Understanding Vaginal Discharge During Pregnancy: What’s Normal and When to Worry

Vaginal discharge is a normal part of pregnancy, but it can still cause concern for first-time moms. Knowing what to expect can help you distinguish between what’s normal and what may require medical attention. Let’s dive into the different types of vaginal discharge during pregnancy and how to manage it.

What Is Normal Vaginal Discharge in Pregnancy?

During pregnancy, your body produces more estrogen, which increases blood flow to the pelvic area and stimulates the mucous membranes. This results in increased vaginal discharge, known as leukorrhea.

What does leukorrhea look like?

• Thin or milky white

• Mild odor (or no odor)

• Clear to slightly cloudy

Leukorrhea is generally harmless and serves to protect the birth canal from infection. It also helps maintain a healthy balance of bacteria in the vagina.

Types of Discharge Throughout Pregnancy

Your vaginal discharge may change slightly over the course of your pregnancy:

• First Trimester: You’ll likely notice an increase in discharge early in your pregnancy. It’s typically thin and white.
• Second Trimester: Discharge may increase in volume as your body continues to produce more estrogen.

• Third Trimester: Discharge may become heavier and can contain mucus streaked with blood, particularly as labor approaches (often called the "bloody show").

When to Be Concerned

While an increase in discharge is normal, there are times when changes in vaginal discharge could indicate an issue. Be mindful of the following:

• Yellow or Green Discharge: If your discharge turns yellow or green, especially if it’s accompanied by a foul odor, it may indicate an infection, such as a yeast infection or sexually transmitted infection (STI).

• Cottage Cheese-Like Texture: This type of discharge is often a sign of a yeast infection, which is common during pregnancy due to hormonal changes.

• Watery Discharge: A sudden increase in thin, watery discharge could indicate that your water has broken, signaling the onset of labor. If you notice this before 37 weeks, contact your healthcare provider, as it could indicate preterm labor.

• Pink or Red Discharge: While light spotting can be common, particularly after intercourse or a pelvic exam, bright red bleeding is not. Heavy bleeding should always be reported to your healthcare provider immediately.

How to Manage Vaginal Discharge During Pregnancy

There are a few simple steps to stay comfortable and maintain good hygiene:

• Wear breathable cotton underwear: This helps keep the area dry and allows airflow.

• Use panty liners: A thin, unscented liner can absorb excess discharge and keep you feeling fresh. Avoid using tampons during pregnancy.

• Practice good hygiene: Wash the area with mild soap and water. Avoid douching or using harsh soaps, as they can disrupt the natural pH balance of your vagina.

When to Call Your Doctor

It’s important to contact your healthcare provider if you notice any of the following:

• A sudden increase in discharge that’s watery, green, yellow, or foul-smelling.

• Itching, burning, or swelling in the vaginal area, which could signal an infection.

• Heavy bleeding or discharge with clots, especially if it’s accompanied by cramping.

Vaginal discharge is a normal part of pregnancy, and most changes are harmless. Understanding what’s normal and when to seek medical attention will help you feel confident throughout your pregnancy. Always reach out to your healthcare provider if you have any concerns—you know your body best, and it’s important
to trust your instincts.