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Subchorionic Hematoma

What Is Subchorionic Hematoma?

Subchorionic Hematoma is a great concern for expectant mothers. This is described as a blood clot formation found in the pregnancy membranes and the uterus. This is said to be a rare phenomenon. About 25% of pregnancies are noted to be affected of such condition. This is may be due to the fact that this is unrecognizable unless the mother is hemorrhaging. This becomes undetected as it grows. It shall become known when complications have slowly presented themselves.

Subchorionic Hematoma Symptoms

The basic manifestation of the disease condition involves spotting. There seemed to be bleeding from light to heavy flow (this should be reported). The hematoma shall only be present if there was previous bleeding episode. The bleeding is usually described as painless and only be manifesting a mild cramp.

Those who are experiencing great pain and are bleeding profusely should contact the assistance of a medical team.

Subchorionic Hematoma Causes

There is no known cause of subchorionic hematoma. This could even relate to be an implantation of the fertilized egg, but is only suitable in the first trimester of pregnancy. Those at risk for such condition are the following:

  1. Women who had just their fertilized eggs implanted.
  2. Miscarriages. This can indicated when it has become to a large-sized hematoma. The smaller-sized hematomas should not worry those pregnant women.
  3. Pre-term labor. This is said to be a sign of preterm labor.

Subchorionic Hematoma Diagnosis

The condition can be diagnosed through an ultrasound. The ultrasound shall present presence of hematoma. A transvaginal ultrasound is much recommended as this can provide a more accurate viewing of the uterus. There are instances where the patient shall be bleeding. In order to avoid more damage when the woman is bleeding, abdominal ultrasound is done. This shall catch the medical professional’s attentions for it shall indicate for a miscarriage.

Subchorionic Hematoma

Picture : 10 weeks into pregnancy

Subchorionic hematoma causes bleeding during pregnancy.

Treatment for Subchorionic Hematoma

Treatment for subchorionic hematoma is not direct or specific for there is no known cause of the condition. The treatment would only aim in managing the medical condition. Treatment of the condition is the following:

  1. Less physical activity. The condition may indicate that there is possibility of miscarriage, and then the doctor shall require or recommend less physical activity of the woman. Sexual intercourse is prohibited. Heavy lifting is also refrained from the activities of the woman.
  2. Blood clots are reduced through blood thinners. This may not truly recommend for this can precipitate hemorrhage, but the patient is recommended when the blood clot is not that worse.
  3. Estrogen and progesterone therapy. This is to assist the pregnant woman in her pregnancy.
  4. Provide rest and increase the pregnant woman’s fluid intake.
  5. Assist the pregnant woman in dealing with the condition. This can allow the woman to not panic and shall assist the woman to aim for a better health. The responsibility of the pregnant woman is to attend medical check-ups so to avoid adverse effects or complications.
  6. When there is minimal spotting, use of vaginal tampons are not recommended.
  7. The pregnant mother should be alert and that if there is untoward effects experienced, they should ask for the doctor’s advice.

Subchorionic Hematoma During Pregnancy

Subchorionic hematoma during pregnancy is somehow identified by the doctors as natural condition, not unless large hematomas are involved and are found late. There is a tendency that once the ultrasound show hematoma and the doctor shall explain the phenomenon, the mothers become agitated. This is likely especially for most mothers are unaware of such condition. Women should be educated as to properly attain good and a smooth pregnancy.

First Trimester

Subchorionic hematoma in the first trimester of pregnancy does not entail alarm or effect on the pregnancy. This will indicate implantation of the fertilized egg. Also, this can be considered alarming when a person is suffering from hemorrhage.

Second Trimester

In the second trimester of pregnancy, once subchorionic hematoma is noted it shall slowly clear up. This is indeed possible because about 25% of pregnant women are affected of such condition.

Third Trimester

This seemed to indicate as serious late effect in the pregnancy. It is not likely to suffer from subchorionic hematoma in this stage. This is due to the fact that is uncommon and may indicate placental abruption. This may be accompanied by severe abdominal and bleeding which is unlikely.



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