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Re: Subchorionic Hematomas
Thank you, @kvh22!
I just got discharged from the ER with a SCH diagnosis. Baby is looking fine, cervix is closed (cerclage is scheduled for Tuesday) and I’m just a worried mess. They told me that I should be fine, but I had never even heard of subchorionic hematomas until tonight. Any words of wisdom from you ladies would be great!
My MFM doc was not too concerned with mine because it was/is small. But to be on the safe side, I essentially put myself on modified bedrest when not at work (good excuse to lounge around at home and watch tv 😉), and pelvic rest (😟). I have been really good about not lifting heavy things, not over exerting, and just taking it easy overall. I have not had any spotting since the end of October.
Married: 8/10/13
BFP- 12/18/15, D&E- 4/8/16 @ 21w5d- confirmed Thanatophoric Dysplasia
BFP- 11/7/17, M/C- 11/18/17 @ 4w6d
BFP- 8/25/18 ~ EDD- 5/9/19 ~ DD born 5/2/20 *Lillian Hazel*
BFP- 10/9/20 ~ EDD- 6/21/21
@Mumby15 this must be a frightening experience but the fact that baby's growth is unhindered is a major relief! Take good care of yourself
AFM I haven’t had any bleeding since Thursday but I am now super nervous to leave the house. It’s going to be a long 25.5 weeks.
Do either of you know how big your SCH's are? Mine is 5cm, which, when diagnosed, was just under 50% of the gestational sac (it went around it covering that much of the circumference if that makes sense). Mine has not grown since then (9+3 to 12 week ultrasound) and when I had my ultrasound at 10+2, my OB said it looked like it had clotted (subchorionic hemorrhage is active bleeding of the mass of blood, a hematoma is when it is "old blood" that is clotted and sitting there). If the SCH is around move than 50% of the gestational sac, that's a much bigger cause for concern. From 20-50% is "okay" as long as it's not growing, and less than 20% is great! If your SCH isn't growing (will require at least 2 ultrasounds with measurements to tell, I didn't get a measurement at my first one because I was bleeding so much they didn't even try).
Basically, most will resolve by 18-20 weeks when we have our anatomy scan or it will be smaller than 20% of the gestational sac since baby (and the sac) are growing. My OB said she didn't think mine would completely go away but it'd just become a non-issue and pushed off to the side as the sac grows.
Also, any pink, rust color, brown, etc. spotting is pretty normal. It's frustrating for those of us going through it (I am not a reasonable person when it's me but I can say this right now since I'm not currently spotting). Red blood is the only thing that any of the doctors I've talked to about it are concerned with. Other than that, it's just the hematoma coming out.
The location by the placenta can be concerning. Mine is on the opposite side of this so I have done less research and have less to say as far as what my doctors have told me (other than, it's great that it's not there).
Drink lots of water, pelvic rest, modified bed rest, until you're told otherwise from your doctor. I have a toddler and it's so hard. I have to pick her up sometimes but I try to only do that if I'm sitting down or she's asking to be picked up and will be cooperative (like for daycare pickup or drop off to get out of the house, since she's only 15 months). DH has had to pick up a lot of my slack. No working out (which sucks). I asked about yoga and some cat cows and other really light stuff is okay but my doc said no chaturanga.
I think on average, the gestational sac grows in length 1mm a day so 3 weeks is about 2cm. My gestational sac was about 6cm in length at 10+2 but should be coming up on 9cm now. as long as the SCH isn't growing, then 5cm is quickly approaching that less than 20% number and should definitely be that way by the 18 week A/S.
Married: 8/10/13
BFP- 12/18/15, D&E- 4/8/16 @ 21w5d- confirmed Thanatophoric Dysplasia
BFP- 11/7/17, M/C- 11/18/17 @ 4w6d
BFP- 8/25/18 ~ EDD- 5/9/19 ~ DD born 5/2/20 *Lillian Hazel*
BFP- 10/9/20 ~ EDD- 6/21/21
Married: 8/10/13
BFP- 12/18/15, D&E- 4/8/16 @ 21w5d- confirmed Thanatophoric Dysplasia
BFP- 11/7/17, M/C- 11/18/17 @ 4w6d
BFP- 8/25/18 ~ EDD- 5/9/19 ~ DD born 5/2/20 *Lillian Hazel*
BFP- 10/9/20 ~ EDD- 6/21/21
I think the rest of my tiny clot worked it’s way out last week as I had 2 days of brown “clumps” (sorry!) in my normal discharge. I’ve seen baby 2x in ultrasound since and he is doing well so they seem to think it was the remainder of my clot. I really hope so.
Married: 8/10/13
BFP- 12/18/15, D&E- 4/8/16 @ 21w5d- confirmed Thanatophoric Dysplasia
BFP- 11/7/17, M/C- 11/18/17 @ 4w6d
BFP- 8/25/18 ~ EDD- 5/9/19 ~ DD born 5/2/20 *Lillian Hazel*
BFP- 10/9/20 ~ EDD- 6/21/21
I had my OB appointment today and it went really well. She said since there is no more bleeding and my SCH is resolved I can get off pelvic rest. She also said she was not concerned about the placental lake and that she also hoped it was resolved by the anatomy scan. I am still going to take it fairly easy (at least until the anatomy scan), but might start to add some lighter pregnancy workouts and yoga to my routine.