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Gynaecology & Obstetrics Puerperium af545b28

A 23-yrs-old woman (gravida 2, para 2) calls her physician 7 days postpaum because she is concerned that she is still having an altered discharge from the vagina. Which of these would be an appropriate advice regarding normal lochia?

A
Normal lochia lasts for 2 days and she should immediately seek medical attention
B
Normal lochia lasts upto 7 days and she should seek medical attention if it persists
C
Her discharge is lochia rubra along with infective secretions from uterus and should take antibiotics
D
Normal lochia usually lasts 10-14 days but may last upto 3-5 weeks
High-Yield Explanation
-Lochia is vaginal discharge resulting from sloughing of decidual tissue. -It contains erythrocytes, shedded decidua, epithelial cells and bacteria. -The average duration of lochial discharge ranges from 24 to 36 days Lochia Rubra - 1st to 4th day, Red(mostly blood) Lochia Serosa - 5th to 9th day, yellow(mostly mucus, some RBC) Lochia Alba - 10th to 14th day, white(mostly epithelial cells)

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