Bloody show is a common sign of the body’s preparation for childbirth, appearing as cervical mucus streaked with blood towards the end of pregnancy. It indicates that labor may be approaching, signaling the body is undergoing changes for delivery.
What is Bloody Show
Bloody show is a discharge of mucus combined with a small amount of blood from the cervix. It can appear thick, jelly-like, or stringy, and may be pink, brown, or bright red. Sometimes, it includes parts of the mucus plug, a protective barrier sealing the cervix during pregnancy. The amount is typically small, usually no more than a tablespoon or two.
This discharge occurs as the cervix softens, thins (effacement), and widens (dilation) in preparation for labor. As these changes happen, tiny blood vessels in the cervix can rupture, mixing blood with cervical mucus. This then exits the vagina as bloody show.
When Labor Typically Begins
The timing between experiencing bloody show and the onset of labor can vary significantly among individuals. Labor might begin anywhere from a few hours to several days after bloody show appears. In some instances, it could even be a week or more before contractions become regular and labor progresses. Some individuals may even be in active labor when they first notice bloody show.
Bloody show indicates labor is impending, but not an immediate need to go to the hospital. The degree of cervical effacement and dilation at the time of bloody show can influence how soon labor begins. The presence of other labor signs, such as cramping or contractions, alongside bloody show, can suggest that labor is closer. It is also possible for bloody show to occur due to factors like sexual intercourse or a membrane sweep, which do not necessarily mean immediate labor. Not everyone will experience a noticeable bloody show before labor begins.
What to Do After Bloody Show
Upon noticing bloody show, monitor for additional labor signs. Pay attention to the frequency and intensity of contractions, and whether your water breaks. Observing the discharge’s color, consistency, and amount can also provide useful information.
It is important to contact a healthcare provider if the bleeding is heavy, resembling a menstrual period, or if it soaks through underwear. Additionally, seek medical advice if the bloody show is accompanied by severe pain, or if you are unsure whether the discharge is bloody show, especially if you are less than 37 weeks pregnant. If your water breaks, contact your provider immediately. However, if the bloody show is light and you are otherwise feeling well, it typically does not require an immediate trip to the hospital, as it is a normal part of the body’s preparation for birth.