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Bloody Show - Features, Causes, Symptoms, Diagnosis, and Management

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A bloody show depicts a sign of bleeding when a woman's body gets ready for delivery at the end of her pregnancy. Read to know its causes and management.

Medically reviewed by

Dr. Sunita Kothari

Published At December 26, 2022
Reviewed AtFebruary 7, 2023

What Is a Bloody Show?

The term "bloody show" refers to bleeding that occurs toward the end of pregnancy when a woman's body gets ready for labor. This is a typical sign of late pregnancy and may be accompanied by contractions, cramps, or pressure in the pelvis. The cervix begins to soften, thin, and expand or dilate in preparation for labor, which results in a bloody show. Cervix dilation creates space for the baby's passage through the uterus. It might readily bleed when dilatation takes place because it is packed with blood vessels. A bloody show is a prevalent indicator that the cervix is preparing for childbirth. It can take different women a different amount of time to go through a bloody show and start labor.

Are Bloody Show and Mucus Plug the Same?

A mucus plug and a bloody show go hand in hand. The mucus plug closes the cervix to shield the unborn child from bacteria during pregnancy. As a result, the cervix dilates as the body prepares for labor (expands). The mucus plug is displaced as a result. A bloody show occurs when the mucus plug and blood from the cervix are combined.

What Are the Features of Bloody Show?

  • Appearance: Everybody's perception of a bloody show will be different. The mucus plug may be entirely or partially present in the blood, which might be red, brown, or pink. It will have a stringy, jelly-like feel. Some bloody shows have more mucus-like blood streaks than others. Some women suddenly lose their mucus plugs. In some instances, a bloody show will begin gradually.

  • Amount of Blood: The bloody show should produce only a tablespoon or two of discharge. Severe bleeding at any time can indicate a problem. Anyone who encounters significant bleeding while pregnant must get in touch with their doctor.

  • Duration: The length of the bloody show varies. Usually, a pregnant woman can find it on toilet paper or in her undergarments. Some women will notice the bloody show all at once, while others might notice it gradually.

What Causes Bloody Show?

A bloody show can occur for the following reasons,

  • As labor progresses naturally, it leads to a bloody show. The cervix undergoes significant alterations to get ready for delivery. The bloody show occurs when the cervix starts to open and the blood vessels burst.

  • In the final weeks of pregnancy, the cervix thins and dilates. Sexual intercourse can cause minor bleeding or the mucus plug to become loose.

  • While examining the cervix for dilation, the doctor or nurse may sweep a pregnant woman's membranes. They will use gloved fingers to loosen the baby's water bag (amniotic sac) from the uterus. This can result in some bleeding but is done to promote labor.

  • Bleeding or labor contractions could result from a fall or an automobile accident. If a woman has suffered trauma, she should immediately contact her doctor or go to the hospital for an evaluation.

  • To be safe, women who experience vaginal bleeding should get in touch with their doctor. While bleeding during pregnancy is sometimes natural, it can occasionally indicate a more severe problem.

What Are the Signs and Symptoms of a Bloody Show?

Pregnant women may detect a bloody mucus discharge from their vagina as the most obvious indication of a bloody show. However, sometimes there are no symptoms.

Some women who have a bloody show also have additional signs of labor:

  • Pregnant women may feel pressure in their pelvis (also known as "lightning crotch"), vagina, or back when the baby drops down from the abdomen.

  • Period-like cramps that come and go over the course of hours or even days.

  • Pregnant women may experience uterine tightening that lengthens in duration and intensity.

These symptoms prove that the cervix is dilated in preparation for labor.

How Is Bloody Show Diagnosed?

The doctor will inquire about the color, consistency, and volume of discharge. These specifics can be used to ascertain whether women experienced a bloody show. There is no treatment needed because it happens naturally during pregnancy.

What to Do After a Bloody Show?

In instances of bloody show, the following steps should be kept in mind and followed,

  • If a bloody show occurs after 37 weeks of pregnancy, it is not a cause of concern.

  • The discharge should be noted or documented by the pregnant woman. She must take note of the color, consistency, and quantity. The doctor will be able to judge whether this was a bloody show. The doctor might also want to look for dilation in the cervix. It is also an excellent time to watch for other labor-related symptoms.

  • The bloody show indicates that the cervix is dilating in preparation for labor. The onset of labor could happen in the following hours, or it might take several days.

  • When having a bloody show, it is best to contact a healthcare provider. In pregnancy, spotting or mild bleeding might be frequent. Significant bleeding or bleeding that occurs before the last few weeks of pregnancy may signal early labor or other issues.

Conclusion:

A bloody show is a frequent symptom of late pregnancy in which a small amount of blood and mucus is discharged from the vagina. Typically, a bloody period show heralds the beginning of labor. Before going into labor, some women have a bloody show, while other women have one during labor. It is a sign that the body is preparing for delivery, and the baby is in the final stages of its development. While the bloody show is a frequent and safe cause of vaginal bleeding in late pregnancy, many other potential causes may indicate serious medical issues like miscarriage or placental abruption. Therefore, vaginal bleeding should not be disregarded as a possible sign of serious complications. The pregnant woman must consult and report to her doctor in such cases.

Dr. Sunita Kothari
Dr. Sunita Kothari

Obstetrics and Gynecology

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