A 35-year-old woman, 8 weeks postpartum after an uncomplicated vaginal delivery, is concerned about a brownish vaginal discharge. She has no pain, fev...

Question

A 35-year-old woman, 8 weeks postpartum after an uncomplicated vaginal delivery, is concerned about a brownish vaginal discharge. She has no pain, fever, or heavy bleeding. The lochia has been gradually decreasing. What is the most appropriate advice?

Accepted Answer

Brown discharge (lochia alba transitioning from lochia serosa) at 6-8 weeks postpartum is normal and represents the final stage of uterine involution

Answer

This is abnormal and requires urgent investigation

Answer

Prescribe oral antibiotics for presumed endometritis

Answer

Arrange an urgent pelvic ultrasound

Answer

Refer to gynaecology

uk-drcog MCQ (SBA): Normal Lochia at 8 Weeks

A 35-year-old woman, 8 weeks postpartum after an uncomplicated vaginal delivery, is concerned about a brownish vaginal discharge. She has no pain, fever, or heavy bleeding. The lochia has been gradually decreasing. What is the most appropriate advice?