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Apparent absence of lochia after elective caesarean section

It is routine practice to enquire about lochia during postnatal ward rounds. However, it is the nature of lochial loss (offensive or not; serosanguinous or bloody?) that midwives and doctors are usually concerned about, not the amount of lochia. As a result, when faced with a case of completely absent lochia, this is often not recognised immediately as a problem. We found no reported case of absent lochia in a MEDLINE search, and present here two illustrative cases.