF NURSING

2. DEFINITION It is the vaginal discharge for the first fortnight during puerperium. The discharge originates from the uterine body, cervix and vagina.

3. CHARACTERISTICS Odour and reaction:- It has got a peculiar offensive fishy smell. Its reaction is alkaline tending to become acid towards the end. Colour :- depending upon the variations of the colour of the discharge, it is named as:-

4. TYPES CHART

5. COMPOSITION Lochia rubra consists of blood, shreds of fetal membranes and decidua, vernix caseosa, lanugo and meconium. Lochia serosa consists of less RBC’s but more leucocytes, wound exudates, mucus from the cervix and micro-organisms (anaerobic streptococci and staphylococci). Lochia alba contains plenty of decidual cells, leucocytes, mucus, cholestrin crystals, fatty and granular epithelial cells and micro-organisms.

6. CLINICAL IMPORTANCE Excessive bleeding represents hemorrhage Bad odour Color changes

7. ASSIGNMENT FOR STUDENTS ROLE OF NURSE IN ASSESSMENT OF LOCIAL DISCHARGE.