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Subchorionic hemorrhage is another term for a subchorionic bleed. During pregnancy, blood collection can form between the gestational membranes, such as the placenta and the uterine. When there is perigestational bleeding in pregnancy, blood pools between the uterine wall and the chorionic membrane, causing subchorionic hemorrhage. It is a common cause of bleeding in the first and second trimesters.
During pregnancy, this blood buildup might cause vaginal bleeding. The causes and hazards of a subchorionic hemorrhage (SCH) will be discussed in this article, as well as other explanations for vaginal bleeding during pregnancy.
Subchorionic Hemorrhage without Bleeding
A subchorionic hematoma is the presence of blood between the uterine lining and the chorion (the outer membrane, close to the uterus) or underneath the placenta itself, known as a subchorionic hematoma (also known as a subchorionic hemorrhage). It can produce spotting or bleeding ranging from light to substantial, but sometimes no bleeding at all. The majority of subchorionic hematomas heal independently, and women go on to have safe pregnancies. Subchorionic hemorrhage without bleeding can also occur during early pregnancy.
Because subchorionic hematomas don’t usually cause symptoms, diagnosing them can be tricky. After the first trimester, spotting or bleeding may be a clear sign; however, most hematomas are discovered during a routine ultrasound with no symptoms. Uterine cramps are another possible symptom.
Causes of Subchorionic Hemorrhage
What causes subchorionic hematoma?
The subchorionic hemorrhage causes mainly involve stress and sex during pregnancy. The exact cause of subchorionic hematoma is unknown. The reason is thought to be a partial dissociation of the chorion membranes from the uterine wall.
Subchorionic hemorrhage has yet to be definitively identified but it is known that there is bleeding under one of the membranes that enclose the embryo when this happens.
Spotting and bleeding can occur for a variety of causes during pregnancy, including:
- Hormone fluctuations
- The uterus grows larger.
Heavy bleeding could be the result of:
- Premature birth
- Ectopic conception
SCH is more common in frozen-thawed embryo transfer and in vitro fertilization (IVF) pregnancies, according to research.
Cramping and pelvic pain are two different symptoms. There are situations when a pregnant woman has no symptoms, and an ultrasound detects them.
They are linked to a number of risk factors, including:
- The uterus is malformed.
- Recurrent miscarriages in the past
- Infections in the pelvis
- Preeclampsia, also known as early-onset preeclampsia, is a dangerous pregnancy condition characterized by high
- blood pressure and organ failure. Low progesterone is often a prevailing cause especial in older.
- High blood pressure
- Fertilization in vitro
Subchorionic Hemorrhage Pregnancy
Vaginal bleeding frequently occurs in the first trimester of pregnancy, with an incidence of 16 to 25%. Subchorionic hematoma and hemorrhage are the most prevalent causes of vaginal bleeding in young women in their teens, accounting for roughly 11% of all occurrences. It is a type of bleeding that occurs beneath the chorion membranes that surround the embryo in the uterus. It appears to be caused by the partial separation of the chorion membranes from the uterine wall. The majority of women have minor vaginal bleeding, while some are asymptomatic due to ultrasonography findings.
How widespread is subchorionic hemorrhage?
A subchorionic bleed occurs in about 1% of all pregnancies, and it is more common in women who have become pregnant through in vitro fertilization. Subchorionic bleeding is a common source of bleeding in the first trimester, and it usually occurs in uncomplicated pregnancies.
Subchorionic bleeding’s potential dangers
Keep in mind that the majority of subchorionic hematomas will disappear independently. A subchronic hemorrhage, on the other hand, can cause the placenta to split from the uterine wall in rare circumstances, increasing the risk of miscarriage and premature labor — which is why it’s critical to notify your doctor right away if you suffer vaginal bleeding during pregnancy.
Is it necessary to be concerned?
When you detect vaginal bleeding or spotting during pregnancy, it’s natural and reasonable to be concerned. But keep in mind that a subchorionic hemorrhage typically leads to a safe pregnancy — and since you’ll be monitored with ultrasounds until the hematoma resolves, seeing your baby’s heartbeat will give you comfort.
How to recognize and treat subchorionic hemorrhage?
Contact your doctor in case of vaginal bleeding at any point during your pregnancy. He or she will schedule an ultrasound; depending on the size and location of the subchorionic hematoma, as well as your practitioner’s preferences,you may be placed on activity restriction (commonly known as bed rest) and instructed to refrain from sexual activity until the hematoma dissolves and vanishes.
During bed rest it is in your best interest to be on your side. Though many believe the left side is better due to the location of the uterus, other women rotate from side to side without a significant difference to the numbers.
Some people place a pillow under their hips to aid in rotation. You can lay a pillow in front of you for support or behind you, so you don’t end up on your back if you roll backward.
The bottom line is that, with proper therapy and medical care, this illness is usually innocuous. So try not to be concerned without reason but notify your doctor if you experience any bleeding to be sure.