Retrochorial hematoma

Retrochorial hematoma is formed due to rejection of the ovum in the place of which a cavity with coagulated blood arises. A hematoma is a bruise that, when a healthy organism is, resolves itself. We invite you to 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 a retrochorial hematoma in the first months of pregnancy. Only a gynecologist can diagnose it and prescribe effective treatment. Independently treat the disease is absolutely impossible, since this can cause miscarriage.

Causes of retrochorial hematoma

The causes of retrochorial hematoma are not fully understood. But its appearance may be due to hormonal disruptions and disturbances in the female body (hormonal restructuring is an integral part of pregnancy), high physical exertion, diseases and inflammatory processes of the urinary system.

Despite the fact that it may occur for the reasons described above, it is almost impossible to determine exactly what provoked its appearance and prevent it. In some patients, retrochorial hematoma appears due to the anatomical features of the structure of the genital organs. The possible causes of the disease are determined after a full examination and diagnosis.

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Symptoms of retrochorial hematoma

Symptoms of retrochorial hematoma make it possible to diagnose the disease and begin 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 triggered by the development or resorption of hematoma. The discharge suggests that it began to dissolve and is gradually eliminated from the body. But, despite this, it is mandatory to visit a gynecologist. The doctor will help alleviate the symptoms of the disease and prescribe treatment.

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Retrochorial hematoma during pregnancy

Retrochorial hematoma during pregnancy is diagnosed by a kind of symptoms. The woman has pains in the lower abdomen, and smearing brown discharge, which causes fear and fear for the future baby.

But do not panic, as retrochorial hematoma during pregnancy occurs in many expectant mothers and is perfectly treatable. It is formed at the time of detachment of the ovum from the chorion. Most often, the disease occurs in the first months of pregnancy. At the site of detachment, a cavity is formed with coagulated blood. In identifying this disease, the gynecologist prescribes a gentle and effective treatment to ensure that the pregnancy passes without complications.

Retrochorial hematoma without discharge

Retrochorial hematoma without discharge occurs at an early stage of the disease. But instead of discharge, other symptoms speak of its appearance. First of all, it is pulling pain in the lower abdomen. Please note that the appearance of discharge indicates resorption of hematoma, but their absence causes a number of concerns.

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

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Retrochorial hematoma in the organization stage

Retrochorial hematoma at the organization stage indicates that the disease is over. The organization stage is evidence that the danger has passed, and a woman can safely enjoy the course of pregnancy. Retrochorial hematoma at the organization stage should be accompanied by brownish smear secretions. Much worse if the discharge is bloody, that is, red. In this case, the woman needs immediate medical attention.

Note that if you are diagnosed with a retrochorial hematoma in the organization stage, this is good, since it means that the bruise is resolved. But this process may be accompanied by pain in the lower abdomen.

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Consequences of retrochorial hematoma

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

The consequences depend on the symptoms. If the hematoma causes pain, is accompanied by brown secretions and was diagnosed early in pregnancy, then this is normal. As in this case, the woman can give birth naturally, and there is no threat to the birth and the child. If the retrochorial hematoma appeared in the late stages of pregnancy, then a woman is given a caesarean section during labor. The operation is not performed in due time, but earlier, as a rule, at the 38th week of pregnancy. But do not worry, as the retrochorial hematoma does not bear the fatal consequences for the mother or child.

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Diagnosis of retrochorial hematoma

Diagnosis of retrochorial hematoma is carried out with certain symptoms or during a routine examination of a woman. The only method that accurately diagnoses the retrochorial hematoma is ultrasound.

Using the diagnostic method of ultrasound can determine the localization, its size and shape. Due to this, the gynecologist can make treatment tactics and predict the disease. It can be diagnosed both in the first months of pregnancy and at a later period. But both in the first and in the second case, retrochorial hematoma is treatable.

Treatment of retrochorial hematoma

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

Also, during treatment, a vitamin complex is prescribed, namely vitamin E. Vitamin accelerates the body's production of hormones that are responsible for the normal course of pregnancy and speeds up its resorption. Despite this, a pregnant woman should independently perform a number of medical procedures. First of all, to give up sexual intercourse, to observe peace and bed rest.

Tranexam with retrochorial hematoma

Tranexam with retrochorial hematoma is an effective hemostatic agent. Tranexam promotes the resorption of hematoma, improves blood circulation and relieves painful symptoms. When prescribing the drug in early 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.

Tranexam treatment for retrochorial hematoma should be performed in the hospital. This allows you to monitor the condition of the woman and in the case of complications immediately provide first aid with minimizing the risk to the women'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 can prevent the disease and protect the female body from reappearing. Prevention begins with the treatment of chronic diseases of the genitourinary system, it reduces the risk of pathology.

If the retrochorial hematoma has already appeared, preventive measures are needed that will contribute to its early resorption. In addition to the treatment prescribed by the doctor, a woman should independently ensure the outflow of blood and a reduction in pathology. To do this, you need to spend more time in bed, it is recommended to put a rolled-up blanket or roller under the pelvis. Also, it is worth refusing intimacy.

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Prognosis of retrochorial hematoma

The prognosis of the retrochorial hematoma completely depends on its size relative to the ovum. So, pregnant women with small pathologies have all the chances for a positive prognosis. But for those with hematoma volumes exceeding 40% of the volume of the ovum, the prognosis is not always positive. In order for the outcome of a hematoma to be good, the first symptoms (lower abdominal pain, brown discharge) should be referred to a gynecologist for treatment.

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