How is a normal postpartum vaginal bleed described in terms of flow?

• A. Bleeding stops immediately.
• B. Bleeding is always absent after delivery.
• C. Lochia gradually decreases from heavier to lighter with occasional clots.
• D. Bleeding remains heavy for weeks.

Answer: (C)

The main idea is that postpartum vaginal bleeding is lochia, a normal discharge reflecting uterine involution. After delivery, lochia starts heavier and red (lochia rubra) and should steadily lessen over the next days to weeks, becoming pink-brown (lochia serosa) and then pale yellow-white (lochia alba). Occasional small clots can occur as the uterus contracts. This progressive, diminishing flow fits normal healing. If the bleeding stays heavy for weeks or stops immediately or is consistently absent, that would be abnormal.