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Published: Wed, January 18, 2017
World | By Tasha Manning

Subchorionic Hematoma During Pregnancy

Subchorionic Hematoma During Pregnancy

When your physician says the words "subchorionic hematoma," your first response might be to panic. But although you have a subchorionic hematoma is not great news, it does not always mean you are destined for an unhappy outcome-and many pregnancies affected by subchorionic hematoma turn out fine. A subchorionic hematoma is a collection of blood found between the pregnancy membranes and the wall of the uterus.

Scientists do not

Scientific reports on how common subchorionic hematoma are are hugely variable. In fact, according to a 2011 report in Obstetrics Gynecology , some studies report its incidence as low as 0.5 percent of all pregnancies, whereas others report it as high as 22 percent. Signs of Subchorionic Hematoma

A woman with a subchorionic hematoma may have bleeding of varying quantities, ranging from light spotting to heavy flow with clots, or she may have no bleeding at all . In fact, sometimes subchorionic hematoma is found incidentally on a routine ultrasound-the main tool used to diagnose subchorionic hematoma. A subchorionic hematoma increases the risk of some pregnancy complications like threatened miscarriage, preterm labor, preterm premature rupture of membranes, and placental abruption.

> While doctors are not sure why some women develop complications and others do not, there may be factors that influence women's individual risk as the size of the hematoma or when it is diagnosed in the pregnancy (early versus late). That being said, it is still hard to say, and the precise cause behind subchorionic hematoma remains elusive.

There is probably nothing worse than knowing something might be threatening your pregnancy and that you do not have the power to fix it. Be reassured that it is normal to feel anxious and distracted. But remember that there is a good chance that everything will turn out okay, especially if the hematoma is small. In fact, the odds of a positive outcome are much higher than the odds of losing the baby-so there is every reason to think positively.

A Word From Verywell

In this stressful Time, the best you can do is follow your doctor's recommendations and try to find ways to keep your mind occupied. If your physician has recommended bed rest, rent some movies or have your partner pick up the stack of new novels for you to read.

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Deutchman, M., Tubay, AT, Turok, D. (2009). First trimester bleeding. Am Fam Physician, Jun, 79, 11, 985-92. Leite, J., Ross, P., Rossi, A.C., Jeanty, P. (2006). Prognosis of very large first-trimester bruises. J Ultrasound Med, Nov, 25, 11, 1441-5. Palatnik, A., Grobman, W.A. (2015). The relationship between first-trimester subchorionic hematoma, cervical length, and preterm birth. Am J Obstet Gynecol, Sep, 213, 3, 403.e1-4.

Tuuli, MG, Norman, SM, Odibo, AO, Macones, GA, Cahil, l AG (2011). Perinatal outcomes in women with subchorionic hematoma: a systematic review and meta-analysis. Obstet Gynecol, May, 117, 5, 1205-12.

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