Is it usual to have spots of blood when 38 weeks pregnant?

Spotting or light vaginal bleeding is not uncommon during pregnancy, and it can occur at various times, including around week 38. Here are a few reasons why spotting may happen:

1. Cervical Changes: As the cervix softens and prepares for labor, it can become more sensitive and easier to bleed with slight irritation.

2. Show: Sometimes, a small amount of blood-tinged mucus (known as a "bloody show") may be passed as the mucus plug that seals the cervix during pregnancy comes out.

3. Dilation: As the cervix begins to dilate in preparation for labor, small blood vessels may rupture and cause spotting.

4. Vaginal Exams: If you've had a recent vaginal exam, such as a cervical check, it may cause minor irritation and spotting.

5. Placenta Previa: In rare cases, spotting can be a sign of placenta previa, a condition where the placenta partially or fully covers the cervix. This should be evaluated by a healthcare provider if there is any concern.

It is important to note that any unusual vaginal bleeding during pregnancy should be discussed with your healthcare provider. They can assess your situation, determine the cause of the spotting, and provide guidance on what to expect or any actions to take.