What is a subchorionic hematoma?
A subchorionic hematoma is a complication of pregnancy that occurs when blood accumulates between the uterus and the placenta, specifically between the inner layer of the uterus called the chorion and the placenta. This difficulty can be worrying for pregnant women and their partners, and it is important to know in detail what subchorionic hematoma is, why it occurs, and how it is treated.
What Causes Subchorionic Hematoma?
The exact cause of subchorionic hematoma is not clearly defined. The common cause is believed to be the detachment of part of the placenta from the uterus. This may result from trauma, such as a fall or blow to the abdomen, or it may occur for no apparent reason. Other causes may include congenital abnormalities of the placenta or uterus, infections, blood disorders, or recreational drug use.
What are the symptoms of a subchorionic hematoma?
Symptoms of a subchorionic hematoma can vary in severity. Women may not experience any symptoms, but some may experience vaginal bleeding, cramping, abdominal or lower back pain, and a feeling of pressure in the pelvic area. In some cases, a subchorionic hematoma has been detected during routine ultrasound.
How is a subchorionic hematoma diagnosed?
A subchorionic hematoma can be diagnosed by ultrasound. Through an ultrasound, the doctor will be able to detect a collection of blood between the lining of the uterus and the placenta. Additional tests, such as blood tests, may also be done to check for blood disorders or infections.
What risk does a subchorionic hematoma pose to the mother and fetus?
A subchorionic hematoma can increase the risk of complications during pregnancy. For example, a large hematoma can increase the risk of miscarriage, preterm birth, placenta previa, and fetal growth restriction. However, many uteri with subchorionic hematoma proceed without complications and are carried to term without problems.
How is a subchorionic hematoma treated?
Treatment of subchorionic hematoma depends on the severity of the complication and the gestational age of the fetus. In some cases, bed rest is recommended to minimize physical activity and reduce the risk of further bleeding. In other cases, medication may be prescribed to reduce the risk of miscarriage or delay labor. In severe cases, hospitalization and intravenous drug administration may be considered.
Can a subchorionic hematoma be prevented?
In most cases, subchorionic hematoma cannot be prevented. However, there are some steps pregnant women can take to reduce the risk of complications during pregnancy. For example, it is important to avoid abdominal injuries, eat a healthy balanced diet, exercise safely, and avoid the use of recreational drugs. In addition, it is important that pregnant women receive adequate prenatal care and have routine medical examinations to detect any complications as early as possible.
What is the long-term prognosis of subchorionic hematoma?
In most cases, subchorionic hematoma resolves on its own and does not leave long-term sequelae. However, in severe cases, it can increase the risk of complications during pregnancy and childbirth. It is important that pregnant women follow medical recommendations and receive appropriate prenatal care to minimize the risk of complications.
When should a pregnant woman seek medical attention if a subchorionic hematoma is suspected?
If a pregnant woman experiences vaginal bleeding, cramping, lower back or abdominal pain, or a feeling of pressure in the pelvic area, she should seek immediate medical attention. A doctor can perform an ultrasound to detect any complications and recommend appropriate treatment.
In summary, subchorionic hematoma is a complication of pregnancy that can be worrisome for pregnant women and their partners. Although it cannot be prevented in most cases, it is important that pregnant women take appropriate care and have routine medical examinations to detect any complications as early as possible. If a pregnant woman suspects a subchorionic hematoma, she should seek medical attention immediately to receive appropriate treatment and reduce the risk of complications during pregnancy and childbirth.
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