Lochia is likely to be quite heavy to start with, and bright red or red-brown, an indication of it being fresh blood that’s passing. It may include clots – but anything bigger than a lime, or if you pass more than one clot in a day, it’s best to contact your midwife for advice.
You are likely to need to change your maternity pad every couple of hours for the first day or two, reducing it to every three-four hours by day three. The bright red flow should change to a pinker, lighter colour that is more watery. Do tell your midwife if the flow doesn’t start to lessen after day four. By a couple of weeks in, lochia will start to turn to a brownish colour, and become more like the spotting at the beginning and end of a period. This is a sign of older blood now passing rather than fresh bleeding. Lochia may continue for up to 6 weeks, but can often stop sooner, however any significant change back to bright red blood should be mentioned to your midwife.