Subchorionic bleeding occurs when the placenta detaches from the original site of implantation. This is called a subchorionic hemorrhage
Can you have a healthy baby with a subchorionic hemorrhage?
Many women with subchorionic hematomas have
healthy pregnancies and deliveries
. Small and moderate hematomas often go away on their own. Larger hematomas are more likely to cause problems. There is a higher risk if the subchorionic hematoma is detected in the first 20 weeks of your pregnancy.
Can a subchorionic hemorrhage cause a miscarriage?
Conclusion. Ultrasonographically detected subchorionic hematoma
increases the risk of miscarriage
in patients with vaginal bleeding and threatened abortion during the first 20 weeks of gestation.
How long does it take for a Subchorionic bleed to resolve?
A subchorionic hematoma can be considered large if it is greater than 50% of the size of the gestation sac, medium if it is 20-50%, and small if it is less than 20%. Large hematomas by size (>30-50%) and volume (>50 mL) worsen the patient’s prognosis. Hematomas may resolve
over 1-2 weeks
.
Does a subchorionic hemorrhage go away?
In
most cases, the bleeding goes away on its own
. Most women go on to have a healthy baby. But in some cases, the bleeding is a sign of a miscarriage or other problem with the pregnancy. Your doctor may want to do a follow-up ultrasound.
Should I be on bed rest with subchorionic hematoma?
He or she will order an ultrasound; depending on how large the subchorionic hematoma is and where it’s located, as well as on your practitioner’s preferences, you may be
put on activity restriction
(also known as bed rest) and asked to avoid sex until the hematoma dissolves and disappears.
What does a subchorionic hematoma look like when it comes out?
A subchorionic hemorrhage may cause bleeding that is visible or you may only see it during an ultrasound done in pregnancy for a different reason. It can be varying in quantity from spotting to heavy bleeding. The
blood can be pink, red, bright red or brown
.
What should you not do if you have a Subchorionic hemorrhage?
- Stay in bed, on bed rest.
- Avoid standing for long periods of time.
- Avoid sex.
- Avoid exercise.
How do you get rid of a Subchorionic hemorrhage?
Once a subchorionic hematoma forms there’s nothing a doctor can do about it.
There’s no treatment for
these blood clots. 2 However, they can be managed. If you develop one, depending on the location and size of the hematoma, your doctor may advise you to come in for regular follow-up exams.
How does Subchorionic hemorrhage heal?
Many subchorionic hematomas
will slowly dissolve without treatment
, just as a bruise under the skin dissolves. When the occurs, Mother may experience dark red or brown vaginal discharge.
Is it normal to have cramps with a subchorionic hemorrhage?
Vaginal bleeding caused by a subchorionic hematoma can range from light spotting to heavy bleeding with clots (although it is also possible to have no bleeding at all) (6,7).
Some women experience cramping alongside bleeding
, especially if bleeding is on the heavier side (6).
Does pelvic rest mean no oral?
Pelvic rest is OB-speak for avoiding sexual activity during pregnancy — in other words:
no sex
. Depending on the reason for pelvic rest in your case, you might be told no sexual activity of any kind (aka no orgasm), or you may be allowed sexual contact that doesn’t involve penetration.
What are the chances of miscarriage with subchorionic hematoma?
Pregnancies with a subchorionic hematoma are considered high risk. They have a higher risk of miscarriage
(17.6% versus 8.9%)
, stillbirth (1.9% versus 0.9%), and placental abruption (3.6% versus 0.7%).
Is it better for a subchorionic hematoma to bleed out?
Subchorionic hematoma pregnancy outcomes are usually very good
, as most hematomas are minor bleeds that will disappear over time. However, in rarer cases a subchorionic hematoma can be larger, leading to more severe vaginal bleeding.
How common is Subchorionic hemorrhage?
Subchorionic hemorrhage and subchorionic hematoma are the most common cause of vaginal bleeding in patients who are 10 to 20 weeks gestational age and make
up about 11% of cases
.
Can Subchorionic hemorrhage be mistaken for twins?
It is important to note whether embryonic cardiac activity is present. Subchorionic hemorrhage may be mistaken for
a twin gestational
… …
