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Subchorionic Bleed and Ruptured SAC

Hello all,

I am almost 19 weeks pregnant.  I have a large subchorionic hemotama (blood clot).  It is approximately 8x6 centimeters.  I have been monitored closely by a perinatologist  for the last couple of months.  We had high hopes that the blood clot would shrink and be reabsorbed.  However, today things took a turn for the worse as the amniotic sac has ruptured and there is no fluid surrounding the baby.  The blog clot is now pressing up closely against her and they are competing for space in my uterus.  

The doctors are recommending that I terminate the pregnancy because they don't believe the baby will survive under these conditions, and I am already at increased risk because I am still bleeding.  They are worried that I may hemorrhage which could, of course, affect any future chances of conceiving or worse.

My dilemma is that the baby's heart is still beating, and I don't want to give up on my little girl.  The doctor has sent me home for the time being because my blood is still clotting normally (I forget the term for when your body stops clotting altogether) , and I don't appear to be in any immediate danger.

My feeling is that I will have to go through the procedure on Monday.  The doctor is merely giving me time to grieve and wrap my mind around this tragedy.  I just wondered if anyone could offer any advice, medical or otherwise.  I just need someone to talk to.  

Thank you.  
12 Responses
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Avatar universal
I just saw this and am very afraid of the same thing. Our baby is 12 weeks and they found the clot at 8 1/2 weeks. I just had another ultrasound and the clot has gotten bigger and is now pushing on the sac. I am praying for a miracle and that the clot will disolve. I can't imagine going thru this again as it will be my second miscarriage in a row. My first was a missed miscarriage. I am trying to keep positive and pray constantly that my baby will be ok I am on pelvic rest, getting progesterone shots weekly, and taking baby asprin daily. I am so sorry for your loss and can't imagine the hurt you went thru. I know time has gone by for you and I hope you have had some good news since your tragedy.
Helpful - 0
Avatar universal
I just saw this and am very afraid of the same thing. Our baby is 12 weeks and they found the clot at 8 1/2 weeks. I just had another ultrasound and the clot has gotten bigger and is now pushing on the sac. I am praying for a miracle and that the clot will disolve. I can't imagine going thru this again as it will be my second miscarriage in a row. My first was a missed miscarriage. I am trying to keep positive and pray constantly that my baby will be ok I am on pelvic rest, getting progesterone shots weekly, and taking baby asprin daily. I am so sorry for your loss and can't imagine the hurt you went thru. I know time has gone by for you and I hope you have had some good news since your tragedy.
Helpful - 0
Avatar universal
Thank you all for your support.  It's been a few months since then and I wanted to sign back in and provide an update. Anytime I read someone's story, I always want to know what happened to that person and if they eventually got any answers.  So here's what I found out and I hope it helps someone in a similar situation.

I did have to terminate my pregnancy because I was at risk for sepsis.  The nurses and doctors were wonderful.  A priest came to pray over us, and then they induced labor.  When Sophia was born, my husband and I got to hold her. She had passed away during labor.

She looked just like my husband's family. The nurses took pictures of her. I wasn't sure if I wanted them to, but three months later, I am so grateful to have pictures of my only daughter. She is so beautiful.

My doctors decided that I should be tested for any blood clotting disorders before I attempt to become pregnant again.  They drew about 20 vials of blood to test.  The results showed that I have mutated MTHFR genes (homozygote C).  This condition causes my blood to clot too quickly and decreases my ability to metabolize folic acid, B6 and B12 vitamins.  If I decide to become pregnant again, I will have to take blood thinners and increase my B-complex vitamins both before and during pregnancy. (Lovenox is the blood thinner he recommended, and he prescribed Folgard as a vitamin supplement in addition to my prenatal vitamin.)

My husband and I have decided to look into adoption because I just don't think I have the courage to go down this path again.  This is our decision, but I wanted to put this information out there for others.  There is hope for people with my condition, as long as you are strong enough to endure the risks. Much love to you all.

Sincerely,

Leimpshin's mom



Helpful - 0
901749 tn?1243542956
I am so terribly sorry to hear of your loss.  I'm glad you are able to have her with you now.  I just m/c last week but was only 6 weeks.  Most of the time no one knows the cause but it wasn't anything you did or didn't do...I hope you find peace and reassurance in that. My thoughts and prayers are with you.
Helpful - 0
631676 tn?1333718203
I am so sorry to hear your story. God bless your little girl and give you strength. Dont' know what else to say except that I am lending you my ears...
Helpful - 0
764229 tn?1322519884
I am so sorry for your loss, I am glad you got to hold her, Now you will always have your beautiful daughter looking down on you, I am sure she knows how much you love and miss and and will touch your lives from heaven many times. God  Bless Julia
Helpful - 0
Avatar universal
Thank you all for your kind words and prayers.  I delivered my little baby last Tuesday.  She had passed away at some point during my labor. She was so beautiful!  They let me hold her.  I wasn't sure if I would want to at first, but it really helped. She was real.  She had life and she was mine.  I was surprised at how much she looked like my husband and his mom and sister. She was cremated on Thursday and now she is home with us.  I think we're going to start going to a support group.  We don't have any family where we live and it really helps to talk about her.

When you go through something like this, you have a myriad of questions.  Why did this happen?  Was it something I did?  Will it happen again if we try to get a pregnant again?  

Anyway, thanks for lending your ears.  God bless you all.  
Helpful - 0
Avatar universal
oh goodness what an awful situation, i am sorry and will pray for u..god bless u..
Helpful - 0
764229 tn?1322519884
I to would like to say that I am so sorry!  I hope you have some good family to help you those this!!  God Bless julia
Helpful - 0
667829 tn?1297978123
I am so sorry, I have nothing to offer in the way of advice, just my thoughts are with you.
Helpful - 0
667409 tn?1309152183
No advice here, either...but I wanted to let you know that you have support here, no matter what. It must be an awful place to be in, and I'm sorry you are going through this! Good luck, and you're in my thoughts...

Tricia
Helpful - 0
178698 tn?1228774338
I;m very sorry for what you are going through.   It must be a horrible thing for the doctor to ask you to term the pregnancy.   I couldn't imagine going through that.  I'm so sorry that I can't offer any advice.  This is really really unfair.  

I don't even have a suggestion as to what to do.  I'm so sorry.   My heart truly aches for you.
Helpful - 0
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