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11-19-2009 at 4:29 PM
smilee1079
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Joined on 07-01-2007
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smilee1079 is not online. Last active: 03-16-2010, 9:54 PMBronze

Know anything about subchorionic hemorrage/placental abruption

My friend who's been trying to have a baby for a while is finally pregnant but has been having bleeding and was finally diagnosed with subchorionic hemorrage which is called placental abruption when it continues to the third trimester.  Anyone have any experience or knowledge about this?

She is 38 and got married like 2-3 yrs. ago.  They started trying for kids pretty quickly but had trouble and a miscarriage last yr.  He's military so they were doing everything through them but it won't cover infertility in vetro... they did invetro and from 11 follicles, only 1 kept/worked and that's what she is dealing with now.  So if this falls through, she'd have to pay $10k to try again.  She's been bleeding the whole time and is at probably 11-12 weeks now.  She's on bedrest but it hasn't been too strict.  Maybe she is now on strict rest. 

I don't know that I want my own kids but I try to be knowledgeable and supportive for my friends.So, I want to know more and understand how serious this is realistically and also hopefully share some optimistic stories with her...

11-19-2009 at 4:32 PM
CapitolBab...
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CapitolBaby is not online. Last active: 03-17-2010, 2:29 PMSilver
Yep!  I had one, so did my cousin, and just found out one of my other pregnant friends had one.  As scary as they are, they're harmless.  Hers will probably clear up in 2nd trimester.  I bled a LOT with mine.  Huge gushes of blood one a week or once every 2 weeks, and a lot of spotting.  For me, it started at 5 weeks, and had my last bleed at about 14 weeks.  I know how scary it can be, but assure her to relax and not worry, because it'll clear up.
11-19-2009 at 4:34 PM
simplyatom...
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simplyatomic is not online. Last active: 03-16-2010, 11:36 PMNewbie
I recently suffered a grade one placental abruption and spent some time in the hospital. The Dr told me that the placenta can heal itself and it looked like mine had healed. ( I had no idea they could do that) They said they forsee no problems during delivery either.

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11-19-2009 at 4:39 PM
epphd
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Joined on 01-28-2006
Seattle, WA
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epphd is online. Last active: 03-17-2010, 3:52 PMGold

CapitolBaby:
Yep!  I had one, so did my cousin, and just found out one of my other pregnant friends had one.  As scary as they are, they're harmless.  Hers will probably clear up in 2nd trimester.  I bled a LOT with mine.  Huge gushes of blood one a week or once every 2 weeks, and a lot of spotting.  For me, it started at 5 weeks, and had my last bleed at about 14 weeks.  I know how scary it can be, but assure her to relax and not worry, because it'll clear up.

Well they CAN be harmless, but SCHs are associated with a substantially increased risk of m/c.  In most cases they do ultimately resolve, but bedrest is definitely key. Very best wishes to your friend!  I had first tri bleeding too (after IVF also) and it SUCKED.

 http://emedicine.medscape.com/article/404971-overview

Frequency

United States

The incidence of subchorionic hemorrhage (subchorionic hematoma) is 1.3% of all pregnancies. In pregnant patients with first-trimester vaginal bleeding, the incidence increases to almost 20%. Bennett et al9 reported a spontaneous abortion rate of 9.3% in patients with first-trimester vaginal bleeding who had a live fetus and subchorionic hematoma. Overall, hematoma is associated with a 4-33% rate of miscarriage depending on the gestational age when the complication occurs.

Mortality/Morbidity

  • The presence of sonographically detected subchorionic hemorrhage (subchorionic hematoma) increases the risk of miscarriage, stillbirth, abruptio placentae, and preterm labor.
  • The rate of spontaneous abortion directly varies with the size of subchorionic hematoma and the mother's age. The rate of spontaneous abortion is inversely related to gestational age. The frequency of fetal demise is higher with retroplacental hematoma than with marginal subchorionic hematoma.



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11-19-2009 at 4:43 PM
smilee1079
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Joined on 07-01-2007
Virginia Beach, VA
29,317 Points
smilee1079 is not online. Last active: 03-16-2010, 9:54 PMBronze
Thanks for that info.  She did mention she knows her age and the length of time for the bleeding are both negatives.  I hope all works well for her... she will be such a great mom and wants it so badly!
11-19-2009 at 11:16 PM
fisha25
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Joined on 06-21-2009
albuquerque
22,140 Points
fisha25 is not online. Last active: 03-12-2010, 6:08 PMBronze
epphd:

CapitolBaby:
Yep!  I had one, so did my cousin, and just found out one of my other pregnant friends had one.  As scary as they are, they're harmless.  Hers will probably clear up in 2nd trimester.  I bled a LOT with mine.  Huge gushes of blood one a week or once every 2 weeks, and a lot of spotting.  For me, it started at 5 weeks, and had my last bleed at about 14 weeks.  I know how scary it can be, but assure her to relax and not worry, because it'll clear up.

Well they CAN be harmless, but SCHs are associated with a substantially increased risk of m/c.  In most cases they do ultimately resolve, but bedrest is definitely key. Very best wishes to your friend!  I had first tri bleeding too (after IVF also) and it SUCKED.

 http://emedicine.medscape.com/article/404971-overview

Frequency

United States

The incidence of subchorionic hemorrhage (subchorionic hematoma) is 1.3% of all pregnancies. In pregnant patients with first-trimester vaginal bleeding, the incidence increases to almost 20%. Bennett et al9 reported a spontaneous abortion rate of 9.3% in patients with first-trimester vaginal bleeding who had a live fetus and subchorionic hematoma. Overall, hematoma is associated with a 4-33% rate of miscarriage depending on the gestational age when the complication occurs.

Mortality/Morbidity

  • The presence of sonographically detected subchorionic hemorrhage (subchorionic hematoma) increases the risk of miscarriage, stillbirth, abruptio placentae, and preterm labor.
  • The rate of spontaneous abortion directly varies with the size of subchorionic hematoma and the mother's age. The rate of spontaneous abortion is inversely related to gestational age. The frequency of fetal demise is higher with retroplacental hematoma than with marginal subchorionic hematoma.

yup i agree and have said it before they Can be, but aren't always harmless. I had one that lasted for almost 20 weeks and caused non stop problems for me and while thankfully i'm 29 weeks and things are going ok I just came off bed rest at 26 weeks and had been there since 12 weeks. While one of my friends had one and she had no issues at all other than a little bleeding on the other hand another friend had one and she M/C just this past friday due to how large her SCH had got. I hope your friend is the lucky 90 percent that gets one and goes one to have a normal pregnancy.


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