What symptom might indicate a uterine infection postpartum?

A foul-smelling lochia is a significant indicator of a possible uterine infection, also known as endometritis, after childbirth. Lochia refers to the vaginal discharge that occurs after delivery, containing blood, mucus, and uterine tissue. While the lochia is expected to have a fleshy odor initially, a foul or offensive smell can suggest the presence of an infection, often accompanied by other signs such as fever, increased pain, or abnormal bleeding patterns.

Clear lochia typically indicates normal recovery and is not associated with infection. Painful cramps can occur postpartum but are not exclusive to infection, as they can also result from the uterus contracting back to its pre-pregnancy size. Increased appetite, while it may reflect improved recovery and energy levels, does not relate to infection signs. Thus, foul-smelling lochia stands out as a critical symptom for nursing management during the postpartum period, warranting further assessment and intervention.