I was in the bathroom when a sudden, severe pain struck me in my back and abdomen. I hunched over, barely able to keep myself from dropping to the floor.
As the blood drained from my 9-weeks-pregnant body, my first thought was that I was having a miscarriage. I was crying uncontrollably as I slowly lowered myself to the floor. I screamed my husband's name, knowing he would be able to hear me from wherever he was in our 2-bedroom apartment. He came running into the bathroom to find me sprawled out on the floor writhing in pain.
We didn't have anyone nearby who could watch our kids; our closest family lived more than miles away. So we piled into our car en route to the hospital.
The ultrasound showed a healthy baby with a strong heartbeat.
I let out a sigh of relief. Pregnant women hospitalized with a subchorionic bleed are about 3 times more likely to have a miscarriage than other women who are hospitalized with symptoms of a threatened miscarriage, according to one study. The same study also found that miscarriage is more likely with a subchorionic hemorrhage if the size of the hematoma is large in relation to the size of the fetusif the mother is over 30 years oldor if the baby is less than 9 weeks old.
I was 37 years old, and being an older mother made me much more likely to have the condition. The hemorrhage was substantial, and I had just hit the 9-week mark in my pregnancy. I had already had a subchorionic hemorrhage with my second pregnancy, which was only a year before my third.
At that time, I was an American expat living in Dubai, where I gave birth to my first daughter. I had an ultrasound to confirm the pregnancy at two months, which was considered routine maternity care at the American Hospital in Dubai.
By chance, a small hematoma was found on the ultrasound. I had no idea that I even had it, because there was no bleeding or pain. But a week after that, I started to have light spotting. But I ended up having slightly more bleeding during and after my outgoing flight, so I opted to stay and have my second baby at home in the U. I didn't want to take any more chances by flying with an active bleed.
I was too worried about a reoccurrence of bleeding to enjoy a walk or feel comfortable playing with my 1- and 2-year-old kids, who could accidentally hit my pregnant belly.
The subchorionic bleed with my third pregnancy, however, was much larger than the one with my second, and required me to make some significant changes to my lifestyle. I went on pelvic rest, which meant not having sex or otherwise putting strain on the pelvic area. Before the hematoma, I exercised frequently by taking walks, doing yoga, and using an exercise bike.
I stopped all exercise except for short walks to my car and at my workplace, spending most of my time in my apartment. I was also advised not to lift any significant amount of weight, which was extremely difficult to do when raising 2 young kids.
Lifting my daughters into highchairs, car seats, and cribs was uncomfortable, so I stopped doing that as well. I continued working, though; as a professor, I could do half of my working hours from home.This material must not be used for commercial purposes, or in any hospital or medical facility.
Subchorionic Bleeding During Pregnancy
Failure to comply may result in legal action. Medically reviewed by Drugs. Last updated on Feb 3, A subchorionic hemorrhage SCHor hematoma, is a collection of blood between the placenta and the uterus. SCH usually develops late in the first trimester. The bleeding usually reabsorbs into your body by 20 weeks of pregnancy. Most pregnancies progress without problems. You may have occasional spotting or light bleeding throughout your pregnancy. Do not have sex, douche, or use tampons.
Do not strain or lift heavy objects. These activities may cause contractions or infection and put you or your baby at risk. You may need to rest more than usual. Do daily activities as directed. You may need to return frequently for ultrasounds. Write down your questions so you remember to ask them during your visits. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. Everything looked and measured great with the baby. Little heart just beating away. I did have a small 6mm x 9mm subchorionic hematoma. And of course now I am feeling anxious about that.
Any of you guys have the same thing or had it in the past? How did it turn out? I've had only some scant spotting during week 5 but none since Monday I am in the same boat! Went back into the clinic and they measured it and it is only 9mm now.
My REI said what she could see yesterday was just a small bleed, with no blood flow going to it and it is on the opposite side of the gestational sac than the blood flow to the baby, so that is super reassuring. But that does not stop me from being worried!! I was also on aspirin for this FET, which they took me off of after Tuesday to see if that would help the clot not to increase in size. I am a labor and delivery nurse, and have seen and known many women who have had SCHs that have resolved and gone on to have completely healthy babies!
But even with that knowledge, it doesn't stop you from being scared! I had a large SCH around the same time and it was scary. I passed large clots so it made me really anxious. I'm 16 weeks now and it resolved on it's own around 9 or 10 weeks. I had SCH around 6 weeks, the day of my first ultrasound and I woke up bleeding. Needless to say, I was terrified.From the little research I have done nothing too scientific it seems there might be a link.
Does anyone have any insight on this? My doctor did say it was common in IVF cases. I did not really go into it with her to find out why, but that is what she told me as a reassurance that it would be okay. My theory on it is because of the egg transfer, that inserting the embryos into the uterus with the catheter could somehow cause a clot.
I read in general there tends to be more SCHs diagnosed with IF patients, but the theory is that because IF patients get such careful and close monitoring in the beginning they are found before they would typically resolve. DD is 1. Log in. My account. Baby Registry. The Bump Baby Registry. Getting Pregnant. Sign up for The Bump! Get weekly updates on baby and your body. Start by selecting which of these best describes you! Success after IF New Discussion.
April in Success after IF. Make a pregnancy ticker. Report 0 Reply to Post.
April Nothing scientific here either but it seems they happen a lot more often with IVF. I had one Report 0 Reply. I really have not looked into it to see if that has some validity to it. A lot of years and a million tears finally led me to you. My Christmas baby turned into a turkey bird! Dillon Richard was born at 34 weeks, 5 days on November 28, after 10 weeks on bedrest for preeclampsia. Loading the player When my RE found mine, he said it was very common and he saw them in many of his patients.
I did have one with my IVF pregnancy, but I've had two this pregnancy and it was unassisted so I don't know if there is a connection or not. Baby K born via surprise c-section after 15 hrs of labor and he is perfect!! LnR member. I had a large one. May We strive to provide you with a high quality community experience. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly.
Everything was measuring 6 weeks and we saw a heart flicker but I was diagnosed with a subchorionic hemorrhage. What does this all mean? Am I more likely to miscarry? I did lose that baby full disclosure but it was due to a genetic disorder not because of the subchorionic hemorrhage. Good luck and congrats!
I have positive stories for you.Subchorionic hematoma in early pregnancy : worry or not? - Dr. Sangeeta Gomes
Both pregnancies I have had SCHs in my first trimester. The first pregnancy I had one that bled a lot from weeks then completely healed.
My child is now 2 years old. Once baby is bigger than the bleed did they measure it on your ultrasound? Just wanted to share my positive story - there are many stories like mine.
I had one with my pregnancy that resulted in my 2yo DS. I had one episode of a lot of bright red bleeding at 11w3d at which point the SCH was diagnosed. I was terrified of miscarrying.
Wishing you all the best! I'm so sorry you are going through this. I have had SCH's during three out of my four pregnancies. With my daughter, I had a huge scary bleed at 21 weeks. I thought for sure that I had lost her. It reabsorbed by 26 weeks. My second pregnancy I suffered a miscarriage and had no bleeding whatsoever and no SCH was ever detected. My third pregnancy was a result of Ivf frozen transfer. I had a huge bleed around 5 weeks and was diagnosed with a medium sized SCH.
Unfortunately, that pregnancy was a rare form of ectopic called a cornual ectopic but had nothing to do with the SCH. I am currently5 weeks 5 days after another frozen embryo transfer and saw the heartbeat today!To assess the effects of ultrasonographically detected subchorionic hematomas on pregnancy outcomes in patients with vaginal bleeding within the first half of pregnancy.
Patients diagnosed with threatened abortion due to painless vaginal bleeding and who were followed up in an in-patient service during the first vaginal bleeding between January and December were included in this retrospective cohort study. Patients were divided into two groups according to the presence of subchorionic hematoma. Miscarriage rates and pregnancy outcomes of ongoing pregnancies were compared between the groups. There were no statistically significant differences between the groups regarding demographic parameters, including age, parity, previous miscarriage history, and gestational age at first vaginal bleeding.
While 13 of 44 pregnancies The gestational age at miscarriage and the duration between first vaginal bleeding and miscarriage were similar between the groups. The outcome measures of ongoing pregnancies, such as gestational week at delivery, birth weight, and delivery route, were also similar between the groups. Ultrasonographically detected subchorionic hematoma increases the risk of miscarriage in patients with vaginal bleeding and threatened abortion during the first 20 weeks of gestation.
However, it does not affect the pregnancy outcome measures of ongoing pregnancies. Intrauterine bleeding without cervical dilatation and tenderness during the early pregnancy period is defined as threatened abortion.
Generally, it is not associated with pain and excessive bleeding. One of the suggested mechanisms for threatened abortion is placental dysfunction, which can also cause several late complications, such as preeclampsia, preterm labor, preterm birth, placental abruption, placenta previa, intrauterine growth restriction, and perinatal mortality 23.
Together with these markers, chronic inflammation of the decidua might also be the underlying cause of early pregnancy bleedings. Subchorionic hematomas SCHs usually appear as hypoechoic or anechoic crescent-shaped areas on ultrasonography. Although the exact etiology is uncertain, they are believed to result from partial detachment of the chorionic membranes from the uterine wall 7. Uterine malformations, history of recurrent pregnancy loss, and infections are the possible predisposing factors 8 — The clinical significance of SCH remains controversial 11 — It is also not certain if these hemorrhages result in abortion.
However, according to the results of a recent meta-analysis, the presence of SCH increases the risk of early or late pregnancy loss by 2-fold It is suggested that the presence of SCH increases the risk of an adverse obstetric outcome, and fetal outcome is associated with the size of the hematoma, maternal age, and gestational age 16 The aim of the present retrospective cohort study was to assess the effects of ultrasonographically detected SCH on pregnancy outcomes in patients with vaginal bleeding within the first half of pregnancy.
The effects of subchorionic hematoma on pregnancy outcome in patients with threatened abortion
The study was approved by the institutional review board of Ankara University School of Medicine. The study group consisted of 44 patients with SCHs observed on ultrasonography, and the control group consisted of patients without SCHs. All included patients were hospitalized for at least 3 days following the first vaginal bleeding episode.
Subsequent to discharge from the hospital, patients went on routine antenatal follow-up programs. The pregnancy outcomes were compared between the study and control groups. In patients whose pregnancies resulted in miscarriage, the gestational age at miscarriage and the duration between the first bleeding and miscarriage were compared. In patients whose pregnancies resulted in delivery, gestational age at labor, birth weight, preterm delivery, and cesarean section rates were compared between the groups.
Shapiro-Wilk test was used to test the distribution of normality. According to the results, non-parametric tests were preferred. Continuous variables were compared with Kruskal-Wallis test.Chorionic hematoma otherwise referred to as chorionic hemorrhage is the pooling of blood between the choriona membrane encompassing the uterine wall and the embryo.
With a frequency of about 3 percent in all pregnancies, it is the most frequent sonographic anomaly and the most frequent cause of first trimester bleeding. Subchorionic hematoma, on the other hand, is a classification of chorionic hematoma that specifically refers to blood accumulation within the chorion folds or between the placenta and uterus.
Subchorionic hematoma involves accumulation of blood between membranes of the placenta and the uterus. A more specialized name of the membrane is chorion.
A few medical professionals will likewise simply allude to it as a bloodstream clot. There may be nothing the woman could have done to trigger the condition, subchorionic hematoma strikes pregnant ladies of any age and background.
Most patients that have subchorionic hematoma are asymptomatic. If symptoms are present, it may include severe stomach pains, vaginal bleeding, threatened abortion, miscarriage, et al. Ultrasonography is the favored approach in determining the hematoma. A chorionic hematoma turns up on ultrasound like a hypoechoic crescent next to the gestational sac. Conversely, the presence of intrauterine hematoma noticed before nine weeks of gestation has been relevant to an expanded danger of miscarriage.
Several years ago, when pregnant women suffer from early trimester hemorrhage, doctors immediately expected that it was a looming miscarriage. They simply do not have any other data to take due to lack of technology. At present, with the assistance of ultrasound and innovation, doctors now have the capacity to come up with a more sophisticated analysis. Diagnosis of subchorionic hematoma is usually dependent on manifested symptoms and representations through ultrasound results.
For example, in patients who visit their doctor with complaints of vaginal bleeding before scheduled pregnancy, further examination will be necessary. Ultrasound, either transvaginal or abdominal, would most probably be performed. Amidst the ultrasound procedure, the doctor or radiologist will also assess the baby to evaluate its condition. Identifying a new subchorionic hematoma with an untrained eye is difficult.
The hematoma commonly turns up as a dark mass inside the uterus. To consider, conventional ultrasound photos seem blackish, it will certainly be a challenge.
Each doctor may take a different approach compared to the other. There will be doctors that allow continuation of everyday activities while some recommend complete bed rest. Being diagnosed with subchorionic hematoma compared to miscarriage is most likely a better news.
But having subchorionic hematoma certainly has its own set of concerns.