Brown spotting after cervical exam 38 weeks

If you have never given birth before, you may think you will just know when the time comes. In reality, it is not always easy to know when you are going into labor. The steps leading up to labor can drag on for days.

Keep in mind that your due date is just a general idea of when your labor may start. Normal term labor can start any time between 3 weeks before and 2 weeks after this date.

Most pregnant women feel mild contractions before true labor begins. These are called Braxton Hicks contractions, which:

  • Are typically short
  • Are not painful
  • Do not come at regular intervals
  • Are not accompanied by bleeding, leaking fluid, or decreased fetal movement

This stage is called "prodromal" or "latent" labor.

Lightening. This happens when your baby's head "drops" down into your pelvis.

  • Your belly will look lower. It will be easier for you to breathe because the baby is not putting pressure on your lungs.
  • You may need to urinate more often because the baby is pressing on your bladder.
  • For first-time mothers, lightening often happens a few weeks before birth. For women who have had babies before, it may not happen until labor has begun.

Bloody show. If you have bloody or brownish discharge from your vagina, it may mean your cervix has begun to dilate. The mucous plug that sealed your cervix for the last 9 months may be visible. This is a good sign. But active labor may still be days away.

Your baby moves less. If you feel less movement, call your health care provider, as sometimes decreased movement can mean that the baby is in trouble.

Your water breaks. When the amniotic sac (bag of fluid around the baby) breaks, you will feel fluid leak from your vagina. It may come out in a trickle or a gush.

  • For most women, contractions come within 24 hours after the bag of water breaks.
  • Even if contractions do not begin, let your provider know as soon as you think your water has broken.

Diarrhea. Some women have the urge to go to the bathroom often to empty their bowels. If this happens and your stools are looser than normal, you may be going into labor.

Nesting. There is no science behind the theory, but plenty of women feel the sudden urge to "nest" right before labor starts. If you feel the need to vacuum the entire house at 3 a.m., or finish your work in the baby's nursery, you may be getting ready for labor.

In real labor, your contractions will:

  • Come regularly and get closer together
  • Last from 30 to 70 seconds, and will get longer
  • Not stop, no matter what you do
  • Radiate (reach) into your lower back and upper belly
  • Get stronger or become more intense as time goes on
  • Make you unable to talk to other people or laugh at a joke

Call your provider right away if you have:

  • Leaking amniotic fluid
  • Decreased fetal movement
  • Any vaginal bleeding other than light spotting
  • Regular, painful contractions every 5 to 10 minutes for 60 minutes

Call for any other reason if you are unsure what to do.

False labor; Braxton Hicks contractions; Prodromal labor; Latent labor; Pregnancy - labor

Kilatrick S, Garrison E, Fairbrother E. Normal labor and delivery. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 11.

Thorp JM, Grantz KL. Clinical aspects of normal and abnormal labor. In: Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 43.

Updated by: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

38 weeks, got my cervix checked yesterday. slight spotting today, dark brown in colour. is this normal?

Brown spotting after cervical exam 38 weeks

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I had spotting to bleeding in a few hours aft cervix check at week 38.5 weeks. bb came out same day

Yes normal. Could even be bloody show! I got mine at 37 weeks with my second child.

get ready ur almost there 😊

As a person with a vagina, you get used to vaginal discharge happening seemingly out of the blue. Maybe it means your period is coming, or that you’re ovulating, or maybe it just means you’re human. But when you’re pregnant, every gush of fluid could be important, especially when you’re nearing the 40-week mark. In your third trimester, you may be wondering, is brown discharge a sign of labor? Read on to find out what experts say.

Is brown discharge a sign of labor?

Like so much about pregnancy, the answer to this question isn’t totally universal for every person. “It is quite possible that a bloody or brownish mucoid discharge may be a sign that the cervix is dilating and the mucus plug may be in the process of being expelled,” Kecia Gaither, MD, MPH, FACOG, double board-certified in OB/GYN and Maternal Fetal Medicine, Director of Perinatal Services at NYC Health + Hospitals/Lincoln tells Romper. But if you see some brownish or rust-colored discharge when you wipe or on your underwear, it doesn’t necessarily mean you need to pack your hospital bag and prepare to give birth within a day or two.

“It is not uncommon to experience all sorts of discharge near the end of pregnancy," Megan Davidson, a Brooklyn-based doula and author of Your Birth Plan, tells Romper. "The mucus plug, for example, can begin to come out as discharge when your cervix is starting to change in preparation for birth. I’ve had clients lose parts of their mucus plug for weeks before labor and this is normal.”

What is the mucus plug? It may have a terrible name, but it has a really important function. “The mucus plug is a mucus collection (it looks like a clear, yellow, or brown blob of jelly) that keeps the cervical canal moist and protected, Dr. Lucky Sekhon, fertility specialist and board certified OB/GYN from NYC, tells Romper. “Secretions from the cervix collect and seal the canal with a thick plug of mucus which blocks the entryway to the uterus.” This acts a protectant, sealing the uterus from bacteria, but when it passes it can sometimes be brownish in color.

Is discharge during pregnancy normal?

“An increase in vaginal discharge is common in pregnancy," Natalie Nix, CNM, MSN, Certified Nurse Midwife at Roswell OB/GYN in Atlanta, GA, told Romper in a previous article. "This is how the vagina 'keeps itself clean' in preparation for labor,” she added, but it can still be alarming, especially when tinged with brown that looks a bit like blood. Discharge is usually nothing to worry about, but if it’s accompanied by pain or cramping, or something feels off to you, always check in with your doctor or nurse.

skaman306/Moment/Getty Images

Other signs of labor

Brown discharge during pregnancy, especially toward the end, may be a sign that your mucus plug has or is passing, but it’s not definitely a sign that labor is imminent. It could just mean that your doctor recently checked your cervix for signs of progress, or even that you had sex recently. "If you’ve recently had an internal exam, the exam can cause cramping, discharge of mucus, and small amounts of bleeding — but this is not necessarily the beginning of labor," Davidson tells Romper.

So what are more definitive signs of labor? These will vary by person and by pregnancy, but “early signs of labor may include back or lower abdominal pain, rupture of membranes, fatigue, diarrhea, vomiting. For any of these symptoms, inclusive of the brown, bloody discharge, it’s best to seek medical attention,” Gaither says. If labor is happening, you may experience contractions that are occurring at regular intervals and feel more intense than Braxton Hicks, Sekhon says. Your water may break like you see in the movies, but it also may not.

So, if you experience brown discharge during your third trimester, it could mean that labor is close, but most likely you still have time to finish decorating the nursery and washing all those adorable clothes.

Experts:

Kecia Gaither, MD, MPH, FACOG, double board-certified in OB/GYN and Maternal Fetal Medicine, Director of Perinatal Services at NYC Health + Hospitals/Lincoln

Megan Davidson, a Brooklyn-based doula and author of Your Birth Plan

Dr. Lucky Sekhon, fertility specialist and board certified OB/GYN from NYC

This article was originally published on Oct. 15, 2019

Is brown discharge normal after cervix check?

Your cervical tissues are particularly delicate during pregnancy, so you might notice some spotting or brown discharge after your practitioner has done a pelvic exam or checked your cervix.

Does Brown discharge mean I'm dilating?

If you have bloody or brownish discharge from your vagina, it may mean your cervix has begun to dilate. The mucous plug that sealed your cervix for the last 9 months may be visible. This is a good sign. But active labor may still be days away.

How long does brown discharge last after cervical exam?

Increased cervical blood vessels These can bleed following a test, but the bleeding should end within a few hours or no more than two days.

Is brown discharge normal at 38 weeks pregnant?

You may be losing your mucus plug if you're further along in your pregnancy, (anywhere from 36 to 40 weeks) and notice an increase in discharge that's brownish, pink, or even slightly green-tinged. As your body gets ready to go into labor, it's common for your cervix to soften and release the mucus plug.