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subchorionic hematoma vs blood clotting
Dear expert,
I am 24 weeks pregnant and so far everything is going well. Early in this pregnancy (which is my very first), I had subchorionic hematoma and had heavy bleeding between weeks 6 and 10 when hematoma resolved itself. Then again from week 12 to almost 16 weeks I had more bleeding potentially due to placenta previa although my ob told me it was too early to diagnose me with placenta previa. Perinatologist could not find any reason for that second round of bleeding. From 16 weeks on I have not had more bleeding. My question is, should I be taking baby aspirin or some blood thinners? Is hematoma a sign of a blood clotting disorder or am I totally confusing two different conditions? Also, am I at risk of placental abruption because of that early hematoma and what would be the sign of that?
Thank you so much for your advice.
Sincerely,
Helen72
I am 24 weeks pregnant and so far everything is going well. Early in this pregnancy (which is my very first), I had subchorionic hematoma and had heavy bleeding between weeks 6 and 10 when hematoma resolved itself. Then again from week 12 to almost 16 weeks I had more bleeding potentially due to placenta previa although my ob told me it was too early to diagnose me with placenta previa. Perinatologist could not find any reason for that second round of bleeding. From 16 weeks on I have not had more bleeding. My question is, should I be taking baby aspirin or some blood thinners? Is hematoma a sign of a blood clotting disorder or am I totally confusing two different conditions? Also, am I at risk of placental abruption because of that early hematoma and what would be the sign of that?
Thank you so much for your advice.
Sincerely,
Helen72
A related discussion, pregnant hematoma was started.
A related discussion, Subchronic Hematoma was started.
Hello Doctor,
I have a similar situation with Helen, only I am 8 weeks pregnant and my hematoma grew from last week to this week by 4.5 cm!! now it is 5 cm and doc says it can go eithr way even though right now placenta is pretyt far away from the hematoma....but I haven't bled and almost didn't spot.....what to expect? This would be my first and I wish the hematoma dissolve as oppose to get bigger..but so far it has grew....what are my chances?
Thank you!!
Anya
I have a similar situation with Helen, only I am 8 weeks pregnant and my hematoma grew from last week to this week by 4.5 cm!! now it is 5 cm and doc says it can go eithr way even though right now placenta is pretyt far away from the hematoma....but I haven't bled and almost didn't spot.....what to expect? This would be my first and I wish the hematoma dissolve as oppose to get bigger..but so far it has grew....what are my chances?
Thank you!!
Anya
MEDICAL PROFESSIONAL
Hi! Congratulations! Do you know if its a boy or girl yet?
A subchorionic hematoma usually results from a separation of the sac from the wall of the uterus. I always describe it to my patients as a bruise. And they resolve just like a bruise--whatever doesn't drain out gets reabsorbed by the body.
We don't know why people get subchorionic hematomas, but aspirin or blood thinners are unlikely to help, and might make you bleed more.
I don't believe that the subchorionic hematoma puts you at higher risk for abruptio--as they usually do one of two things--heal completely, or get worse and cause a miscarriage--that would have happened by now if it were going to.
Placenta previa can be diagnosed by 24 weeks, so if you have another ultrasound, I'm sure they will let you know--or if not ask.
Symptoms of abruptio or previa would be bleeding, and I'm sure you are already aware that you need to report any bleeding to your doctor immediately.
Bleeding in early pregnancy always makes for a nerve-wracking pregnancy! I hope and suspect that you are done with the bleeding problems.
Good luck!
Dr B
A subchorionic hematoma usually results from a separation of the sac from the wall of the uterus. I always describe it to my patients as a bruise. And they resolve just like a bruise--whatever doesn't drain out gets reabsorbed by the body.
We don't know why people get subchorionic hematomas, but aspirin or blood thinners are unlikely to help, and might make you bleed more.
I don't believe that the subchorionic hematoma puts you at higher risk for abruptio--as they usually do one of two things--heal completely, or get worse and cause a miscarriage--that would have happened by now if it were going to.
Placenta previa can be diagnosed by 24 weeks, so if you have another ultrasound, I'm sure they will let you know--or if not ask.
Symptoms of abruptio or previa would be bleeding, and I'm sure you are already aware that you need to report any bleeding to your doctor immediately.
Bleeding in early pregnancy always makes for a nerve-wracking pregnancy! I hope and suspect that you are done with the bleeding problems.
Good luck!
Dr B
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