Subchorionic bled and a very small retroplacental haematoma -Who is afraid of that small bleed.

Subchorionic Hemorrhage Imaging:-

Subchorionic hemorrhage (subchorionic hematoma) is the most common sonographic abnormality in the presence of a live embryo. Vaginal bleeding affects 25% of all women during the first half of pregnancy and is a common reason for first-trimester ultrasonography. Sonographic visualization of a subchorionic hematoma is important in a symptomatic woman because pregnant women with a demonstrable hematoma have a prognosis worse than women without a hematoma.

However, a small,  and  asymptomatic subchorionic hematomas do not worsen the patient's prognosis.  In women whose sonogram shows a subchorionic hematoma, the outcome of the fetus depends on the size of the hematoma, the mother's age, and the fetus's gestational age. Two factors are important prognostically .Rates of miscarriage increase with advancing maternal age and increasing size of hematoma. Understanding what it is can help parents-to-be understand what the risks really are. Here is a rundown of the causes, symptoms and possible complications.

Surprisingly the cause of SCH  unknown neither outcome can be predicted always. But it is more prevalent with advancing age of mother. In most cases, no one really knows why a subchorionic hemorrhage develops. However, chances of different races being affected by the condition are equal. Unfortunately, without a clear cause or risk factors, there is no way to truly prevent a SCH, and there is no known treatment for the problem.

In most cases, the first symptom of a subchorionic hemorrhage is vaginal bleeding. This can be very heavy or very light. Because bleeding might be too much and thereby mimicking miscarriage, On the other hand, there might never be symptoms if the hemorrhage is quite small, and it might be found during a routine ultrasound. Many of these blood clots simply form, stay for a while, and resolve on their own without causing any harm to mother or baby.

Preg outcome:- over half of women who suffer bleeding in early pregnancy go on to have healthy babies If the subchorionic hemorrhage is small, it will usually don’t  affect the pregnancy, except the occasional bleeding that might frighten the mother. A larger blood clot might lead to complications, such as preterm labor or restricted growth of the fetus. The risk of miscarriage tends to go up when a woman is diagnosed with this type of blood clot, especially if the diagnosis happens early in the first trimester, or if the blood clot is very large.

How to  Diagnose?

Fortunately, diagnosis of the problem is easy and painless: It is usually found during an ultrasound examination. Sometimes it is found because a woman has started bleeding and is concerned, but even those that do not bleed can usually be easily spotted on the ultrasound. The ultrasound can tell many details about the SCH, such as how big it is, how much bleeding there is, where the blood is collecting, and whether the placenta has been damaged by the growing blood clot.

Follow-up ultrasounds can confirm that things are getting better or worse. A sonologist can through light on  the problem, , the prognosis, &  and the risks. Fortunately, those who haven’t experienced heavy bleeding or those who have very small clots are probably not going to have  with any further symptoms or problems. For most expecting mothers, the subchorionic bleed simply turns out to be a scary moment or two, and it doesn’t affect their pregnancy or their baby in the long term.

How to Cope With Subchorionic Hemorrhage

In most cases, a conservative policy is adopted, That is universal dictum in cases of  to the SCH. This means that the preg mother needs to take care and suggested extra rest till bleeding subsides. not to make things worse during that time. Mothers should and to avoid strenuous domestic works. Constipation to be avoided by increasing  the intake of fiber and water to prevent constipation, Straining at the toilet have to be avoided. .Also to avoid strenuous physical activities, such as doesn’t lift heavy objects.

Outcome:-In most cases, the clot resolves itself within the first trimester or early in the second trimester. But those that do not dissolve do increase the risk for miscarriage, a But sometimes it continues to be an issue, and must be carefully monitored with regular ultrasounds. The danger signals are feeling of  pain, cramping, or the bleeding becomes worse, it’s time to repeat USG and take appropriate action