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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Bleeding While Urinating. Ultrasound Shows Subchorionic Hematoma. What To Do?

My 26 year old daughter is pregnant with her first child and is approximately 16 weeks along. She has had some bleeding during her first trimester but it subsided. a few weeks ago she said that she felt some pressure and a feeling as though she had to urinate but then little came out. This past weekend she was trying to urinate and bent a little forward and she began bleeding quite heavily. She went to the emergency room and an ultra sound revealed she has a subchorionic hematoma with a little separation of the placenta. She was not given too much more information regarding this condition but was told to take it easy, bedrest, stay home from her job at least a week, avoid strenous activity, avoid sex. What else can she do to help her condition?
We would like to do everything possible to insure a healthy outcome for both Mother and Baby and would appreciate any information you might be able to contribute. Thank you. I did not realize there was a charge for this information so please do not answer my question. Thank you anyway.
Mon, 13 May 2013
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OBGYN,  's  Response
As you might already know, placenta is the structure which attach the fetus to the mother's womb. Any breach to this attachment can cause bleeding from the area. A sub chorionic hematoma is the collection of blood caused by such mishaps. The out come is largely depends on how big the bleeding - that's hematoma is. Smaller ones usually do not make much of problems and get absorbed and the breach is healed by normal regeneration. Larger ones can be dangerous, both to baby and mother. So it is important to prevent further progress of the bleed. That's why her doctors have advised limiting physical activities and penetrative sex which can provoke further bleed. Many doctors try uterine relaxing drugs, hormones etc but all are of unproven results. What she need now is rest, plenty of fluids and follow up. Wishing her best.
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Pregnant. Bleeding While Urinating. Ultrasound Shows Subchorionic Hematoma. What To Do?

As you might already know, placenta is the structure which attach the fetus to the mother s womb. Any breach to this attachment can cause bleeding from the area. A sub chorionic hematoma is the collection of blood caused by such mishaps. The out come is largely depends on how big the bleeding - that s hematoma is. Smaller ones usually do not make much of problems and get absorbed and the breach is healed by normal regeneration. Larger ones can be dangerous, both to baby and mother. So it is important to prevent further progress of the bleed. That s why her doctors have advised limiting physical activities and penetrative sex which can provoke further bleed. Many doctors try uterine relaxing drugs, hormones etc but all are of unproven results. What she need now is rest, plenty of fluids and follow up. Wishing her best.