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Mucus Plug: Important Facts and What You Need to Know

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Mucus plug forms during pregnancy, it protects the fetus from infections and preterm labour. 
  • The plug is made of mucus, glycoproteins, and other substances. 
  • Losing your mucus plug may mean that labour is near. 
  • The appearance of the mucus plug varies, but it is typically thick, gelatinous, and clear, pink, or brown in colour. 
  • The relationship between losing the mucus plug and labour varies from person to person. 
     

Introduction 

When a woman gets pregnant the body undergoes a lot of changes. One such change is the formation of a mucus plug. This little component works to protect the baby from harmful bacteria and early birth. In this article, we will discuss what it is, why it’s important, and what happens when you lose it. We’ll also discuss how its loss links to labour. Lastly, we will discuss some frequently asked questions regarding this topic.  

Understanding the Mucus Plug 

The mucus plug is vital for a safe pregnancy. It acts as a shield separating your baby from any danger outside the womb.  


Mucus Plug Definition 

During pregnancy, a thick, jelly-like mass forms in the cervix opening. This mass, called the mucus plug, contains mucins (glycoproteins) which ward off infections from getting inside the womb. 

Purpose of the Mucus Plug 

In essence, the mucus plug’s main job is to protect your growing baby, particularly from infections, and it also helps dodge the risk of early labour. 

  • Protection from Bacterial Infections 

Some bacteria are kept at bay by the mucus plug. These include Group B Streptococcus, Staphylococcus saprophyticus, E. coli, and Pseudomonas aeruginosa.  

It’s a lesser-known fact that during pregnancy, the texture of the mucus in the cervix gets thicker because of a hormone called progesterone. The size of the cervical mucus plug also gets quite big, about 10 grams.

Dr. Siddharth Gupta

The Formation of Mucus Plug 

It starts right when fertilization happens. A slimy substance from mucosal cells piles up in the cervix opening and hardens into a mucus plug. This plug then grows and changes during pregnancy. 

Composition of Mucus Plug 

The mucus plug is not just mucin. Other substances that fight infections also exist in it. It contains proteins, enzymes, and immune factors. These keep the womb safe for your growing baby. 

Did you know?

Losing the Mucus Plug 

As labour draws near,  the mucus plug is lost.  

1. When do you lose the mucus plug? 

There’s no schedule for losing the mucus plug. It often happens nearer to the end of pregnancy.  The start of labour may vary, but usually hours, days, or weeks after the mucus plug peels away. 

2. Mucus plug-shedding process 

As the cervix gets ready for birth, the mucus plug leaves through the vagina. The shedding may happen all at once or bit by bit. This sometimes makes it hard to know when it’s all out. 

3. Is it okay if the mucus plug discharges early? 

If it drops before week 37 of pregnancy, that’s a warning sign of early labour. It is crucial to take note of when and how it happened for reference when you see your healthcare provider. 

4. Signs of losing the mucus plug 

One can tell when that they are losing the mucus plug by an increased discharge that may be clear, creamy, yellow-white, pink-tinged, or streaked. Noticing any bloody show on the underwear or toilet paper. It might also be a spot that is beige or brown in colour. Sticky and jelly-like substances could come out all at once as well. 

Appearance and Characteristics of the Mucus Plug 

Knowing what a mucus plug looks like helps identify when it is lost.  

What does a mucus plug look like? 

A mucus plug usually looks like jelly but is slightly blood-tinged. Not far off regular vaginal discharge but its colour, size, and texture vary. 

  • Colour of the mucus plug 

A mucus plug can be clear, yellow-white, pink, beige, or brown. The colour depends on personal health factors, where in pregnancy you are, and the presence of possible infections. 

  • Texture and consistency 

The mucus plug isn’t always the same in feel or makeup. It’s often sticky, stringy, or lumpy. 

Does the mucus plug always come out in one piece? 

Not really. Sometimes it all comes out at once, while other times, it falls away bit by bit. But if discharge grows in amount and changes in colour and texture, that signals the mucus plug might be coming out. 

Relationship Between Mucus Plug and Labour 

Losing the mucus plug usually means that labour is not far off. But how soon the labour will start is not exact. False alarms can also arise.  

1. What does it mean when your mucus plug falls out? 

When the mucus plug falls out, it hints that the cervix is starting to open, soften, and thin. The body is getting ready to give birth. 

2. How long after losing your mucus plug will labour start? 

It can be hours, days, or weeks after losing the mucus plug. Keeping track on other birth signs like contractions and water breaking is also essential. These can offer more precise hints on when labour will start. 

3. Mucus plug and false alarms 

There is no set timeframe between losing the mucus plug and labour’s start, so don’t fall for false alarms. Watch out for regular and painful contractions and water breaking to better tell when labour is coming. 

4. Other signs of labour 

Additional signs of labour apart from mucus plug loss include: 

  • “Water breaking”: The baby’s amniotic sac breaks, which leads to a leak or huge release of fluid from the vagina. 
  • Contractions: Pain in the pelvic area that becomes worse, longer, and more often. 

The mucus plug also shows antiviral activity and stops viruses. Studies show that proteins in this plug, like MUC1, MUC2, MUC5AC, and MUC5B, are found to strongly stop some strains of the human immunodeficiency virus (HIV) from working.

Dr. Rajeev Singh

What to Do After Losing Your Mucus Plug? 

What needs to be done next depends on factors like how far along is the pregnancy and what symptoms are presenting. 

Less than 36 weeks pregnant 

The healthcare provider needs to be informed if the mucus plug is lost before 37 weeks of pregnancy. It could mean an increased chance of early labour.  

After 37 weeks pregnant 

If the pregnancy is over 37 weeks and the health is good, usually nothing needs to be done right away after losing the mucus plug. Note any changes and discuss it in the next doctor visit. Use a pad or panty liner if more discharge follows.  

When to call your doctor or midwife? 

Get in touch with your doctor or midwife right away if you lose the mucus plug before week 37 of pregnancy or if: 

  • There is bad cramping in the belly or back.
  • There is bleeding a lot from the vagina. 
  • There is loss of pregnancy signs all of a sudden. 
     

Remember what it looked like, the amount, and other signs when the mucus plug was lost for the upcoming healthcare appointment. 

Conclusion 

The mucus plug does a great job of safeguarding a healthy pregnancy. It gives protection from infections and dangers to the baby as it develops. Losing the mucus plug usually means labour is not far away. Sometimes hours, days, or even weeks pass in between. 

Knowing how a mucus plug looks, its traits and the after-effects of losing it helps prepare the mother better for giving birth and signals when to meet the healthcare professional. Being in frequent contact with the healthcare team is important for the mother and baby’s well-being. 

Frequently Asked Questions (FAQs) 

How does a mucus plug look? 

The mucus plug often appears like a thick, jelly-like substance that may have some blood mixed in. Colour varies from clear to yellow-white, pink, beige, or brown. 

Can I still have sex after losing my mucus plug? 

Ask the healthcare provider for advice on sex after losing the mucus plug. Personal factors and pregnancy needs may be part of the equation. 

What happens if you lose your mucus plug early? 

Losing the mucus plug early can flag a risk of preterm labour. Check in with the healthcare provider promptly if the mucus plug falls away before you reach week 37 of pregnancy. 

Is it normal to have a jelly-like discharge while pregnant? 

Jelly-like discharge when pregnant is usually normal due to more cervical mucus output. But, get in touch with the healthcare provider if they feel, a change in colour, amount , or if more signs appear. 

How dilated is a person when their mucus plug comes out? 

How much cervical dilation has occurred when the mucus plug drops varies. Usually, as the cervix starts to open and thin, the mucus plug is likely to be pushed out. 

What are the signs that a mucus plug is leaking? 

One sign that the mucus plug is peeling off is when more discharge appears from the vagina. A clear sign can be tricky though, as the plug can sometimes peel away without obvious signs or little by little over a period. 

What are things to avoid after losing the mucus plug? 

After the mucus plug drops, get in touch with the healthcare provider. They can give personal advice on any activity limits needed based on specific pregnancy situations and concerns. 

Is mucus plug the same as water breaking? 

No, they’re different. When the mucus plug drops, it means the cervix is changing to get ready for birth. When water breaks, the amniotic sac tears, which means labour is about to start.

References: 

  1. National Center for Biotechnology Information (NCBI). The Cervicovaginal Mucus Barrier – PMC [Internet]. [cited 2024 Apr 24]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663572 
  1. National Center for Biotechnology Information (NCBI). Cervical Mucus Properties Stratify Risk for Preterm Birth – PMC [Internet]. [cited 2024 Apr 24]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731331 
  1. National Center for Biotechnology Information (NCBI). Stages of Labour [Internet]. [cited 2024 Apr 24]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544290 
  1. National Health Service (NHS). Signs that labour has begun [Internet]. [cited 2024 Apr 24]. Available from: https://www.nhs.uk/pregnancy/labour-and-birth/signs-of-labour/signs-that-labour-has-begun 
  1. National Center for Biotechnology Information (NCBI). The cervical mucus plug inhibits, but does not block, the passage of ascending bacteria from the vagina during pregnancy – PMC [Internet]. [cited 2024 Apr 24]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987199 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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