The Mucus Plug and Bloody Show

It's really exactly what it sounds like. It's a clump of mucus that plugs up the opening to the cervix during pregnancy.  Its purpose is to seal off the uterus to protect the baby from infection.

 

This is a common question. Many women are really unsure about how they'll know if they've lost it and what it will look like. It is a thick chunk of mucus. Sometimes it's tinged brownish or red. This is called bloody show.

 

Since vaginal discharge increases anyway at the end of pregnancy, you might not notice your plug of mucus coming out at all. Some women lose it all at once, and some women lose it a little bit at a time. It usually looks like, well to be honest, a big booger. Aren't you looking forward to it?! If you notice over a few days that you're losing thick globs of mucus, that's probably it.

 

What Does It Mean When I've Lost My Mucus Plug?

The plug loosens and falls out as your cervix softens for labor and starts to dilate. Once you've lost it, you know that your cervix is preparing for labor. This does not mean that you're going into labor. You may lose it a few weeks before going into labor. Or, you may lose it as labor starts.

When I lost my mucus plug with my first baby I was really excited because I knew labor was on its way. Of course I wondered, does this mean that I'll go into labor in the next couple days? I learned that, no, it doesn't. Losing your plug of mucus can be an exciting thing because you know that your body is doing something to prepare. Just don't get your hopes up that labor is coming right away. Labor could be hours away, days, or even weeks. Your cervix dilates gradually, and it is this opening that causes the plug to dislodge.

 

Your body continues to make more mucus, even after the the plug is lost. If you have a couple weeks before you go into labor, you might still notice pieces of mucus coming out, along with the extra discharge you'll get anyway, which you'll notice is abundant and stretchy.

 

What Should I Do If I Lose It?

If you've lost your mucus plug, you don't really need to do anything. You can let your care provider know at your next appointment, but you don't need to call them right away. As long as you don't start losing a lot of bright red blood, you're fine. You can continue with your normal activity and know that your body is on its way!

 

The Scoop on Bloody Show
The "bloody show" actually refers to the release of a blood-tinged mucous plug from your cervix when your body is ready for labor. The mucous plug has been there throughout your pregnancy to block the opening to your cervical canal and prevent bacteria from entering. It is called a "bloody show" because the mucous plug is sometimes tinged with blood; which can mean that it is red, pink, or brown in color. The blood is caused by tiny blood vessels rupturing as your cervix begins to thin and dilate.

 

For some women, the mucous plug comes out gradually over a few days, and they never realize what is happening. Other women see the mucous plug but no blood. Whether you see it or not, you should not be alarmed. The release of the mucous plug is just one sign of your body preparing for labor.

Sometimes you'll hear the term bloody show used when speaking about the mucus plug. This is because many times the mucus plug has some blood in it, which is called bloody show. Yours may or may not have blood in it when it comes out.

 

Bloody show is just more of the same mucus that makes up the plug of mucus. This mucus is combined with blood from the cervix. As the cervix opens up and softens, small capillaries break, resulting in blood in the mucus. This discharge may be brownish, pink or red. The only thing to be concerned with is loss of more than a couple tablespoons of bright red blood. If you experiene this, make sure to call your care provider. This type of bleeding could indicate a problem like placenta previa (where your placenta is sitting over your cervix.)

 

You may notice some bloody show after you've lost your plug of mucus. This bloody show will increase as labor starts and continues to progress. As your cervix continues to open, more and more capillaries break, causing more blood.

The mucus plug is just one more of those weird and sometimes disgusting things we deal with during pregnancy. Hopefully now you have a pretty good idea of what to expect when you lose it. No awkward discussions about vaginal secretions necessary.