How many days does postpartum bleeding lochia last?

Written by Zhang Lu
Obstetrics
Updated on June 29, 2025
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Postpartum lochia refers to the need for the contents of the uterine cavity to be expelled over a certain period of time after childbirth. Postpartum lochia generally lasts about six to eight weeks and is divided into three stages: bloody lochia, serous lochia, and white lochia. The first stage, known as bloody lochia, primarily involves the expulsion of accumulated blood in the uterine cavity. Postpartum bleeding lochia generally lasts about one week after childbirth. During this week, the amount of bleeding gradually decreases, and the color changes from bright red to dark red and then to black. Generally, it is believed that postpartum bleeding lochia should not exceed two weeks. If bleeding lochia persists beyond two weeks, an ultrasound should be conducted to determine whether there are any remnants in the uterine cavity, along with a vaginal examination to check for any abnormalities in the cervix and vaginal walls.

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Written by Zhang Lu
Obstetrics
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Symptoms of Postpartum Hemorrhage

Postpartum hemorrhage is the leading cause of death in pregnant women. The symptoms of postpartum hemorrhage include the following aspects: First, it initially presents as significant vaginal bleeding, where the bleeding may exceed 500 milliliters in a short period or 800-1000 milliliters within 24 hours, predominantly featuring fresh blood. Second, there can be abdominal pain or other symptoms caused by the underlying etiology, such as postpartum hemorrhage due to soft birth canal injuries, which can manifest as tears in the vagina or cervix. Third, there can be signs of shock, such as confusion, lowered blood pressure, and an increased heart rate, all of which are symptoms used to diagnose postpartum hemorrhage.

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Written by Zhao Li Li
Obstetrics
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How long will postpartum bleeding last until it stops?

Generally, in normal childbirth or after cesarean section surgery, there is usually a small amount of vaginal bleeding, which typically subsides completely within about a week. If there is heavy bleeding after delivery, it is crucial to closely monitor the vaginal bleeding to rule out the possibility of delayed postpartum hemorrhage. If the uterus contracts well and there is no retention of placental fragments, the area will generally be clean within about a week, albeit with some bloody discharge. Therefore, if there is abnormal vaginal bleeding postpartum, it is recommended to promptly re-examine to exclude the possibility of late bleeding, so as to avoid endangering life.

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Written by Du Rui Xia
Obstetrics
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How many days of postpartum bleeding are normal?

Postpartum hemorrhage typically stops around three weeks. Lochia can be classified into bloody lochia, serous lochia, and white lochia. Another type is abnormal bleeding, which is pathological bleeding. It occurs postpartum, for instance, due to soft birth canal injuries, cervical lacerations, uterine atony, or pre-existing blood disorders, which may extend the bleeding duration even beyond a month. This abnormal condition requires prompt medical attention. Normal lochia during the initial three to four days is bloody. As the bleeding from the uterus gradually decreases, it transitions to serous lochia, which can last about ten days. Finally, it becomes white lochia, which clears up after about three weeks.

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Written by Yue Hua
Obstetrics and Gynecology
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Postpartum Hemorrhage Emergency Response Process

Firstly, it is necessary to administer IV fluids to the patient and establish two venous accesses to urgently replenish blood volume. Then, it is important to manage breathing to ensure the patient's airway is clear, and provide oxygen if necessary. Patient's vital signs should also be checked for any abnormalities. Additionally, treatment should be given based on the cause of bleeding. If the bleeding is due to poor uterine contraction, it is crucial to promptly enhance uterine contractions to quickly stop the bleeding. At this time, uterotonic agents can be used, or manual uterine massage can be employed to stem the bleeding. If the bleeding is caused by a surgical incision, then the incision needs to be sutured properly.

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Written by Yue Hua
Obstetrics and Gynecology
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How much bleeding is considered postpartum hemorrhage?

Postpartum hemorrhage refers to a condition where, if the patient has vaginal delivery, the bleeding exceeds 500 milliliters within 24 hours after the fetus is delivered. If the delivery is via cesarean section, the bleeding exceeds 1000 milliliters, which is considered significant postpartum hemorrhage. The primary cause is mostly related to poor uterine contractions. Due to inadequate muscle contractions of the uterus, the blood vessels in the uterine muscle layer remain open, leading to bleeding. Another cause relates to placental factors, such as when the placenta is not entirely expelled, leading to remnants of the placenta and membranes remaining in the uterine cavity, which can also cause postpartum bleeding.