Causes of Sub-chorionic Hematoma
The exact cause of a sub-chorionic hematoma isn't always clear, but some possible contributing factors include:
• Implantation bleeding: When the fertilized egg implants itself in the uterine lining, some minor bleeding can occur.
• Placental abnormalities: Problems with the development of the placenta can lead to bleeding.
• Trauma: Minor injuries to the abdomen, including those from coughing or straining, may irritate the uterus and cause bleeding.
• Uterine abnormalities: Certain uterine fibroids or polyps can increase the risk of SCH
Symptoms of Sub-chorionic Hematoma
The main symptom of a sub-chorionic hematoma is vaginal bleeding, which can range from light spotting to heavy bleeding. However, some women may not experience any bleeding at all. Other possible symptoms include:
• Mild abdominal cramping
• Lower back pain
Diagnosis of Sub-chorionic Hematoma
A sub-chorionic hematoma is typically diagnosed during a routine ultrasound. The ultrasound will show a dark area between the uterine wall and the amniotic sac. In some cases, additional testing, such as a blood test, may be needed to rule out other causes of bleeding.
Risks of Sub-chorionic Hematoma
In most cases, a sub-chorionic hematoma does not cause any complications. However, there is a small risk of miscarriage, especially if the hematoma is large. There is also a slightly increased risk of placental abruption (when the placenta separates from the uterine wall) later in pregnancy. In some cases, a sub-chorionic hematoma can also lead to problems with placental development, which can affect the baby's growth.
Prevention of Sub-chorionic Hematoma
There is no known way to prevent a sub-chorionic hematoma. However, maintaining a healthy lifestyle during pregnancy may help reduce your risk of complications. This includes:
• Eating a healthy diet
• Getting regular exercise
• Taking prenatal vitamins
• Avoiding smoking and alcohol
If you are pregnant and experience any vaginal bleeding, it is important to see your doctor right away to determine the cause. Early diagnosis and treatment can help improve the outcome of your pregnancy.
Treatment of Sub-chorionic Hematoma
There is no specific treatment for a sub-chorionic hematoma. Most hematomas resolve on their own within a few weeks. In the meantime, your doctor may recommend:
• Pelvic rest: Avoiding strenuous activity or sexual intercourse
• Monitoring for bleeding: Keeping track of the amount and color of any bleeding
• Follow-up ultrasounds: To monitor the size of the hematoma
