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What Does "Small Focal Area Of Choriodecidual Separation.." Mean?

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Posted on Tue, 1 Apr 2014
Question: Small focal area of choriodecidual separation with subchorionic collection 7 X 5 mm is seen along anterior aspect of gestational sac The CRL corresponds to 6 week a day gestational sac
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer: You need follow up Ultrasound after 2 weeks. Detailed Answer: Hello XXXX Thanks for writing to HCM A small subchorionic collection due to choriodecidual separation in early pregnancy need follow up Ultrasound and usually it doesn't cause complications like abortion etc. It is important to see for fetal cardiac activity. You can take natural micronised progesterone.It will help in better placental attachment and will prevent any further subchorionic bleed. Please don't be worried and take adequate rest. You should avoid activities which might increase bleeding like heavy work, exercise,constipation and sexual intercourse. Subchorionic collection generally resolves and pregnancy usually continues. You should have follow up scan after 2 weeks.It will help in detecting if there is any improvement. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Indu Kumar (23 hours later)
Thanks. I have a follow up ultrasound on 13th. The report also said that cardiac activity could not be distinctly visualized. Could the low cardiac activity be due to this separation? Is it related?
doctor
Answered by Dr. Indu Kumar (12 minutes later)
Brief Answer: Trans vaginal sonography can be done. Detailed Answer: Hello XXXX Thanks for writing back It is important to know gestational age of the fetus. You don't worry.By transadominal route,it is some times difficult to appreciate heart beat clearly.It may be due to early age of the fetus,excess maternal abdominal fat etc. Trans vaginal sonography can be done to confirm heart beat or you can wait for another follow up scan. It is not related to subchorionic collection. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Does "Small Focal Area Of Choriodecidual Separation.." Mean?

Brief Answer: You need follow up Ultrasound after 2 weeks. Detailed Answer: Hello XXXX Thanks for writing to HCM A small subchorionic collection due to choriodecidual separation in early pregnancy need follow up Ultrasound and usually it doesn't cause complications like abortion etc. It is important to see for fetal cardiac activity. You can take natural micronised progesterone.It will help in better placental attachment and will prevent any further subchorionic bleed. Please don't be worried and take adequate rest. You should avoid activities which might increase bleeding like heavy work, exercise,constipation and sexual intercourse. Subchorionic collection generally resolves and pregnancy usually continues. You should have follow up scan after 2 weeks.It will help in detecting if there is any improvement. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX