Bloody show is a common and usually reassuring sign that the body is beginning its final preparations for labor. It is a type of cervical discharge occurring near the end of pregnancy. It involves the passage of a small amount of blood-tinged mucus, indicating that changes are happening in the cervix and that delivery may be approaching.
The Appearance of Bloody Show
The color of bloody show can vary, typically appearing pink, red-tinged, or brownish. The color often depends on how long the blood has been present, with older blood appearing darker or brown. The texture is usually thick, sticky, stringy, or gelatinous, similar to a blob of jelly or mucus.
This discharge is typically a small quantity, often appearing as streaks of blood mixed into the mucus, rather than a continuous flow. The amount is usually less than a tablespoon and should not be heavy enough to require a sanitary pad. Most people notice the bloody show on their underwear or when wiping after using the restroom.
The Role of the Mucus Plug
The bloody show is closely related to the cervical mucus plug. This plug is a collection of thick, viscous mucus that forms a seal within the cervical canal throughout pregnancy. Its primary function is to act as a barrier, preventing bacteria and infectious agents from entering the uterus and reaching the fetus.
As the body prepares for labor, the cervix begins softening, thinning (effacement), and opening (dilation). These changes cause the mucus plug to dislodge and exit the vagina. Minor bleeding occurs because the cervix is rich in small blood vessels that may rupture when the tissue stretches. When this blood mixes with the dislodged mucus plug, the resulting discharge is called the bloody show.
Timing and What Comes Next
Bloody show is a precursor sign, suggesting that labor is likely to begin, but it does not indicate immediate delivery. The time frame between seeing the bloody show and the onset of active labor varies significantly. For some, labor may start within a few hours or days, while for others, it could be a week or more away.
It is not a signal to rush to the hospital, but rather an indication to monitor for other signs. Inform your healthcare provider about the discharge during your next scheduled check-in or phone call. The next steps involve watching for intensifying contractions, a change in their pattern, or rupture of the membranes (water breaking). Some individuals may not notice a bloody show, which is normal.
When Bleeding is a Concern
While a small amount of blood-tinged mucus is expected, certain characteristics of vaginal bleeding require immediate medical attention. Heavy bleeding, such as soaking through a sanitary pad or being comparable to a regular menstrual period, warrants concern. Bright red, continuous bleeding not mixed with mucus may signal a more serious complication.
Contact a healthcare provider right away if the bleeding is accompanied by other symptoms. These concerning signs include severe abdominal pain, persistent cramping, fever, dizziness, or a noticeable decrease in the baby’s movements. Differentiating the light, mucus-filled discharge of a bloody show from heavier bleeding is key to ensuring safety during late pregnancy.