Much Ado About. . .Mucous

I have often found it interesting how often questions arise regarding the "mucous plug."  For something to have so little actual obstetrical consequence, it generates incredible maternal attention.

JUST WHAT IS THE MUCOUS PLUG, ANYWAY?

The mucous plug is exactly what it sounds like.  Formed by secretions of the mucous glands of the cervix, it is a plug of  mucous which seals the cervix.  This prevents bacteria from entering the uterus during pregnancy.

WHEN DOES THE MUCOUS PLUG COME OUT?

Although pregnant women often focus a great deal of attention on the possibility of "losing their mucous plug," rarely does the plug come out in one large lump of mucous, although that can occur.  It is much more common for the mucous  to be expelled gradually and slowly over time.  It may happen so slowly, in fact, that the pregnant woman never even notices it.

WHAT DOES THE MUCOUS PLUG LOOK LIKE?

Well, to be honest, it looks like. . .mucous.  The texture and color may be very similar to what would come out of  your nose if you had a cold.  The  mucous may be clear, white or yellowish; it may even be pinkish or lightly tinged with blood, due to the changes in the cervix late in pregnancy.  The mucous may be thick or thin, it may even be watery.

WHAT DOES IT MEAN WHEN IT COMES OUT?

In general, nothing.  It might mean -- depending upon the softness and thinness of your cervix -- that you might go into labor within the next two to four weeks. But a vaginal examination or even intercourse can also disturb the mucous plug.

Loss of the mucous plug is NOT a sign of labor, even though you might read that in some places.  It does not mean that the onset of labor is imminent, even though you might read that as well.  It simply means that the mucous had released from the cervix and is a normal occurrence late in pregnancy.

WHAT SHOULD I DO ABOUT IT?

Basically, nothing.   Unless you have signs of labor -- progressive contractions, or your membranes  have ruptured; or you are having heavy bleeding for which you need to call your health care provider, you can just relax.  Losing your mucous plug is a sign your body is working as designed.  There is nothing you need to do -- or NOT do.  Go about life as normal, as your health care provider has instructed you and look forward to the arrival of your new little one.                                            Image via Wikipedia

CONCLUSION

I once heard a seasoned nurse tell an anxious patient in false labor "Labor has a way of declaring itself."  This is such a true statement.  But when pregnant, we all sit on pins and needles waiting for that first sign that labor is starting.  Instead, take a deep breath and relax.  Labor usually begins when you least expect, or sometimes at the most inconvenient moment.  Let nature take it's course and don't pay any more attention to your mucous plug than you would the mucous when you blow your nose.