In plain words
Lochia alba is the last stage of . It is the discharge that comes after the red and pink stages. It is usually white, cream, or yellowish, and it is thinner and smaller in amount. It often shows up in the later weeks after birth. Lochia alba is made mostly of white blood cells, mucus, and cells from the lining of the uterus. Some people have it for a few days, and others have it for a few weeks. Changes in its color or amount are common as the uterus heals. A discharge with a strong smell, a fever, or pain in the lower belly needs a call to your provider the same day. Your provider can check what is happening.
The deeper version
Lochia alba is the of postpartum uterine discharge, composed predominantly of leukocytes, mucus, and epithelial cells. It reflects progressive healing of the and endometrial regeneration. It typically appears after the second week. Persistence beyond the expected period, especially with fever or odor, prompts clinicians to check for infection or retained tissue. The three-stage sequence of rubra, serosa, and alba is described in standard obstetric texts. The controversy concerns whether the three-stage model fits all patients, given variability in timing and character between individuals.
Where it comes up
- Postpartum bleeding (lochia): what's normal, what's notPostpartum: Your Body
- When your period comes backPostpartum: Your Body
- Signs of infection after birthPostpartum: Your Body
- The first 40 daysSupport, Home, and Village
What mothers here say about lochia alba
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Sources
- American College of Obstetricians and Gynecologists — Committee Opinion No. 736: Optimizing Postpartum Care, 2018