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Please turn on JavaScript and try again. Important Phone Numbers. When should you call for help? Where can you learn more? Top of the page. Your Care Instructions A subchorionic hematoma or hemorrhage is bleeding under one of the membranes chorion that surrounds the embryo inside the uterus.
How can you care for yourself at home? Keep track of any bleeding, and follow the guidelines for when to call your doctor. Keep in mind that some bleeding during the first trimester or an abnormal finding on an ultrasound may: Not cause any problems for you or the baby. Turn out to be something more serious. But if this happens, it's best to find out early. Then you and your doctor can manage any complications sooner rather than later. The inner layer, closer to the baby, is the amnion. The outer layer, which is normally against the uterine wall, is the chorion.
How does a subchorionic hematoma look on ultrasound? Most of these occur in women who have had vaginal bleeding. These must be distinguished from regions of nonfusion of the membranes to the wall of the uterus, which are very common prior to 16 weeks gestation.
Findings which suggest a bleed or hematoma rather than membrane separation include irregular texture to the material seen beneath the membranes, a speckled rather than uniform appearance to the amniotic fluid. The image at left shows a crescent shaped subchorionic clot, indicated by the arrows. The image at right shows a larger, rounded subchorionic clot. Both women had experienced bleeding episodes during the prior week, and had passed blood clots. On rare occasions, we will be able to see the source of the bleeding beneath the membranes.
Usually, we cannot. This image is of a region of nonfusion of the membranes, also called chorioamniotic separation. From the appearance, it seems as though a second placenta is present. With the help of the images of the bones, regular sonography appears blackish.
Post identification of the blood clots, the sub-chorionic haemorrhage can get diagnosed. Whether the clots are resolving naturally or continue to grow further may be determined with the help of follow up ultrasounds. Subchorionic haemorrhage has mild symptoms, which, sometimes, go unnoticed. We suggest that you visit a gynaecologist twice a week during the first trimester. If there is bleeding or spotting, consult your doctor to identify and address the issue immediately.
Subchorionic haemorrhage can prove to be fatal to your baby, if not diagnosed on time. In case you experience bleeding during pregnancy , consult a gynaecologist, and take the necessary precautions. Sign in. Forgot your password? Get help. Create an account. Password recovery. FirstCry Parenting. Home Pregnancy Complications Subchorionic Hematoma. Pregnancy Complications. Sabiha Anjum Obstetrician and Gynaecologist.
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