Subchronic Hematoma

[Choice4]

Dear Dr
Please could you tell me what causes subchronic hematoma and what is the treatment for it.
I am 41yrs and 9wks pregnant, IVF
At 8wk +2 (sunday)I noticed some cramping and followed with bright red blood and clots, I phoned my Dr who adviced bed rest and to have ultrasound on Tuesday,bleeding stopped the next day. U/S showed good heart beat and some subchronic heamatoma measuring 12x8mm
I started bleeding again with more clots on friday, but stopped on saturday.
My Dr has now adviced 3wks bed rest, and a scan again on tuesday.

Please could you tell me what causes this and how it can be stopped, anything else I should be doing, to prevent this happening agai

Thanks

[Bill Cusick MD]

This is thought to represent bleeding as the preganncy implants into the uterus- seen commonly on U/S in the 1st trimester- nothing to prevent and/or treat- will resolve over time

Pregnancy risk for miscarriage is related to the bleeding you experienced- again those pregnancies ending in loss ccannot be prveented. Fortunately many pregnancies will be successful despite the bleeding (and/or U/S clot)

good luck

wc