A woman who visited
your chamber yesterday evening looked normal Pregancy though she conceived
after 8 yrs of marriage bad had mild hypertension too high to prescribe
antihypertensive (not white coat) and both arums exhibited a BP of 138/96 mm.
Now exactly 24 hrs after booking visit her father in law comes running at your
clinic with the report of USG stating Subchorionic bleeding
Subchorionic
hemorrhage (SCH), also called subchorionic hematoma, represents a situation
when there is a crescent shaped fluid collection between the chorionic membrane
and the decidual. The fluid collection, felt to be blood and serum, is
presumably due to a type of placental abruption where the bleeding detaches the
trophoblastic tissue from the decidual of the uterine wall. The ultrasound
images of acute bleeding are hyperechoic and isochoric to the surrounding rim
of the GS and are heterogeneous; however, after 1-2 weeks the SCH typically
appears isochoric to the chorionic fluid .The prevalence of this condition may
be as low as 1.3% in a general obstetric population or as high as 39.5% in patients who present
with signs and symptoms of threatened abortion . The natural history of this
problem is such that 70% of the time SCH resolves by the end of the second
trimester.
The
various reports in the literature over the past fifteen years are conflicting
regarding the sonographic finding of SCH and its clinical significance,
especially its relationship to either
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