Rubra
Pronunciation: LOH-kee-ah ROO-brah
The initial type of lochia, appearing as bright red vaginal discharge immediately after delivery.
Full Definition
Lochia rubra is the first phase of postpartum vaginal discharge, consisting primarily of blood, decidual tissue, and mucus. It appears bright red and typically lasts for the first 3-4 days after delivery. This normal discharge gradually transitions to lochia serosa (pinkish-brown) and then lochia alba (yellowish-white). The volume and duration of lochia rubra can vary, but excessive bleeding or prolonged bright red discharge may indicate complications such as retained placental fragments or uterine atony. In clinical documentation, editors should ensure proper classification of lochia types for accurate postpartum assessment.
Usage
Usage note: Part of the lochia classification system; ensure accurate temporal sequencing in documentation.
In Context
- "Lochia rubra was within normal limits on postpartum day two." — Postnatal ward round note
- "The persistence of lochia rubra beyond one week raised concerns about incomplete placental delivery." — Postpartum follow-up visit