Doctor insights on:
Subchorionic Hematoma In Pregnancy
Adverse effects of: SCH on pregnancy outcomes depend on size, gestational age, & maternal age. Fetal growth restriction, placental abruption, pre-eclampsia, prematurity, & fetal distress may occur. If there is significant decrease in blood flow & nutrients to the fetus, brain & other organ development may be impacted. Anxiety doesn't help. Monitoring & treatment by a Fetal-Maternal Medicine specialist do help. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Is it safe to masterbate, orgasm and have sex while you have a subchorionic hematoma in early and late pregnancy? Orgasms make your uterus contract?
See answer: The presence of ultrasound-detected subchorionic hemorrhage (hematoma) increases risk of miscarriage, stillbirth, abruptio placentae, and preterm labor. Depending on your findings and md, may advise strict bed rest, refrain from lifting heavy objects, and avoid exercise. In most cases, you’ll be asked to avoid sexual intercourse (and masturbation?) until the hematoma dissolves and disappears. ...Read more
What are the chances of a medium sized subchorionic hematoma resolving and ending in a normal pregnancy? I am currently 7 weeks 6 days pregnant. I had my first prenatal visit 4 days ago and everything looked good. Two days ago after getting out of the sho
To answer your questions: yes, there is a chance it will resolve on its own. There is definitely a chance of a miscarriage. With a medium sized subchorionic hemorrhage, your changes of a successful pregnancy are most likely around 50-50, but I have definitely seen it happen. A subchorionic hemorrhage does not necessarily put you at any greater risk of placental abruption, which is a different medical condition.
You have done everything correctly. Be sure that you know that this is a random occurrence and just one of those things that happens for no reason. I will wish you the best. ...Read more
The hematoma may give the sac an unusual shape. Usually it does not. If there is a n unusual shape a follow up ultrasound and evaluation should be done within a week or right away if there is painful bleeding, or heavy bleeding.
Nature will decide how successful the pregnanacy can turn out. There is nothing you can do to change the eventual outcome for the embryo. ...Read more
Adverse effects of: SCH on pregnancy outcomes depend on size, gestational age, & maternal age. Fetal growth restriction, placental abruption, pre-eclampsia, prematurity, & fetal distress may occur. If there is significant decrease in blood flow & nutrients to the fetus, brain & other organ development may be altered. Anxiety doesn't help. Monitoring & treatment by a Fetal-Maternal Medicine specialist do help. ...Read more
See below: Chances are good that the fetal will survive. ...Read more
How long should I expect a subchorionic hematoma to bleed? When should I start to worry if it does not? (I have already seen a doctor about it)
As long as the fetus is growing appropriately, that is the best you can hope for. Clearly, if you have other medical disorders, these should be under control.
Best wishes ...Read more
Is 3.2 x 1.6 x 2.3 retroplacental marginal hematoma and 1.2 x 0.6 x 1.9 cm subchorionic hematoma in the fundus big for 14 weeks? Is it dangerous?
Monitoring: Subchorionic hematoma are small areas of blood collected behind the placenta. They increase the risk of bleeding and miscarriage slightly. The further along in pregnancy the less the risk of pregnancy loss. Continued monitoring with serial ultrasound is warranted. 3 cm is moderate size but size is relative in these cases as the size does not necessarily correlate with risk. ...Read more
How long should I expect a subchorionic hematoma to bleed? When should I start to worry if it does not stop? (I have already seen a doctor about it)
Continue care: This is not a simple question. Continue to see your physician for care and explanation of how you feel. ...Read more
Problems: Subchorionic bleeding is usually placental in origin, making a stable bleed a stable placental abruption. Subchorionic bleeding is associated with elevated rates of miscarriage, preterm labor, placental abruption, and preterm rupture of membranes. Many cases will turn out ok though. An OB should be involved, and serial ultrasound can be helpful in following the bleed. ...Read more
Pregnancy bleed: Subchorionic hematomas are small blood collections behind the placenta. It is common in the first trimester of pregnancy. Trapped blood will either reabsorb, find a path way out or simply stay in place. If it can find a pathway out then the patient will see bleeding. Close follow up with your Obgyn is warranted. ...Read more
14 weeks pg. Subchorionic hematoma. Blood looks like its breaking down. Us looks different it's big. Should I be on bed rest?
No: There's no evidence that bed rest would help your situation. A lot of women (most) who have subchorionic hemorrages do fine with their pregnancies. Avoid seriously strenuous activities, and consider avoiding sexual intercourse and orgasm. But bed rest, lying in bed, isn't going to help and may have complications of its own. ...Read more
I am 6w3d and my scan today said perisac hematoma measuring 2.8 x 0.4 x 0.8 cm... Is this the same as a subchorionic hematoma? What's the difference?
This: Perisac hematoma should be the same as a subchorionic hematoma. Just different nomenclature. ...Read more
I went in for an early U/S yesterday and my OB said that I have and irregular shaped gestational sac (bottom edges are wavy) and a small subchorionic hematoma. Baby had a heartbeat and measured 6w4d and I thought I should be about 7w1d. I was scheduled to
I am: Not sure what the question is it is cut off. The ultrasounds are within the sensitivity of the machine. ...Read more
Can pill of 240mg DHA /340mg epa cause blood thinning/bleeding of my non-bleeding small subchorionic hematoma? I'm 10 weeks preggo & it's never bled.
Maybe: Any supplement or medication taken during pregnancy must be carefully discussed and reviewed before you start taking it with your ob-gyn. There are conflicting reports regarding whether these omega 3 fatty acids cause bleeding or making clotting more difficult once bleeding has occurred. A hematologist can directly test your bleeding time and recommend if benefit outweighs risk. ...Read more
My ultrasound shows subchorionic hematoma I am 6wk long and I have a history of miscarriages my OB didn't put me on bed rest is these normal?
Yes: Subchorionic hematomas are quite common in early pregnancy, and most of them are absorbed (blood is washed away) within a few weeks. Bed rest is usually not necessary, but pelvic rest may be a good idea (nothing inserted into the vagina)...consider discussing this with your OB. They may want to do a follow up ultrasound in a month or two. Congrats on your pregnancy! ...Read more
Do repeated light bleedings in both 1st and 2nd trimesters due to subchorionic hematoma and placenta previa increase my risk of placenta abruption during 3rd trimester?
DX subchorionic hematoma 3wks ago @8wks preg. Fetal heart &growth normal. Red bleeding/clotting turned brown. Red blood+clots just returned. Why? Bad?
SCH: SCH (subchorionic hematomas) are very common findings in early pregnancy. The often cause bleeding. Although the rate of miscarriage is higher in most cases things turn out fine. It is a small blood collection behind the placenta. The blood is either reabsorbed or it drains out. Typically a follow up sonogram is done over the next few weeks to confirm. ...Read more
Pregnancy Bleeding: A subchorionic hemorrhage/hematoma is a bleed between the pregnancy and the uterine wall. It is an US finding, that if coupled with vaginal bleeding, can potentially increase the risk of miscarriage/preterm delivery, but w/out vaginal bleeding, it's hard to say. Size matters; worse if bigger (covering ~50% of placental bed) or occurring later. It can heal itself, but you just have to wait/watch. ...Read more
6weeks pregnant subchorionic hematoma has almost completely resolved itself in 2days. Small persisting hypoechoic are 11x4mm safe to travel by plane?
Air travel: Air travel does not cause or increase the risk of miscarriage. If your doctor restricted your travel it was more likely out of concern for having a miscarriage will traveling not because travel would cause it ...Read more
11 weeks pregnant subchorionic hematoma measured 7.5 cm. I only bleed once but, its been 2 weeks now I'm having dark brown discharge. Why is that?
Old blood: The longer that subchorionic hematoma sits there, the darker the blood gets, so when it eventually seeps out, it's brown. It's less worrisome if it's brown. Bright red bleeding usually implies fresh/new blood. ...Read more
10 weeks pregnant with a subchorionic hematoma. Confirmed heartbeat. Can stressful situation such as death of a family cause bleeding or hurt baby.
Chronic stress can: Lead to pregnancy complications, but it does not cause a subchorionic bleed in the first trimester. Especially since you have the added stress of having to wait to know the significance of the bleeding along with the normal grieving process, it would be wise to seek therapy pro-actively, so as not to develop chronic anxiety or depression. ...Read more
Can my fish oil pill thin blood or cause bleeding? I'm 10wks pregnant & have a small subchorionic hematoma but have never bled & am not bleeding now
The result of transvaginal scan in 7w2d pregnancy. I have subchorionic hemorrhage of 1.7 x 2.42 x 1.12cm, lower uterine pole. How danger is that?
Maybe OK since early: A subchorionic hemorrhage/hematoma is a bleed between the pregnancy and the uterine wall. It is an US finding, that if coupled with vaginal bleeding, can potentially increase the risk of miscarriage/preterm delivery, but w/out vaginal bleeding, it's hard to say. Size matters; worse if bigger (covering ~50% of placental bed) or occurring later. It can heal itself, but you just have to wait/watch. ...Read more