Bleeding Gums at 38 Weeks Pregnant
Bleeding, swollen, or tender gums — known as pregnancy gingivitis — affect up to 75% of pregnant women. Hormonal changes make gums more sensitive to bacteria in dental plaque.
👶 What's Happening at Week 38
Your baby is now the size of a leek.
- The fetus sheds the remaining vernix and lanugo into the amniotic fluid.
- The baby swallows the amniotic fluid, contributing to meconium (first stool).
- Firm grasp reflex is established.
🔬 Why You're Experiencing Bleeding Gums at Week 38
- Estrogen and progesterone increase blood flow to the gums, making them more sensitive and reactive to plaque
- Pregnancy hormones alter immune response, reducing the ability to fight gum bacteria
- Morning sickness acid exposure weakens tooth enamel
- Changes in dietary habits and snacking during pregnancy increase bacterial load
💊 Relief Tips for Week 38
📋 Other Week 38 Symptoms
⚠️ Call Your Doctor If…
- Significant gum swelling or growths (pregnancy epulis — a benign gum growth that may need monitoring)
- Loose teeth
- Severe tooth pain
- Signs of abscess: intense throbbing pain, swelling, fever, bad taste in the mouth
Frequently Asked Questions
Is it safe to go to the dentist while pregnant?
Yes — dental visits are safe and important during pregnancy. Routine cleanings, X-rays (with lead apron), and most local anesthetics are safe. Inform your dentist of your pregnancy.
Can gum disease affect my pregnancy?
Some research suggests an association between severe periodontal disease and preterm birth or low birth weight, though causation is not definitively established. Good oral hygiene is important for both maternal and fetal health.
Why do gums bleed when brushing during pregnancy?
Pregnancy hormones increase gum vascularity and sensitivity. Even gentle brushing or normal plaque levels can trigger bleeding in pregnancy gingivitis.
Is tooth pain more common in pregnancy?
Yes — acid from morning sickness, increased snacking, and hormonal changes all increase cavity risk. Brush after vomiting (or rinse first to avoid brushing acid onto teeth) and maintain regular dental visits.