Bloody show is a common and normal sign that labor may be approaching. It involves a small amount of blood mixed with mucus.
Understanding Bloody Show
Bloody show occurs as the body prepares for childbirth due to changes in the cervix. The cervix, the lower part of the uterus, begins to soften, thin out (efface), and open (dilate) in anticipation of labor. This process can cause small blood vessels within the cervix to rupture and bleed.
The blood mixes with the mucus plug, a thick collection of mucus that has sealed the cervix during pregnancy, protecting the uterus from bacteria. As the cervix changes, this plug can dislodge and pass out of the vagina, sometimes tinged with blood. Bloody show indicates these cervical changes are underway, signaling that labor is nearing, though not necessarily immediate.
Normal Appearance and Amount
A normal bloody show typically presents as a small amount of discharge. Its color can range from pink or red-tinged to brownish or streaky, due to the small amount of blood mixed with mucus.
The discharge is usually mucus-like, jelly-like, stringy, or globlike. The amount of blood is minimal, appearing as streaks, light spotting, or a few drops within the mucus. It should be comparable to light spotting or less than a light menstrual period and should not be heavy enough to require a sanitary pad.
When to Seek Medical Advice
While bloody show is a normal sign, certain characteristics of vaginal bleeding warrant immediate medical attention. Heavy bleeding, similar to or heavier than a menstrual period, is a concerning sign. Continuous bright red bleeding should also prompt a call to a healthcare provider.
Bleeding accompanied by severe abdominal pain, strong and regular contractions, or fever indicates a potential complication. Any vaginal bleeding occurring before 37 weeks of pregnancy should be evaluated by a medical professional. A sudden gush of fluid could signal that the membranes have ruptured, which requires prompt assessment. It is always appropriate to contact a healthcare provider if there is uncertainty or anxiety about the amount or nature of the bleeding.
What Happens After Bloody Show
Bloody show indicates labor is approaching, but it does not mean labor is imminent. The onset of labor can occur within hours, days, or even a week or two after bloody show appears. The timing varies among individuals.
After noticing bloody show, continue monitoring for other signs of labor. These include regular contractions that become stronger and closer together, or the breaking of the water (rupture of membranes). Maintaining communication with a healthcare provider is important for guidance and peace of mind.