Bloody show is a common sign in late pregnancy, indicating the body is undergoing initial preparations for labor.
What is Bloody Show?
Bloody show typically appears as vaginal discharge that is pinkish, brownish, or streaked with red. It often has a jelly-like or stringy texture and may include parts of the mucus plug. This discharge results from the cervix beginning to soften, thin (efface), and widen (dilate) in anticipation of labor.
As the cervix undergoes these changes, small blood vessels can rupture and bleed. This blood mixes with mucus, including the cervical mucus plug, creating the characteristic appearance. While its appearance can be alarming, it is a normal sign of cervical changes.
The Timeline to Labor
The exact timing of labor onset after bloody show varies significantly. Labor can begin within hours, or it might not start for several days or even over a week.
Bloody show is considered an indicator of readiness rather than a precise timer for labor. Factors such as whether it is a first-time pregnancy or a subsequent one can influence this timeline, with multiparous individuals sometimes experiencing a quicker progression.
Other Indicators of Labor
Beyond bloody show, several other signs indicate that labor is approaching or has begun. Contractions are a primary indicator, characterized by the tightening and relaxing of the uterus. True labor contractions become progressively stronger, longer, and more frequent, distinguishing them from irregular Braxton Hicks contractions.
Another significant sign is the rupture of membranes, commonly known as the “water breaking.” This can manifest as a sudden gush or a slow trickle of amniotic fluid from the vagina. The fluid is typically clear and odorless, differentiating it from urine. Some individuals may also experience increased back pain or pelvic pressure as the baby descends into the pelvis.
When to Seek Medical Advice
While bloody show is a normal part of late pregnancy, certain symptoms warrant immediate medical attention. Contacting a healthcare provider is important if bleeding is heavy, requiring more than a pad or if it resembles a menstrual period, as this could indicate a more serious complication like placental abruption or placenta previa. Similarly, a sudden gush or continuous leakage of fluid, especially if it is colored (green, brown, or foul-smelling) or if contractions become strong and regular, signals a need for medical evaluation.
Other concerning symptoms that require prompt medical advice include decreased fetal movement, severe abdominal pain, persistent headaches, vision changes, or fever. Always contact a healthcare provider if uncertain about symptoms or labor progression, especially before 37 weeks.