[7] Bloody show can also occur with other symptoms of onset of labor, including painful contractions, degree of cervical effacement, and/or spontaneous membrane rupture.
[6] When bloody show occurs, pregnant individuals are encouraged to see a midwife or doctor as this may be an indication of active labor.
[14] During late pregnancy, bleeding may be normal but may also indicate a more serious underlying problem such as miscarriage, placenta previa, or placental abruption.
[10] As such, if any of the following are observed, a more thorough examination is warranted to rule out serious causes of bleeding:[10][11] Bloody show is not considered abnormal within the context of pregnancy, therefore, no treatment is required.
[5] If a bloody show occurs too early during a pregnancy, there are a few options to counteract the increased risk of infection and premature labor.
Management of the beginning of labor, after the bloody show, can include breathing techniques and hydration to maintain relaxation before delivering the baby.
[20] Labor begins with the suppression of the inhibitory effects on myometrium contraction, leading to dilation of the cervix and pushing the fetus through the birth canal.
Decidual cells, which play a nutritional role in the formation of the placenta, promote the synthesis and release of prostaglandins and proinflammatory cytokines.
Cyclic AMP influences the relaxation of myometrial smooth muscle by complexing with adenylyl cyclase (ADCY), protein kinase A (PKA), and phosphodiesterases.