Thick white discharge during pregnancy in third trimester

Vaginal discharge - NHS

You will always have some vaginal discharge starting a year or 2 before puberty and ending after the menopause.

How much discharge you have changes from time to time. It usually gets heavier just before your period. When you're pregnant, it's normal to have more discharge than before.

Healthy vaginal discharge is usually thin, clear or milky white, and should not smell unpleasant.

Non-urgent advice: Call your midwife if you have vaginal discharge and:

it smells unpleasant or strange
it is green or yellow
you feel itchy or sore around your vagina
you have pain when you pee

Any of these could be symptoms of a vaginal infection.

Urgent advice: Urgent

Contact your midwife or doctor immediately if you have any vaginal bleeding while you're pregnant.

Is it normal to have vaginal discharge in pregnancy?

Yes. It is normal to have more vaginal discharge in pregnancy. This helps prevent any infections travelling up from the vagina to the womb.

Towards the end of pregnancy, the amount of discharge increases further. In the last week or so of pregnancy, it may contain streaks of sticky, jelly-like pink mucus.

This is called a "show", and happens when the mucus that's been present in your cervix during pregnancy comes away.

It's a sign that the body is starting to prepare for birth. You may have a few small "shows" in the days before you go into labour.

Read more about the signs that labour has begun.

Thrush in pregnancy

Thrush is an infection that can cause unusual vaginal discharge. if you get thrush when you're pregnant, it can easily be treated - talk to your midwife or doctor.

Thrush can cause:

increased vaginal discharge which is usually white (like cottage cheese), and does not usually smell
itching and irritation around the vagina

Always talk to your doctor, pharmacist or midwife if you think you have thrush, as there are some thrush medicines you should not use while you're pregnant.

You can help prevent thrush by wearing loose cotton underwear. You may find it helps to avoid perfumed soap or perfumed bath products.

Find out more about vaginal discharge.

Page last reviewed: 31 March 2021
Next review due: 31 March 2024

What to Expect, Fetal Development

Written by Stephanie Watson

What Is the Third Trimester?

The third trimester is the last phase of your pregnancy. It lasts from weeks 29 to 40, or months 7, 8, and 9. During this trimester, your baby grows, develops, and starts to change position to get ready for birth.

Now that you've reached the third trimester, you're in the home stretch of your pregnancy. You've only got a few more weeks to go, but this part of your pregnancy can be the most challenging.

New Fetal Development

In the third trimester, your baby keeps growing. By the end, a full-term baby usually is between 19 and 21 inches long and between 6 and 9 pounds.

Your baby begins to turn itself head-down to get ready for delivery. At week 36, the baby’s head should begin to move into your pelvic area, also called lightening. It will stay in this down-facing position for the last 2 weeks of your pregnancy.

Your baby develops in other important ways in the third trimester. During this phase, it’s able to:

Open its eyes and see
Hear
Suck on its thumb
Cry
Smile

Your baby’s brain continues to develop. Its lungs and kidneys mature. It gains muscle tone and about 16% body fat. The bones at the top of its skull are soft to ease delivery. Most babies have blue eyes at this stage, and they’ll stay that color until a few days or weeks after they’re born. It also has nails on its toes and reaching to the ends of its fingers. If it’s a boy, the testes have descended into the scrotum.

During the third trimester, the vernix caseosa, a protective coating, covers your fetus’ skin. Soft body hair called the lanugo falls out and is almost gone by the end of week 40.

Third Trimester Changes in Your Body

Abdominal achiness. As your baby grows, it takes up more room in your abdomen. This can cause you to have some aches and discomfort. You may find it hard to get comfortable when you’re in bed at night trying to go to sleep. You may even feel like it’s harder to take deep breaths.
Backache. The extra weight you've gained puts added pressure on your back, making it feel achy and sore. You might also feel discomfort in your pelvis and hips as your ligaments loosen to prepare for labor. To ease the pressure on your back, try to practice good posture. Sit up straight and use a chair that provides good back support. At night, sleep on your side with a pillow tucked between your legs. Wear low-heeled, comfortable shoes with good arch support. To ease back pain, use a heating pad. Ask your doctor whether it's OK for you to take acetaminophen.
Bleeding. Some light bleeding toward the end of your pregnancy might be a sign that labor is starting. But spotting may sometimes be a sign of a serious problem, including placenta previa (the placenta grows low and covers the cervix), placental abruption (separation of the placenta from the uterine wall), or preterm labor. Call your doctor as soon as you notice any bleeding.
Braxton-Hicks contractions. You might start to feel mild contractions, which are warm-ups to prepare your uterus for the real labor to come. Braxton-Hicks contractions often aren't as intense as real labor contractions, but they may feel a lot like labor and can eventually progress to it. One main difference is that real contractions gradually get closer and closer together -- and more intense. If you're red in the face and out of breath after your contractions, or they're coming regularly, call your doctor.
Breast enlargement and leaking. By the end of your pregnancy, your breasts will have grown by as much as 2 pounds. Make sure you're wearing a supportive bra so your back doesn't suffer. Close to your due date, you may start to see a yellowish fluid leaking from your nipples. This substance, called colostrum, will nourish your baby in the first few days after birth.
Vivid dreams. It’s common to have more vivid dreams or nightmares in your third trimester. This can disrupt your sleep. Your wild dreams are likely caused by changes in hormone levels from pregnancy.
Clumsiness. You may feel clumsy or out of balance during the third trimester. You may drop things. Part of the reason is that you’ve gained weight in your belly area. That makes it harder to balance your body.
Discharge. You might see more vaginal discharge during the third trimester. If the flow is heavy enough to soak through your panty liners, call your doctor. Close to your delivery date, you might see a thick, clear, or slightly blood-tinged discharge. This is your mucus plug, and it's a sign that your cervix has begun dilating in preparation for labor. If you experience a sudden rush of fluid, it may mean that your water has broken (although only about 8% of pregnant women have their water break before contractions begin). Call your doctor as soon as possible after your water breaks.
Fatigue. You might have been feeling energetic in your second trimester, but are weary now. Carrying extra weight, waking up several times during the night to go to the bathroom, and dealing with the anxiety of preparing for a baby can all take a toll on your energy level. Eat healthy food and get regular exercise to give yourself a boost. When you feel tired, try to take a nap, or at least sit down and relax for a few minutes. You need to reserve all your strength now for when your baby arrives and you're really not getting any sleep.
Frequent urination. Now that your baby is bigger, its head may be pressing down on your bladder. That extra pressure means you'll have to go to the bathroom more frequently -- including several times each night. You might also find that you're leaking urine when you cough, sneeze, laugh, or exercise. To relieve the pressure and prevent leakage, go to the bathroom whenever you feel the urge and urinate completely each time. Avoid drinking fluids right before bedtime to cut down on unwanted late-night bathroom visits. Wear a panty liner to absorb any leakage. Let your doctor know if you have any pain or burning with urination. These can be signs of a urinary tract infection.
Heartburn and constipation. They're caused by extra production of the hormone progesterone, which relaxes certain muscles -- including the muscles in your esophagus that normally keep food and acids down in your stomach, and the ones that move digested food through your intestines. To relieve heartburn, try eating more frequent, smaller meals throughout the day and avoid greasy, spicy, and acidic foods (like citrus fruits). For constipation, increase your fiber intake and drink extra fluids to keep things moving more smoothly. If your heartburn or constipation is really bothering you, talk to your doctor about what medications may be safe for you to take for symptom relief.
Hemorrhoids. Hemorrhoids are actually varicose veins -- swollen veins that form around the anus. These veins enlarge during pregnancy because extra blood is flowing through them and the weight of pregnancy increases the amount of pressure to the area. To relieve the itch and discomfort, try sitting in a warm tub or sitz bath. Ask your doctor whether you can also try an over-the-counter hemorrhoid ointment or stool softener.
Sciatica. Nerve pain that shoots from your lower back to your buttocks and down your leg is more likely in the third trimester. Sciatica may be caused by hormone changes during pregnancy, or because your baby’s growing body presses against the sciatic nerve. Sciatica pain may come and go or be constant. Yoga, massage, or physical therapy are ways to relieve the pain, but it usually goes away after your baby is born.
Shortness of breath. As your uterus expands, it rises up until it sits just under your rib cage, leaving less room for your lungs to expand. That added pressure on your lungs can make it more difficult to breathe. Exercising can help with shortness of breath. You can also try propping up your head and shoulders with pillows while you sleep.
Spider and varicose veins. Your circulation has increased to send extra blood to your growing baby. That excess blood flow can cause tiny red veins, known as spider veins, to appear on your skin. Spider veins may get worse in your third trimester, but they should fade once your baby is born. Pressure on your legs from your growing baby may also cause some surface veins in your legs to become swollen and blue or purple. These are called varicose veins. They should improve within a few months after you deliver. Although there's no way to avoid varicose veins, you can prevent them from getting worse by:
- Getting up and moving throughout the day
- Wearing support hose
- Propping up your legs whenever you have to sit for long periods.
Stretch marks. You may develop stretch marks on your breasts, butt, tummy, or thighs. Stretch marks are a type of scar that happens when your skin stretches during pregnancy. Not everyone gets them. If you do, they may be red, purple, pink, or brown in color.
Swelling. Your rings might be feeling tighter these days, and you may also notice that your ankles and face are looking bloated. Mild swelling is the result of excess fluid retention (edema). To reduce swelling, put your feet up on a stool or box whenever you sit for any length of time, and elevate your feet while you sleep. If you have sudden onset of swelling though, seek medical attention immediately as it may be a sign of preeclampsia, a dangerous pregnancy complication.
Weight gain. Aim for a weight gain of 1/2 pound to 1 pound a week during your third trimester. By the end of your pregnancy, you should have put on a total of about 25 to 35 pounds (your doctor may have recommended that you gain more or less weight if you started out your pregnancy underweight or overweight). The extra pounds you've put on are made up of the baby's weight, plus the placenta, amniotic fluid, increased blood and fluid volume, and added breast tissue. If your baby seems to be too small or too big based on the size of your belly, your doctor will do an ultrasound to check the baby’s growth.

Red Flag Symptoms

Any of these symptoms could be a sign that something is wrong with your pregnancy. Don't wait for your regular prenatal visit to talk about it. Call your doctor right away if you experience:

Severe abdominal pain or cramps
Severe nausea or vomiting
Bleeding
Severe dizziness
Pain or burning during urination
Rapid weight gain (more than 6.5 pounds per month) or too little weight gain

Third Trimester Tips for Twins

Expecting twins? You might want to add these things to your third trimester to-do list:

Go stroller shopping. Side-by-side or tandem? Take a few double strollers for a test drive to see which type feels best to you. Look for one that's easy to open and maneuver.
Get breastfeeding tips. Breastfeeding two babies is more of a challenge than one, but you can definitely do it. Ask your doctor ahead of time for tips.
Check your iron. Ask your doctor if you need to take iron supplements. As a mom-to-be of twins, you're four times more likely to have iron-deficiency anemia.
Know the signs of preeclampsia. Carrying twins doubles your risk of this serious condition. Tell your doctor right away if you have a headache, trouble seeing, or sudden weight gain.
Find a support group. Start looking for groups of moms of multiples in your area. You may appreciate exchanging tips and getting support from other moms in the same boat.
Create a schedule. Read up on how to get your twins on the same sleeping and eating schedule. Learning some tips now may save your sanity when you have two newborns.

Health & Pregnancy Guide

Getting Pregnant
First Trimester
Second Trimester
Third Trimester
Labor and Delivery
Pregnancy Complications
All Guide Topics

why they appear in the early and late periods, in the 1st, 2nd and 3rd trimester, what to do at home

Expectant mothers are worried about any changes in the body. Noticing an unusual white discharge, some pregnant women begin to worry. "Komsomolskaya Pravda" together with obstetrician-gynecologist Susanna Grigoryan and obstetrician-gynecologist, ultrasound diagnostics doctor, candidate of medical sciences Daiva Pikauskaite understands in which cases white discharge is the norm, and in which they are dangerous for the woman and the fetus.

Characteristics of white discharge during pregnancy

White discharge is distinguished by the following characteristics.

Color	Available in clear, whitish or light colors.
Odor	Should normally be absent, but slight sourness is acceptable.
Structure	There must be no bloody inclusions, lumps, cheesy flakes.
Consistency	May be slimy, thin, thick or viscous.
Sensations	Discharge should not be accompanied by pain, burning, itching, swelling of the vaginal mucosa.

Liquid consistency

Sometimes a thin white discharge seems so normal that it is difficult for a doctor to recognize signs of pathology in them. However, they can be one of the symptoms of an infectious-inflammatory disease. For example, a fishy smell may indicate a violation of the vaginal microflora, and blood streaks - about inflammation of the cervix or its erosion. Also, such discharge may occur due to an allergic reaction to intimate hygiene products or pads.

Cheesy consistency

Cheesey discharge usually indicates candidiasis. May be accompanied by a sour smell, burning and itching. Unpleasant symptoms are aggravated after sexual contact, water procedures and at night. During pregnancy, the disease worsens due to changes in hormonal levels. The danger of pathology for the expectant mother 一 the risk of losing a child. The appearance of symptoms of candidiasis before childbirth increases the risk of infection of the child at the time of his passage through the birth canal.

Creamy consistency

A whitish-transparent creamy discharge due to increased blood flow to the vagina. (1) Congested blood vessels cause temporary disturbances in the functioning of the bladder, ureters, and kidneys. The reproductive system reacts to changes with abundant secretions, similar to cream.

Photo: @mart-production, pexels.com

Mucus discharge

Mucous discharge that is not accompanied by an unpleasant odor, burning or itching is considered normal. This is the result of the formation of a mucous plug that prevents infections from entering the vagina. The mucous secretion may acquire a milky hue, contain dense clots. The formation of a cork is completed by about the 12th week of pregnancy, then the nature of the discharge changes.

Foamy discharge

A common cause of frothy discharge during pregnancy is trichomoniasis. Illness in the early stages can lead to miscarriage. Self-treatment is strictly contraindicated. Having found foamy discharge, you need to see a doctor as soon as possible and follow all the instructions.

Why white discharge occurs during early pregnancy

– Vaginal discharge without unpleasant symptoms is an absolute norm and is observed in most pregnant women, says obstetrician-gynecologist Daiva Pikauskaite. - From the first to the third trimester, their number increases.

However, there are also warning signs:

discoloration to reddish or greenish;
significant and abrupt increase in excretions;
odor change;
burning, itching or pain.

Any of these factors is a reason to see a doctor as soon as possible. (2)

1st trimester

Conceiving a child always affects a woman's body. Hormonal changes begin, often accompanied by light or white discharge. Also, the cause of secretion is the fixation of the embryo in the uterine cavity or the formation of a mucous plug that protects the embryo from infection.

Over time, the amount of discharge decreases. They become more viscous and transparent.

Why white discharge occurs during late pregnancy

White discharge is most often safe in late pregnancy.

- Slight, odorless discharge is considered normal. Usually they are transparent or slightly milky in color. The consistency is reminiscent of raw egg white, - says obstetrician-gynecologist Daiva Pikauskaite, - the secretions are mainly protective, preventing ascending infection of the fetus.

2nd trimester

In the 2nd trimester, a thin, white discharge is considered normal. (3) They help keep the vagina healthy. The main thing is that there should be no foreign inclusions and smell. Any deviation from the norm is a reason to contact a gynecologist.

Photo: @amina-filkins, pexels.com

3rd trimester

Toward the end of pregnancy, white discharge may indicate the following processes:

the mucous plug begins to move;
the head of the fetus is pressed closer to the exit from the birth canal, that is, to the cervix;
amniotic fluid leakage (usually occurs later in pregnancy).

– In the event of unusual discharge and an increase in its amount, you should immediately consult a doctor. The specialist will assess the nature of the secretions and their volume in order to exclude leakage of amniotic fluid and the presence of infectious and inflammatory diseases, explains obstetrician-gynecologist Suzanna Grigoryan.

How to deal with white discharge during pregnancy at home

– If the discharge does not bother you, then nothing needs to be done about it, especially at home, says Daiva Pikauskaite. - It is only important to observe intimate hygiene, undergo examinations at the doctor on time and take the necessary tests. For any warning signs, it is recommended to consult a gynecologist.

Frequently asked questions and answers

White discharge is most often the norm during pregnancy. However, expectant mothers may be concerned. The most popular questions are answered by gynecologists Daiva Pikauskaite and Susanna Grigoryan.

What should you not do when you notice a white discharge?

If discharge bothers you, do not do the following:

● use medications on your own;
● Douching or sitz baths with medicinal herbs;
● use soap for intimate hygiene, it dries out the mucous membranes, their protective functions are impaired;
● Wear panty liners or synthetic underwear.

How to distinguish amniotic fluid from abundant discharge?

At the end of pregnancy, the amount of discharge increases. Often they become so plentiful that it seems to the expectant mother that her water is leaking. It is possible to distinguish amniotic fluid from secretions.

The discharge is thicker, leaving a dried stain or a characteristic white color on the laundry.

Amniotic fluid is water. It doesn't stretch and doesn't leave marks when it dries.

In case of doubt, it is best to consult a doctor, who will accurately determine the cause. Also, the pharmacy sells special tests that show whether there is water leakage.

Can I use the pool if I have white discharge?

If the discharge does not bother, the pregnant woman can swim in the pool, river, sea and any other body of water. In case of doubt, it is recommended to obtain a doctor's approval.

Sources

Cervicitis in pregnant women / Sverdlova E.S. // 2010. URL: https://cyberleninka.ru/article/n/tservitsity-u-beremennyh
Bacterial infections during pregnancy / Zheksembayeva G.K., Zhumadullaeva G.S., Kadirsizova G.K., Musaeva R.G. // 2011. URL: https://cyberleninka.ru/article/n/bakterialnye-infektsii-vo-vremya-beremennosti
Pregnancy, childbirth, motherhood / Burmistrova E.A. // 2012.

Pregnancy discharge | What are the discharge during pregnancy? | Blog

In the absence of menstruation, girls usually suspect that conception has occurred. However, during pregnancy, the female body may continue to secrete a secret of a different color and character. We recommend that you keep a close eye on everything that happens so as not to miss the development of adverse events. We will talk about how to recognize problem situations during pregnancy in the article.

What secretions can occur during conception

Many women note that immediately after the delay and in the later stages, the nature of the secretion changes. It can be:

With or without scent.
Depending on the color - transparent, white, cream, yellow, greenish, bloody.
According to the consistency - thick, liquid, cheesy.
As a symptom for assessing the state of health - threatening, safe.

During ovulation, the egg is released from the ovary, its membrane is blown away, a small amount of fluid is released - so it becomes ready for fertilization. At this time, the thick mucus that fills the cervical canal of the cervix becomes less viscous. This makes it easier for the spermatozoa to penetrate and move further into the tubes for fertilization. At this time, you may notice an abundance of clear mucous secretions.

After the fusion of the egg with the spermatozoon, movement into the uterus begins, which must end with implantation in the inner layer. During penetration, its slight detachment may occur - this causes damage to the blood vessels that abundantly penetrate the muscular layer of the uterus. You may see light brown discharge, which is common during pregnancy. The color is due to the fact that the blood has time to clot.

Sometimes the discharge is brightly colored and some women mistake it for early menses. But in this case, a short duration is characteristic, a different shade (dark or scarlet), a slight mark on the linen.

With some features of the structure of the female genital organs (for example, with a bicornuate uterus), after implantation of the embryo in one part, rejection of the endometrium may begin in the other, as is usually the case with menstruation. This rarely happens.

Characteristics of discharge in case of threatened miscarriage

Spontaneous abortion is the rejection of an embryo in the early stages after conception. If at the first signs of pregnancy, you notice spotting, there is a high probability that a miscarriage begins.

Also, miscarriage symptoms include:

pulling or pressing on the lower abdomen, sacrum, lower back;
the muscles of the uterus are tense.

The woman may experience cramps. This continues all the time or intermittently. From the vagina there are scarlet or brown discharge during pregnancy, which was previously confirmed. Sometimes the period may be still small, and the first signs did not have time to appear.

After 22 weeks, this phenomenon is called preterm labor. The child in this case is still weak, the organs are not sufficiently developed, and there is little chance of survival.

The following factors increase the risk of miscarriage:

various diseases;
progesterone deficiency;
nervous and physical strain;
pathologies in the genitals;
fetal developmental defects.

To confirm the diagnosis, the doctor prescribes an ultrasound scan. If it shows that the fetal heart rate is disturbed, the tone of the uterus is increased, its size differs from normal for this period, hospitalization will be recommended to maintain pregnancy.

What discharge during pregnancy is considered normal

This secretion does not pose a threat to health:

transparent;
whitish;
yellowish;
odor free;
mucous;
without itching, burning, redness of the genitals.

Clear fluid on underwear is a symptom of ovulation. During pregnancy, the activity of ongoing processes in the body increases, so the amount of secretion secreted may increase. However, a violation of the norm is the leakage of amniotic fluid. You can determine the problem with the help of special diagnostic tests that the doctor will prescribe if he has suspicions.

White color, small amount, homogeneous structure should also not cause concern. The increased volume of fluid in this case is associated with increased hormonal activity.

One of the variants of the norm is mucous discharge, which smells of slight sourness. If there is no pain, discomfort, there is nothing to worry about.

Yellow discharge, there are signs of pregnancy, there is no unpleasant odor - everything is in order. Some women had this color before conception, only they did not pay attention. Now there are more of them, therefore more noticeable.

Sometimes a woman observes that the laundry gets wet and there is a smell of urine. This may indicate incontinence due to the constant pressure of the growing uterus. In this case, it is recommended to go to the toilet more often, change underpants twice a day.

What discharge during pregnancy is considered a sign of infection?

White discharge during pregnancy with a cheesy texture is a symptom of thrush (candidiasis). In pregnant women, it is diagnosed quite often - the reason is a change in hormonal levels. The disease is accompanied by itching, redness of the vulva, a strong sour smell. Sometimes external manifestations are not detected, then treatment is not carried out.

Infection is indicated by pain, pain, skin irritation, ulcers, smell of rot or fish, gray or green color, frothy fluid, increased nervousness, large inguinal lymph nodes. The reason may lie in sexually transmitted infections. This includes syphilis, gonorrhea, trichomoniasis, chlamydia and others. They are dangerous because they cause premature birth and fetal developmental defects.

Which discharge during pregnancy should be paid special attention to and should I consult a doctor?

The following indicates that pregnancy is at risk:

Severe pain in the perineum, bleeding, difficulty defecation, convulsions - these may be injuries to the vaginal mucosa.
Nausea, profuse vomiting, swelling, headaches, cough, hypertension, bright red secretion are symptoms of hydatidiform mole (abnormal development of the embryo).
A drop in blood pressure, pallor, weakness, sweating, pulling sensations, bleeding during pregnancy against the background of a lack of growth of hCG in the blood - this is how ectopic attachment manifests itself.
Isolation of clots, sharp pain, vomiting, diarrhea may indicate a frozen fetus.

If you experience any of these symptoms, contact your doctor immediately.

It is also necessary to contact the clinic if you have been physically abused, had rough sex, had an accident, fell, hit. The likelihood that the situation will be resolved successfully is much higher if you do not delay the visit, listen to the symptoms and take good care of your health.

Remember that although pregnancy is a normal state of health for a woman's body, diagnosis and treatment are different due to the many restrictions on manipulations and medications during pregnancy. That is why diagnosis and treatment during pregnancy should take place only under the supervision of a physician.

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