What’s a chorionic hematoma?

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Chorionic hematoma is a common condition in early pregnancy where blood accumulates between the uterus and placenta. It is not life-threatening and usually resolves within a few weeks. Women should avoid heavy lifting and sexual intercourse and seek medical attention if bleeding occurs. Drinking water can help replace fluid loss, and tampons should not be used to avoid infection.

A chorionic hematoma is bleeding that occurs in the early months of pregnancy. During this time, blood can accumulate between the uterus and placenta. Commonly referred to as a simple blood clot, this condition is usually not life threatening. The embryo separates slightly from the uterine wall, resulting in spots. An ultrasound is used to diagnose a chorionic hematoma.

There is no cure for a chorionic hematoma and there is no known cause for the condition. It affects women of all ages and ethnicities. Any bleeding in the first trimester of pregnancy is considered dangerous. Women suffering from premature bleeding are usually taken to the emergency room because it is thought to be life threatening not only for the baby, but also for the mother. After a diagnosis of chorionic hematoma has been made, the chances of having a miscarriage are greatly reduced.

Only 10 to 10% of women suffering from chorionic hematoma have a miscarriage. Typically, the body can reabsorb blood or continue bleeding from the vaginal opening. The bleeding usually stops within a few weeks, but when the placenta moves completely away from the uterus, the chances of miscarriage increase. When a woman is diagnosed with a chorionic hematoma, a few things can be done to decrease blood flow.

Heavy lifting should be avoided if blood clots or vaginal bleeding are seen. Normal activities should be kept to a minimum. If the bleeding is severe, an ob-gyn may suggest bed rest until the bleeding slows or stops completely. Some doctors suggest that women should abstain from sexual intercourse during this time, while others think this has no effect on the bleeding. Occasionally, blood-thinning medications are used to clear the blood, or estrogen may also be used to aid in pregnancy.

Most women who suffer from chorionic hematoma have no symptoms within the first 20 weeks of pregnancy. Bleeding can still be experienced during pregnancy, but as the pregnancy progresses, the chances of having a miscarriage decrease. Severe cramping may be felt during this time because the blood can irritate the uterus, but this is usually not a sign of a dangerous medical problem.

Drinking plenty of water can help replace any fluid loss related to a chorionic hematoma. Tampons shouldn’t be worn when this bleeding occurs because they can increase the risk of infection. Any vaginal bleeding during pregnancy is considered dangerous and should be checked right away.




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