The “bloody show” is a normal sign that the body is preparing for labor. It involves the discharge of blood and mucus from the vagina during late pregnancy, indicating cervical changes are occurring.
Appearance and Characteristics
A bloody show typically consists of mucus tinged with blood. Its color can range from pinkish to reddish or brownish. Pink suggests fresh blood, while brownish indicates older blood.
The discharge consistency is usually mucus-like, gel-like, or stringy, resembling mucus from a cold rather than menstrual blood. It may include all or part of the mucus plug, a thick clump that seals the cervix during pregnancy. The amount is generally small, typically not exceeding a tablespoon or two, and should not be heavy enough to soak through underwear or require a pad.
What It Means for Labor
A bloody show indicates cervical changes, specifically effacement and dilation (thinning and opening of the cervix). As the cervix softens and expands, small blood vessels may rupture, leading to blood in the mucus. It is also linked to the dislodging of the mucus plug, which protects the uterus from bacteria during pregnancy. As the cervix opens, the plug can be expelled, sometimes mixed with blood.
While a bloody show signals labor preparation, it does not mean labor is imminent within hours. It can occur days or even weeks before labor begins, with timing varying significantly. Some experience it shortly before contractions, while others may not notice it until active labor.
When to Seek Medical Advice
It is important to differentiate a normal bloody show from other types of bleeding that might indicate a complication. While a bloody show is typically a small amount of blood-tinged mucus, heavy bleeding that soaks through underwear or requires a pad is not normal and warrants immediate medical attention. Bright red, fresh blood, especially if accompanied by pain, strong contractions, or fluid gushing, should prompt a call to a healthcare provider.
If a bloody show occurs before 37 weeks of pregnancy, contact a healthcare provider, as this could signal preterm labor or other issues. Any concerns about the amount, color, or consistency of vaginal discharge, or if accompanied by symptoms like severe pain, light-headedness, or a rapid heart rate, should be discussed with a healthcare provider. When in doubt about any vaginal bleeding during pregnancy, consult a healthcare provider for assessment and guidance.