Pregnancy is a beautiful period in a woman’s life. Every pregnant woman wants to take the best possible care of herself and her baby, which may include getting professional advice from an expert. There are many things that can cause concern for pregnant women. One of the most common concerns for women is subchorionic hemorrhage.
What is this? And what should you do if you experience one? Read on to find out.
What is Subchorionic Hemorrhage in Pregnancy?
A hemorrhage is a condition that results in bleeding from a broken vessel. The bleeding could happen either inside or outside the body.
Subchorionic hemorrhage is bleeding that occurs as a result of the placenta trying to implant. It happens between the uterine wall and the gestational sac where the baby is. In simple words, it is a collection of blood between the placenta and uterus wall. It can lead to bleeding and is called subchorionic bleeding when this happens.
About 25% of pregnant women are affected by bleeding in their privates, and subchorionic hemorrhage is the cause of 20% of bleeding that women experience during their first trimester of pregnancy.
Subchorionic placenta is common in women who are pregnant for the first time. It is caused by the placenta detaching partially from the uterine wall. Many subchorionic placenta issues cause no problem if treated correctly; they resolve on their own. However, if not treated properly, the condition can lead to severe problems and complications.
The size of subchorionic hematomas depends on the mother’s age and fetal gestational sac. There are typically no problems if it is less than 20% in size in comparison with the gestational sac. However, larger ones which are 50% in size (compared with the gestational sac), can lead to severe complications and cause more bleeding.
Causes of Subchorionic Hemorrhage
- Extreme trauma
- Trophoblast embedding into the uterus
- High blood pressure
- Sexual intercourse
- Partial detachment of placenta from the uterine wall.
- History of miscarriages
Dizziness, loss of consciousness, abdominal pain, pelvic pain, cramping, heavy bleeding, and fever might be a sign of subchorionic bleeding. It can be diagnosed with an ultrasound; depending upon the size and location of the hematoma, a medical professional will also perform a physical examination.
If the bleeding is light, a subchorionic hemorrhage in the first may resolve on its own. However, if the bleeding is heavy, it might lead to a miscarriage.
You should visit your doctor regularly, follow his or her instructions, and have ultrasounds to monitor the development of your pregnancy.
What Helps Heal Subchorionic Hemorrhage?
Subchorionic hemorrhage might occur during the first trimester and, unfortunately, there is no proper treatment to heal these blood clots. However, if you have developed one, your medical professional will perform an ultrasound. Depending on the size and location of the hematoma, they will examine you to determine whether you need to visit more regularly or if there is an immediate cure for the problem.
They will advise you to stop lifting heavy weights, avoid sex, and avoid standing for extended periods. In most cases, complete bed rest is recommended while healing takes place.
Treatment of Subchorionic Hemorrhage
Subchorionic hemorrhage can cause complications such as preterm labor, placental abruption, or stillbirth. Although there is no specific one-size-fits-all treatment, doctors’ advice typically involves close monitoring of the pregnancy and bed rest, possibly in the hospital.
Foods to Heal the Subchorionic Hemorrhage
There are no particular foods that help to heal subchorionic hematoma. However, it’s best for any pregnancy when a well-balanced diet is consumed, including regular intake of vitamins, healthy food, fresh juices, green vegetables, and lots of water. Eating frequent small meals instead of larger ones will also help you.
Can Subchorionic Hemorrhages Go Away?
Many subchorionic hemorrhages go away on their own, but in severe cases, they can lead to miscarriage. Your doctor will recommend estrogen or progesterone if there is a risk of miscarriage.
It is essential to consult your doctor if any bleeding occurs and to follow up on their instructions to have a healthy baby.
How Do Subchorionic Hemorrhages Dissolve?
Subchorionic hemorrhages dissolve on their own; there is no medicine or treatment to dissolve it.
If you experience bleeding or blood clots, consult your doctor and take professional medical advice to avoid any risk and keep your doctor up to date if other problems should occur.
Timeline to Heal Subchorionic Hemorrhage
A subchorionic hemorrhage will eventually heal on its own; however, it may take a few weeks to resolve and develop into a healthy pregnancy.
Subchorionic hematoma can be detected in the first 20 weeks of pregnancy. Some of the risks associated with the subchorionic bleeding include:
- Placental absorption, in which the placenta detaches from the uterine wall,
- Constipation and straining
- Premature rupture of the membrane
- Blood clots
Subchorionic hemorrhages have a higher risk of occurrence in women who:
- are pregnant with multiples, use anticoagulants,
- are at an advanced maternal age,
- have had previous pregnancy losses, or
- have pelvic infections.
Myths About Subchorionic Hemorrhage
There are several myths about subchorionic bleeding to address.
First, there are not any foods that can be prescribed to cure it.
Second, although bed rest has not been shown to always result in a positive outcome, it is often advised to ease pain and lessen symptoms.
What can I expect with a subchorionic hemorrhage?
Subchorionic hemorrhages cause bleeding when the placenta detaches from the uterus.
You can expect small clots of blood to appear and to have heavy bleeding, depending upon the size of the hematoma. You may observe dark red discharge, which mostly clears up on its own. Still, it is crucial to consult with your doctor if you keep bleeding during the first trimester.
Is subchorionic hemorrhage painful?
Back pain and abdominal cramps, may occur as a sign of subchorionic hemorrhage.
Many women feel pain due to heavy bleeding and require complete bed rest.
What to do if you start bleeding during pregnancy
It is common to bleed during pregnancy, and about 25% of women bleed. However, there are specific guidelines to follow if you find yourself bleeding or spotting during pregnancy.
Don’t have sex when you are bleeding during pregnancy.
Observe your bleeding and discharge, keeping track of whether its light or heavy.
Use pads rather than tampons to absorb blood.
Consult with your doctor at your earliest convenience to avoid any risk of miscarriages or other health problems.
Does subchorionic hemorrhage increase the chance of miscarriages?
Miscarriages usually occur during the first three months of pregnancy. Subchorionic hematoma increases the risk of pregnancy loss, but if treated early during the first half of pregnancy, a healthy baby can result.
What are other kinds of bleeding?
There are quite a few reasons for bleeding in your genital area, ranging from standard to abnormal. The following is a list of some of the more common types of bleeding:
Menstrual bleeding is the most common type and occurs when the lining of the uterus is shed during menstruation.
Spotting refers to light bleeding outside of menstrual periods. It can be caused by hormonal changes, infection, or even contraception.
Bleeding after sex can happen due to trauma during intercourse or due to an infection.
Post-menopausal bleeding can happen in women who have already gone through menopause.
Any of these types of bleeding may be experienced over the course of a woman’s lifetime.
Difference Between Spotting and Bleeding
Spotting, as the name suggests, is just a few spots of blood, while bleeding is heavier blood flow which must be absorbed by panty liners or pads.
Suppose you see spotting or bleeding during the first trimester of pregnancy. Although it is not atypical, you should consult your doctor immediately to be on the safe side.
Causes of Spotting and Bleeding During Pregnancy
Causes of Spotting
Infection in your private area
Causes of Bleeding During the First Trimester
Causes of Late-pregnancy Bleeding
Fetal vessel rupture
What are the causes of bleeding during the first trimester?
Ectopic pregnancies happen when a fertilized egg implants in a location outside of the uterus or gets stuck on its way to the uterus, leading to heavy bleeding.
If an ectopic pregnancy occurs, you will be given medicine or have to undergo a surgical procedure.
Molar pregnancy is abnormal in that the sperm and fertilized eggs don’t have a nucleus, which makes the egg nonviable. Fetal tissue doesn’t grow and only placental tissue is produced.
Molar pregnancies occur most often in women who are less than 20 years old, those who are older than 35, and those who have had two or more miscarriages.
Symptoms of this type of pregnancy include bleeding during the first three months of pregnancy and severe nausea and vomiting.
Early miscarriages occur during the first twelve weeks of pregnancy. Early symptoms include spotting, bleeding, and cramps.
The causes of early miscarriage include stress and hormonal imbalance. Women who drink or smoke during pregnancy are also at risk.
Summary and Final Verdict
Subchorionic hemorrhage diagnosed in the first trimester of pregnancy can vary from spotting to heavy bleeding and can be resolved without treatment. However, the bleeding can cause complications such as miscarriage or preterm labor, in some cases. Adopt a healthy diet and lifestyle in order to provide yourself with the best possible chance at a successful pregnancy. If you are experiencing symptoms of subchorionic hematoma, seek medical help immediately to ensure the best possible outcome.