Hi Fiona,
One of my follow-through women had this happen and the blood apparently irritated her uterus causing her to go into premature labour at 33 weeks. Because theater could be set up quickly where she was, she was able to birth vaginaly which was fantastic. I cared for her during her next pregnancy and thankfully she went to term with no further problems.
Hope this helps, Julie G, 3rd year BMid FUSA
----- Original Message -----
Sent: Friday, August 19, 2005 11:10 AM
Subject: Re: [ozmidwifery] Subchorionic Haematoma

Hi Fiona
 
Sub-chorionic haematoma is the medical term for a collection of blood under the placenta, that is between the placenta and the wall of the womb. If it is small it won't interfere significantly with the function of the placenta and thus the growth of the baby. In my experience some women have what is called an edge-bleed from the placenta. For some reason the edge of the placenta lifts and continues to bleed on & off through the pregnancy. Generally it causes no long term problems for the mother or the baby. Occasionally the bleeding can be severe. I looked after a woman recently who bled on & off since early pregnancy then had a big bleed at 31 weeks, baby was born by emerg C/S and did well after a short period in the Neonatal Intensive Care Unit. Most women I have cared for with edge bleeding have carried to term. The bleeding has been more of a nuisance factor. Repeated light bleeds with admissions to hosp. The bleeding sometimes leaves no trace on ultrasound, others may leave a sub-chorionic haematoma. Your friend needs to obtain some more info from her Ob about why he thinks baby might come at 24 weeks. Hope this helps.
Jenny
Jennifer Cameron FRCNA FACM
PO Box 1465
Howard Springs NT 0835
 
0419 528 717
----- Original Message -----
Sent: Thursday, August 18, 2005 12:44 PM
Subject: [ozmidwifery] Subchorionic Haematoma

Dear ozmidders
 
Would anyone have info re subchoroionic haemotoma?  My friend has bled since week 12 as is now at 20 weeks.  OB says she may make it 24-26 weeks.  Bub still growing beautifully at this stage. Any info would be appreciated.  Her biggest fear is a massive bleed leading to a hysterectomy.  Is this common? Is the condition common?  Will this be likely in any subsequent pregnancies.
 
With thanks
 
Fiona
 


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