What type of lochia is primarily composed of red blood cells during the first few days after birth?

Lochia Rubra is primarily composed of red blood cells and is typically observed during the first few days postpartum. This type of lochia reflects the initial shedding of the decidua and contains a significant amount of blood, which is why it appears bright red in color. It's a normal part of the healing process following childbirth, indicating that the uterus is effectively expelling the remnants of the pregnancy and beginning its involution.

Lochia Rubra usually occurs from day one to about day three postpartum, after which it transitions to Lochia Serosa, which has a lighter, pinkish color due to the decrease in the volume of blood and an increase in serous fluid and leukocytes. Understanding the characteristics of each lochia stage helps healthcare providers monitor a woman's postpartum recovery and detect any abnormalities, such as excessive bleeding or infection, that may require further evaluation or intervention.