As pregnancy nears its end, the body undergoes changes in preparation for childbirth. One change is the appearance of “bloody show.” This phenomenon is often an early indication that the cervix is preparing for labor, signaling that birth may be approaching. It typically appears as mucus tinged with a small amount of blood.
What is Bloody Show?
Bloody show occurs when the cervix, the lower part of the uterus, begins to soften, thin out (efface), and open (dilate) in the days or hours leading up to labor. These cervical changes can cause the mucus plug, which sealed the cervix during pregnancy, to dislodge. The mucus plug prevents bacteria from entering the uterus.
As the cervix changes, tiny blood vessels within it can rupture, leading to the characteristic pink, red, or brownish color in the mucus. This discharge can appear stringy, sticky, or jelly-like, similar to nasal mucus. It may be clear, pink, or streaked with bright red or brown blood. Bloody show differs from active bleeding, which is usually heavier and not mixed with mucus. It can appear hours, days, or even a few weeks before active labor begins.
Is Bloody Show a Universal Sign of Labor?
No, not everyone experiences a noticeable “bloody show” before labor begins. Its absence does not mean labor will not start or is not progressing. Many individuals go into labor without observing bloody show, or they might experience it so subtly that it goes unnoticed.
Several factors can contribute to why some people might not perceive bloody show. The discharge could be very light, or occur internally without being expelled. It might also be mistaken for other types of vaginal discharge, or happen when not readily observed, such as during a shower. Labor can begin with other signs, like contractions or the breaking of the amniotic sac, without prior bloody show. Its presence is simply one potential indicator among many, and its absence is considered a normal variation in the labor process.
When to Contact Your Healthcare Provider
While bloody show is a normal part of the pre-labor process, it is important to distinguish it from other types of bleeding that may require medical attention. Contact your healthcare provider if you experience bright red bleeding that is heavier than typical spotting or streaks of blood in mucus. Heavy bleeding, similar to a menstrual period, or constant bleeding, warrants immediate evaluation.
Bleeding accompanied by severe abdominal pain, fever, chills, or a sudden gush of fluid could indicate other issues requiring prompt medical assessment. These symptoms might suggest complications such as placental problems, like placental abruption, or preterm labor, especially if they occur before 37 weeks of pregnancy. If you are unsure whether the bleeding is normal bloody show or something more concerning, contact your healthcare provider for guidance and reassurance.