If a nurse notes that lochia is bright red and contains small clots, what should be interpreted?

Lochia is the vaginal discharge that occurs after childbirth, composed of blood, mucus, and uterine tissue. The presence of bright red lochia, often referred to as lochia rubra, is typical within the first few days postpartum. It is characterized by a bright red color and may contain small clots, especially during the first few days after delivery. This is generally considered a normal finding as the body is expelling the excess blood and tissue that is no longer needed after delivery.

Small clots can also be normal, as the uterine lining is healing and shedding. It is important for health care providers to monitor the amount and character of lochia, but bright red lochia with small clots does not typically indicate a problem unless it is accompanied by other concerning signs, such as an increase in the volume of bleeding, a foul odor, or symptoms of infection. Therefore, this finding can be interpreted as a normal part of the postpartum process.