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Poornima Pawar, Singapore

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How do I differentiate between the mucus plug and normal discharge?

Expert

The mucus plug usually refers to that near delivery, around 36 to 38 weeks. It is like a plug in the cervix that acts as a barrier to infection. As the pregnancy nears delivery, the cervix will dilate and the plug then falls out. The expelled mucous plug is called “show"and it can be a sign that you might be delivering soon. During pregnancy, it is normal to have increased vaginal discharge. Normal vaginal discharge is odourless to faint musty with no itch, is clear or faintly cloudy with the occasional dark pearl colour and is rarely grey-yellow.

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My breasts are getting bigger. Is this normal?

Expert

The breasts are expected to grow even during pregnancy. After delivery, the breast will be larger than usual because of lactation, which is quite common. Hormonal changes can cause the breast to swell and feel tender. You still need to do your own self examination as lumps or cancer can still occur during pregnancy.

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What should I do if I spot or bleed?

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It is usually caused by cervical changes and marginal vessel. If the bleeding stops by itself and the baby is well, we would usually just observe and hormones may be given in certain cases. It could also be non-pregnancy related, such as a skin tag (called cervical polyp) which can be easily removed.

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