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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Subchorionic Hematoma

I am having my first baby. No bleeding but they have been monitoring a bleed in the uterus. It is a hematoma. It measured 4mm on the 1st ultrasound, 2mm on the second, 3mm on the third, 2mm on the forth, and now 4mm on the fifth. I am very afraid of miscarrying. How do I make it go away?
Wed, 3 Jun 2015
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General & Family Physician,  's  Response
hi
I understand your query & concern.
Subchorionic haematoma is collection of fluid ( mostly blood) between sub arachnoid membrane over fetus & uterine wall.
Small haematomas are usually non harmful. But constantly increasing size has risk of hampered fetal growth/ preterm delivery.
In your case, the size is changing This may be due to changing views during USG scan Or the haematoma getting partially absorbed, at the same time new blood being collected there.
The size you have is not much harmful, yet needs to be observed & managed by your gynecologist periodically.
For preventing further rise in size-
- Take bed rest,
- Take medications to avoid bleeding ( hormonal supplement/ haemostatic drugs )as per your doctor's advise.
* Please don't worry, most of the times there is full term birth with the small haematoma.
Thanks.
.

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Suggest Treatment For Subchorionic Hematoma

hi I understand your query & concern. Subchorionic haematoma is collection of fluid ( mostly blood) between sub arachnoid membrane over fetus & uterine wall. Small haematomas are usually non harmful. But constantly increasing size has risk of hampered fetal growth/ preterm delivery. In your case, the size is changing This may be due to changing views during USG scan Or the haematoma getting partially absorbed, at the same time new blood being collected there. The size you have is not much harmful, yet needs to be observed & managed by your gynecologist periodically. For preventing further rise in size- - Take bed rest, - Take medications to avoid bleeding ( hormonal supplement/ haemostatic drugs )as per your doctor s advise. * Please don t worry, most of the times there is full term birth with the small haematoma. Thanks. .