Objective
To assess the quantity and duration of lochia in women with or without inherited bleeding
disorders and to identify factors that influence lochial loss.
Study Design
Pictorial blood assessment chart was completed by 115 pregnant women (21 with or carriers
of inherited bleeding disorder and 94 without bleeding disorder) using standardized
sanitary products.
Results
The median duration of lochia was significantly longer in women with (or carriers
of) inherited bleeding disorder (39 days; range 21–58) compared with women without
bleeding disorder (31 days; range, 10–62; P = .03); however, the median lochial loss were similar (441 mL; range, 135–1290 vs
429 mL; range, 112–1295; P = .59). Long labor and instrumental delivery were associated with heavier lochia.
Conclusion
Pictorial blood assessment chart is potentially a useful tool in the assessment of
lochia. Women with inherited bleeding disorders experience longer period of lochia
compared with women without bleeding disorder. Labor duration and mode of delivery
influence lochial loss.
Key words
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Article Info
Publication History
Published online: April 26, 2010
Accepted:
February 16,
2010
Received in revised form:
November 15,
2009
Received:
September 16,
2009
Footnotes
The sanitary products used in this study were provided by Kimberly Clark Europe, Surrey, UK.
Cite this article as: Chi C, Bapir M, Lee C, Kadir R. Puerperal loss (lochia) in women with or without inherited bleeding disorders. Am J Obstet Gynecol 2010;203:56.e1-5.
Identification
Copyright
© 2010 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
