gynecologist-icon
Pregnancy- subchrionic hematoma-8 week
I am 8 weeks 4 days pregnant. I have attached my ultrasound report. It shows a single live intrauterine pregnancy with CRL 19.54 mm, FHR 176 bpm, and a subchorionic hematoma of 19 cc involving around 50% of the gestational sac circumference. I had fresh bleeding earlier for 2 days, but it has stopped from last 7 days. I am taking dydrogesterone 20 mg and progesterone 300 mg. My questions: How concerning is this hematoma size and 50% sac involvement at this stage? Are there chances that pregnancy will grow normally? When should I repeat ultrasound to monitor the hematoma? Any additional tests or scans required apart from routine tests or scans?
53 Views v

Answers (12)

20000+ health queries resolved in last month
Care AI Shimmer
Subchorionic hematomas are fairly common in early pregnancy and many shrink and resolve on their own with rest, especially once bleeding has already stopped.
Next Steps
Please continue exactly what your treating doctor has prescribed and keep the follow-up scan appointment they've suggested.
Health Tips
Only your doctor, who has your full scan and history, can judge how this specific hematoma is progressing.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Start progesterone and routine follow up should be done
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Such hematoma can get resolved with proper rest and medication support. Get repeat TVS done after 15 days. Take adequate rest. Avoid intercourse and any strenuous activity.
Next Steps
do not panic and do not overthink
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Connect
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
You should take an adequate amount of rest. You can do your routine chores at home. Get a sonography done every week. It is required for monitoring the growth of the embryo. Anything can happen. It may continue to grow into a healthy baby or else it can end in an abortion too.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Take rest no stress, continue progesterone support
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Pls connect for online consultation and advice
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
We considered as poor prognostic marker for pregnancy if it occupies more than 75% In urs , it s 50% --- let's monitor its size in 7 days . Chances of normal pregnancy- depends on the progression or regression of size of hematoma Repeat in a week( get TVS) NOt required.
Next Steps
continue progesterone,  avoid strenuous activities and heavy wt lifting.
Health Tips
Stay cool and hydrated.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Connect
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Connect
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Consult please.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Take rest Continue progesterone Follow up ultrasound after 7-10 days Hemtoma will resolve slowly
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.