Bloody show is a common occurrence in late pregnancy, characterized by the discharge of mucus tinged with blood. It signals that the body is beginning its preparations for childbirth. This normal physiological change indicates labor may be on the horizon.
Understanding Bloody Show
Bloody show primarily results from changes in the cervix as the body prepares for labor. The cervix, which is the lower part of the uterus, starts to soften, thin out (efface), and gradually open (dilate). These processes can cause tiny blood vessels within the cervix to rupture and release a small amount of blood.
This blood then mixes with the mucus plug, a thick mucus collection that has sealed the cervical opening throughout pregnancy, acting as a protective barrier. When the cervix changes, the mucus plug can dislodge and be expelled, appearing as a gelatinous or stringy discharge. Its appearance can vary from pink, red, to brownish.
When to Expect It
The timing of bloody show in relation to labor can differ. It commonly appears in the mid to late third trimester, indicating cervical changes. While it suggests labor is approaching, its appearance does not mean labor will begin immediately.
Bloody show can occur hours, days, or even weeks before active labor contractions start. Some individuals may not experience bloody show at all, or it might be so subtle that it goes unnoticed. Cervical examinations or sexual intercourse can sometimes dislodge the mucus plug and cause a bloody show, even if labor is not yet imminent.
Normal Versus Concerning Bleeding
Normal bloody show is a small amount of mucus tinged with pink, red, or brown blood. The discharge should not be heavy, typically not enough to soak through a panty liner or require a full pad. It often has a thick, jelly-like, or stringy consistency.
Contact a healthcare provider immediately if bleeding is heavy, such as soaking a pad within an hour or two. Also seek urgent medical evaluation if bleeding is bright red, continuous, not mixed with mucus, or accompanied by severe abdominal pain, persistent cramping, or contractions that do not subside. These signs could indicate more serious conditions, such as placental abruption or placenta previa. Any vaginal bleeding before 37 weeks of pregnancy should also be reported.
What to Do Next
Experiencing bloody show is typically a normal and reassuring sign that the body is preparing for childbirth, and it does not usually necessitate an immediate trip to the hospital. Continue monitoring for other signs of labor, such as regular contractions that become progressively stronger and closer together, or if amniotic fluid begins to leak. Staying hydrated and resting can also be helpful.
While not an emergency, inform your healthcare provider about the bloody show, especially if it is a first pregnancy or if there are any uncertainties. They can offer personalized advice and reassurance. Labor may still be days or even weeks away, so there is no need to rush.