title: Puerperal loss (lochia) in women with or without inherited bleeding disorders.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynaecology, and Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, Pond Street, London, UK.
authors.forename: Claudia
authors.initials: C
authors.lastname: Chi
authors.forename: Mira
authors.initials: M
authors.lastname: Bapir
authors.forename: Christine A
authors.initials: CA
authors.lastname: Lee
authors.forename: Rezan A
authors.initials: RA
authors.lastname: Kadir
mesh_terms: D000328:Adult; D005260:Female; D006474:Hemorrhagic Disorders / Q000235:genetics / Q000503:physiopathology*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000503:physiopathology*; D049590:Postpartum Period; D011247:Pregnancy; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D055815:Young Adult