– This is a cavity of various sizes, filled with blood flowing from damaged vessels. During pregnancy, hematoma may occur as a result of exposure to various factors, which leads to detachment of the ovum.
Pregnancy 7 weeks
Classification of hematoma during pregnancy and its clinical manifestations
Depending on the duration of pregnancy, there are two types of hematoma:
- (with detachment of the ovum from the chorion). This type of hematoma can occur up to 16 weeks;
- (with detachment of the ovum from the placenta). The placenta finally finishes formation by the 16th week of gestation. When a hematoma occurs, they speak of a premature detachment of a normally located placenta.
- . In most cases, a mild hematoma is an accidental finding on an ultrasound, the woman does not present any complaints;
- . Pregnant women are worried about pulling pains in the lower abdomen, bloody discharge from the genital tract is possible;
- . There are severe cramping pain in the lower abdomen, intense bleeding, a drop in blood pressure. The general condition of the woman is significantly deteriorating, possible loss of consciousness.
Causes of Hematoma
The detachment of the ovum may occur under the influence of a number of factors:
- Hormonal disorders;
December 5, 2013 – 16:16 | Loriana in the first weeks of pregnancy
Most often, the word “hematoma” is associated with some serious injury. Therefore, many pregnant women, having heard in the early stages of an ultrasound that a retrochorial hematoma was found in the uterus, start to panic. And this panic is quite understandable, because hematoma in uterus during pregnancy means partial detachment of the ovum and the threat of interruption. But do not forget that the extra nerves can only aggravate the condition. By the way, such an attack is not so rare, and most often on a period of 5-8 weeks.
Why does a hematoma occur in early pregnancy?
There are quite a few reasons for hematoma formation. The reason may be genetics, hormonal disorders, infectious or chronic inflammatory diseases, excessive physical or nervous stress, and even sexual intercourse.
The process of formation of the retrochorial hematoma itself looks approximately like this: under the influence of various external or internal factors, the egg begins to separate from the uterus, the blood vessels in this place are broken, and a space with a blood clot forms at the site of rejection, which is called a hematoma.
Scientific studies have found that approximately 65% of patients with retrochorial hematoma had a history or were diagnosed with a pathology such as thrombophilia after the examination. However, in reality it is rarely possible to establish the true cause of the detachment of the ovum and, accordingly, the formation of hematoma.
Symptoms of retrochorial hematoma
The observed symptoms are quite small, and they are usually similar in all women: these are pulling pains in the lower abdomen and brown discharge. However, the discharge may not be if the hematoma has formed, but has not yet begun to empty. It is the brown color of the discharge that indicates that the hematoma gradually comes out and, as a result, decreases in size. This process can take quite a long time, so frequent ultrasonic testing is required to confirm positive dynamics. The appearance of bright scarlet discharge indicates the beginning of a new bleeding and an increase in the area of the detachment of the ovum.
If a short time after the discovery of a hematoma, it is no longer there, and at the same time there was no discharge indicating its resorption, then it may well be that there was no hematoma at all.
What threatens hematoma to the fetus and pregnancy in general?
Very much in this matter depends on the size of the hematoma. The most dangerous hematomas volume of more than 20 ml, occupying more than 40% of the area of the ovum. In this regard, the growth of the embryo may even slow down, not to mention the increased likelihood of further detachment. The lag of the KTR of the embryo by more than 10 days from the norm most often indicates that the risk of adverse pregnancy outcome is significantly increased.
However, most pregnancies with retrochorial hematomas with proper treatment still continue to develop safely.
In the treatment of such pathology as retrochial hematoma during pregnancy, it is necessary to achieve several goals at once, the main of which is to prevent further growth of the hematoma. For this, pregnant women are prescribed hemostatic agents, for example, dicine.
It is equally important to eliminate the tone of the uterus, which can lead to miscarriage. Such drugs as Magne-B6, No-spa, Papaverin are considered the safest during pregnancy. Progesterone drugs are also considered as an integral component in the treatment of hematoma.
Not the last role is assigned to a mild sedative, resolved during the carrying of the child. And of course, just can not do without taking vitamins, especially vitamin E and folic acid.
Among other things, in drawing up the treatment regimen, it is taken into account that partial chorionic detachment often threatens the development of chronic hypoxia of the fetus, therefore, it is necessary to take drugs that improve the supply of the fetus with the most important substances for development. Usually the choice is made in favor of Actovegin.
In addition to medical treatment, absolute physical peace is required to be observed, which is the absence of active walking, any physical exertion and sexual relations until the hematoma is completely resorbed. In addition, in the presence of bleeding, it is necessary not only to lie down, but also to give the body an oblique pose, in which the legs should be above the head. This is necessary for the outflow of blood from the pelvic organs and the early cessation of bleeding.
Even the daily diet will need to pay attention. After all, overflowing and sluggish intestines can create additional problems, as well as intestines with excessive peristalsis. Therefore, it is very important to eat only healthy food, fruits, vegetables and plenty of fresh water.
Pregnant women with retrochorial hematoma during the entire period of treatment, it is desirable to be in the hospital. In extreme cases, it may be allowed to be treated at home while providing bed rest. This is quite a serious condition, so for the sake of preserving pregnancy you should not neglect the prescription of the attending physician.
Retrochorial hematoma during pregnancy
Certainly, it is good, when nothing darkens the brightest period in the life of any woman – her pregnancy. But, unfortunately, it was at this time that the future mom could often face health problems, because it was during pregnancy that the body began a serious hormonal restructuring and those ailments about which, it would seem, have already forgotten. One of these dangers is retrochorial hematoma during pregnancy.
Retrochorial hematoma is one of the signs of threatened abortion; the phenomenon in which blood accumulates behind the chorion – the precursor of the placenta – due to the discharge of the ovum from the chorion. Usually manifests itself as brownish secretions, unpleasant sensations and pulling pains in the lower abdomen.
This phenomenon is quite common: it is observed in many future moms.
Fetal egg begins to reject, forming a cavity, which is filled with coagulated blood (this is a hematoma). The causes of retrochorial hematoma during pregnancy are numerous, so it is impossible to say for what exactly it arises in this or that case, as well as it cannot be foreseen whether it will appear.
Retrochorial hematoma may occur due to physical exertion, and due to the harmful effects of the environment (it may be noise, vibration), and due to hormonal disruptions. Even among the causes of retrochorial hematoma are uterine malformations, genital infantilism, chronic endometritis, various infectious and inflammatory diseases of the urogenital zone, autoimmune processes.
Usually makes itself felt in early pregnancy. Brownish discharge suggests a positive course of the process, because it means that the hematoma is slowly resolved. The sooner it is found, the better. As a rule, doctors notice hematoma on ultrasound. Perhaps the most important thing in treatment is to stop its growth.
Read also Bleeding in early pregnancy.
Retrochorial hematoma during pregnancy is most recommended for treatment in the hospital, well, or at least – under the constant scrutiny of experienced physicians. Usually, future moms with hematomas of this type are prescribed drugs that improve blood clotting: such as, for example, ditsinon or vikasol. By the way, they are absolutely safe for the embryo. Often, doctors recommend taking no-silo: it relaxes the smooth muscles of the uterus and helps to remove hyper tone. For the future baby, he is harmless. Doctors can prescribe and vitamin E – and, in very large doses, because it activates the production of hormones necessary for the normal course of pregnancy. Even among the drugs may be askorutin (stops bleeding), folic acid, may also appoint Magne-B6. In addition to the above, in order to calm the nervous system, valerian will also be prescribed. And do not forget – during the treatment of retrochorial hematomas during pregnancy, you will need to periodically donate blood to determine clotting.
In addition to medication, it is worth helping the body on its own. For example, so that, contribute to the outflow of blood – create for this condition, so putting a rolled-up blanket under the pelvic region so that the basin rises a little above the level of the body. Avoid congestion in the intestines, gas accumulation: for this, follow a diet. Do not eat things that increase flatulence and constipation: help with digestion. All this can create pressure in the uterus, which in this state is completely useless. Better cook yourself porridge, drink plenty of fluids: juices, compotes, fruit drinks, milk, kefir. But strong tea with coffee – exclude.
Of course, try not to make love. And if you feel worse, observe bed rest.
Retrochorial hematoma during pregnancy is not a fatal phenomenon, but it is dangerous, so try to be very attentive to yourself and your future baby, listen to the doctor and, of course, do not take any medications “of your own will and prescription.”
Retrochorial hematoma during pregnancy: reviews
Retrochorial hematoma 7 weeks
Good day everyone! Pregnancy 7 weeks. A week ago, they were discharged from the hospital about the threat of an interruption (there was a blood-smear). I lay there for 4 days, the treatment (progesterone, vitamins, etamzilat, spasm-lytica) by ultrasound in the hospital is calm, there is no tone and detachment, the heartbeat has not been tapped yet, although the parameters are on time. Why is it so smeared-incomprehensible. In the antenatal clinic, the patient was extended; today, a control ultrasound scan has been scheduled to monitor the heartbeat,
Girls, hello everyone. Need your help. Was on the ultrasound. The term is 11 weeks and 4 days. With baby all is well. But I have a threat and hematoma 15 mm and tone. The doctor attributed to me urozhestan 3 glad day 100 mg. In the morning, at lunch inside and at night in the vagina, and so for 10 days. No more attributed. But the mason is also not attributed. I now do not know if some pills help me or not. I worry, but I don’t want to take any pills for myself. Who will tell? Help me please. Really looking forward to.
According to anyone in the hospital. there is nothing to think about
My opinion – definitely in the hospital. At home you will not lie exactly, the most important thing in the hospital is complete rest
0 0 Author: maramatra, Odessa
I had a hematoma and bleeding for 12 weeks. other girls had and more – 20 * 16 on a shorter period. I lay a week without getting up almost. It’s all over. And this is a hemostatic tranexam, I drank and I was dripping it. Hematoma is detachment and blood is dried under the detachment. At this time there is no placenta but chorion, hence the name. I think you need to listen to your doctor if you trust him.
Hey. there was a hematoma on the same term, she was at home, the medicines were different, really … in a month to give birth) GOOD LUCK!
0 0 Author: Zhuzhik, Rostov-on-Don
Hi, I have a hematoma of 5x12mm for almost the same period, G said that if there is no red discharge (
Retrochorial hematoma during pregnancy
Retrochorial hematoma is one of the most common causes of early termination of pregnancy. It occurs in the first or second month, before the formation of the placenta. A retrochorial hematoma during pregnancy is associated with the separation of the ovum from the shell (chorion) surrounding it in the first weeks after conception. As a result of this process, the blood vessels are destroyed and bleeding occurs. After a certain period of time, the blood begins to clot, a hematoma appears between the wall of the uterus and the chorion. Hemorrhage and hematoma may also occur in later periods, but then the process will be called the retroplacental hematoma during pregnancy, since in the third month the chorion membrane resolves and the placenta forms in its place.
The content of the article:
- Retrochorial hematoma during pregnancy, treatment
Retrochorial hematoma during pregnancy, causes and main symptoms
It is still impossible to give an answer as to why a retrochorial hematoma occurs during pregnancy, therefore there are no ways to prevent it. Pathology is associated with sexually transmitted diseases, hormonal disorders, diabetes mellitus, autoimmune diseases, disorders in the blood coagulation system. Often, retrochorial hematoma occurs in women with uterine abnormalities, endometritis or endometriosis. Excessive physical exertion, weight lifting, and exposure to harmful chemicals on the future mother’s body can lead to the development of retrochorial hematomas during pregnancy.
The main signs associated with retrochorial hematoma during pregnancy are vaginal discharges of brown color, resembling coffee grounds, pulling pains in the lower abdomen. Discharges indicate that the retrochorial hematoma began to resolve and go out. A dangerous symptom is the addition of fresh blood impurities to them, which means that the detachment of the ovum continues and threatens pregnancy. Sometimes retrochorial hematoma can develop without discharge, then it is diagnosed only on ultrasound, which is carried out in connection with the appearance of pulling pain in the abdomen or in a planned manner. It should be noted that the retrochorial hematoma without secretions is quite often detected by chance, precisely during a planned ultrasound examination. Another indicator that allows to suspect retrochorial hematoma, fibrinogen in the blood. In pregnant women, it is slightly elevated, but with hematoma, its amount increases several times.
What is dangerous retrochorial hematoma during pregnancy? First of all, it can lead to the loss of a child. If the volume of hematoma is more than 20 ml, and the area of separation of the fetus from the chorion membrane is more than 40%, the risk of its further increase and the failure of pregnancy is very large. In such a situation, the embryo is slowing down; the KTR index may lag behind the norm by more than 10 days, which is also a very unfavorable sign. If a retrochorial hematoma occurs during pregnancy, its treatment was successful, the risks to the fetus still remain. Women with this pathology more often than others develop placental insufficiency, premature aging of the placenta, fetal hypoxia, children are born with a lower body weight. But everything depends, again, on the size of the retrochorial hematoma during pregnancy, on the speed of its resolution and the timely provision of medical care. In most cases, everything ends well, both for the mother and for her unborn child.
Retrochorial hematoma during pregnancy, treatment
When a retrochorial hematoma occurs during pregnancy, the treatment is carried out in a hospital. Only with the mildest forms and the ability to establish constant monitoring of a pregnant woman can she be treated at home, under the supervision of a doctor. Control therapy with an ultrasound, which is carried out at least once a week. When observing take into account the general well-being of women, the presence or absence of pain in the lower abdomen, the nature of the discharge, the level of increase of fibrinogen. When retrochorial hematoma during pregnancy treatment is carried out comprehensive, it consists of the following components:
- stop bleeding;
Oia I was on the site November 12, 2014, 11:43 Russia, Zhukovskiy I was also diagnosed on the first ultrasound on Tuesday with the same diagnosis – a retrochorial hematoma 13 on 5
I have a 9 mm doctor told me, not a big one, according to her, but she wanted to go to the hospital right away ((. Then my husband told me that he could reinsure her own. And they didn’t tell me to go for a second ultrasound, I myself signed up for April 9 (exactly 2 weeks since the last ultrasound)
Tanyusik I was online 15 minutes ago Russia, Moscow
Also found on the 7th week. The result: 3 weeks in the hospital (paid department) and not that improvement, but, according to them, it only grew. Nothing came of it. The state of health was wonderful (not a hint of toxicosis and
PS and just yesterday my husband and I recalled my lying in the hospital and the vacation canceled because of this. But they decided that it means that it should be so!
Yuliya I was online 2 hours ago Russia, Moscow
Thank you for such an extensive answer! And I thought on the contrary to show the result of the ultrasound on Oparin, so that they could see if there was anything there or not. But, probably, really, let them first see, and then I will tell, right)?