Retrochorionic hematoma.

Retrochorial hematoma is formed due to the rejection of the fertilized egg, in the place of which a cavity with coagulated blood appears. Hematoma is a bruise that, in a healthy body, resolves on its own. We suggest you learn about the causes of this disease, the main symptoms, diagnosis and treatment methods.

Retrochorial hematoma appears due to the peculiarities of the functioning of the female body. Often this pathology is associated with hormonal changes, but it is very difficult to say exactly what causes the appearance of retrochorial hematoma in the first months of pregnancy. Only a gynecologist can diagnose it and prescribe effective treatment. Self-treatment of the disease is strictly prohibited, as this can cause a miscarriage.

Causes of retrochorial hematoma

The causes of retrochorial hematoma are not fully understood. But its appearance may be associated with hormonal imbalances and disorders in the female body (hormonal changes are an integral part of pregnancy), high physical activity, diseases and inflammatory processes of the genitourinary system.

Despite the fact that it can occur for the above reasons, it is almost impossible to determine exactly what provoked its appearance and prevent it. In some patients, retrochorial hematoma appears due to anatomical features of the structure of the genitals. Possible causes of the disease are established after a complete examination and diagnosis.

[ 1 ], [ 2 ]

Symptoms of retrochorial hematoma

Symptoms of retrochorial hematoma allow diagnosing the disease and starting treatment. The main and most common symptoms of the disease are brown discharge. In addition to discharge, a woman may experience nagging pain in the lower abdomen. This symptom is caused by the development or resorption of the hematoma. Discharge indicates that it has begun to dissolve and is gradually being eliminated from the body. But, despite this, a visit to the gynecologist is mandatory. The doctor will help alleviate the symptoms of the disease and prescribe treatment.

[ 3 ]

Retrochorial hematoma in pregnancy

Retrochorial hematoma during pregnancy is diagnosed by its specific symptoms. The woman experiences pain in the lower abdomen and spotting brown discharge, which causes concerns and fears for the future baby.

But do not panic, as retrochorial hematoma during pregnancy occurs in many expectant mothers and is easily treated. It is formed at the moment of detachment of the fertilized egg from the chorion. Most often, the disease occurs in the first months of pregnancy. At the site of detachment, a cavity with coagulated blood is formed. When this disease is detected, the gynecologist prescribes gentle and effective treatment so that the pregnancy goes without complications.

Retrochorial hematoma without discharge

Retrochorial hematoma without discharge occurs at an early stage of the disease. But instead of discharge, other symptoms indicate its appearance. First of all, these are nagging pains in the lower abdomen. Please note that the appearance of discharge indicates the resorption of the hematoma, but their absence raises a number of concerns.

If in the first trimester of pregnancy you are bothered by pain in the lower abdomen, but it is not accompanied by brown discharge, immediately contact a gynecologist, as the cause of the pain may be a retrochorial hematoma. In this case, the gynecologist conducts an ultrasound examination to diagnose the disease and prescribes treatment that will allow it to resolve.

[ 4 ]

Retrochorial hematoma in the organization stage

Retrochorial hematoma at the organization stage indicates that the disease is passing. The organization stage is evidence that the danger has passed, and the woman can calmly enjoy the course of pregnancy. Retrochorial hematoma at the organization stage should be accompanied by brownish spotting. It is much worse if the discharge is bloody, that is, red. In this case, the woman needs immediate medical attention.

Please note that if you have been diagnosed with retrochorial hematoma in the organization stage, this is good, as it means that the bruise is resolving. But this process may be accompanied by pain in the lower abdomen.

[ 5 ]

Consequences of retrochorial hematoma

The consequences of a retrochorial hematoma depend on the degree of complexity of the pathology, the period of pregnancy at which the disease was diagnosed, its size and the type of treatment used.

The consequences also depend on the symptoms. If the hematoma causes pain, is accompanied by brown discharge and was diagnosed early in pregnancy, then this is normal. Since in this case the woman can give birth naturally, and there is no threat to the birth and the child. If the retrochorial hematoma appears in the late stages of pregnancy, then during childbirth the woman undergoes a cesarean section. The operation is not performed at the appointed time, but earlier, as a rule, at 38 weeks of pregnancy. But do not worry, since the retrochorial hematoma does not carry fatal consequences for the mother or the child.

[ 6 ]

Diagnosis of retrochorial hematoma

Retrochorial hematoma is diagnosed when certain symptoms are present or during a routine examination of a woman. The only method that allows for an accurate diagnosis of retrochorial hematoma is an ultrasound examination.

Using ultrasound diagnostics, it is possible to determine the location, size and shape. Thanks to this, the gynecologist can formulate a treatment plan and give a prognosis for the disease. It can be diagnosed both in the first months of pregnancy and at a later stage. But in both cases, retrochorial hematoma is treatable.

Treatment of retrochorial hematoma

Treatment of retrochorial hematoma begins with an ultrasound examination to determine the shape, size and location of the bruise. During treatment, the most important thing is to stop the growth of the retrochorial hematoma. To do this, the gynecologist prescribes medications that help improve blood clotting. But do not worry, since this treatment is most optimal for the future baby. Despite this, the woman should be constantly under the supervision of a doctor.

Also, during treatment, a vitamin complex is prescribed, namely vitamin E. The vitamin accelerates the body's production of hormones that are responsible for the normal course of pregnancy and accelerates the process of its resorption. Despite this, the pregnant woman must independently perform a number of medical procedures. First of all, abstain from sexual intercourse, observe rest and bed rest.

Tranexam for retrochorial hematoma

Tranexam for retrochorial hematoma is an effective hemostatic agent. Tranexam promotes hematoma resorption, improves blood circulation and relieves painful symptoms. When prescribing the drug in the early stages of pregnancy, there is a risk to the fetus. Therefore, before taking the drug, the gynecologist assesses the possible risks and, if necessary, replaces tranexam with other drugs.

Tranexamic treatment for retrochorial hematoma should be performed in a hospital. This allows monitoring the woman's condition and, in case of complications, immediately providing first aid while minimizing the risk to the woman's health and the health of the unborn child.

Prevention of retrochorial hematoma

Prevention of retrochorial hematoma is a set of methods and measures that allow preventing the disease and protect the female body from its recurrence. Prevention begins with the treatment of chronic diseases of the genitourinary system, this reduces the risk of pathology.

If a retrochorial hematoma has already appeared, preventive measures are required to facilitate its rapid resorption. In addition to the treatment prescribed by the doctor, the woman must independently ensure the outflow of blood and the reduction of pathology. To do this, it is necessary to spend more time in bed, it is recommended to put a folded blanket or a bolster under the pelvis. Also, it is worth giving up intimacy.

[ 7 ]

Prognosis of retrochorial hematoma

The prognosis of a retrochorial hematoma depends entirely on its size relative to the ovum. Thus, pregnant women with minor pathologies have every chance of a positive prognosis. But for those whose hematoma volumes exceed 40% of the ovum volume, the prognosis is not always positive. In order for the outcome of the hematoma to be good, at the first symptoms (pain in the lower abdomen, brown discharge) it is necessary to consult a gynecologist for treatment.

Retrochorial hematoma is a dangerous disease that can be treated. If symptoms of this disease appear, you should consult a gynecologist. Since timely and effective treatment is a guarantee of women's health and the health of the future child.