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bleed is back? Help me understand


Forum: Pregnancy and Motherhood After Loss

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  #1  
April 8th, 2010, 08:11 PM
Hoping's Avatar Mega Super Mommy
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So I am rather confused. When I was 5 weeks pregnant I went to the doctor with bleeding. I had a blood clot in my uterus that was causing the blood and baby was fine. Ok, whatever, if baby is ok, then all is well. I had periodic ultra sounds to check on it, and it appeared to be gone at 16 weeks. I had my anatomy u/s at 20 weeks and the tech thought she saw a fibroid. Beautiful. Doc wasn't convinced that is what it was, but said I would get another u/s later to check on it. Well this past week I went to the doc and got another u/s to check on said fibroid. It was nowhere to be found, but now they see the blood clot again? It is now 7.6 cm which is bigger than it ever was before and is perched right on top of the placenta. Good news is it isn't between the placenta and the uterine wall, so at least that is nice. My question is, what does this mean? My doc put me on "take it easy", but I have a 2 year old, so that is never easy. What can a bleed hurt? I haven't had anymore bleeding since that time around 5 weeks. I forget what the medical name for a bleed is, something that starts with an H? I know several here have had this before, just wondering if this puts me at an increased risk for complications or what? I go to a specialist office next week for a level 2 u/s to find out what the heck is up. Doc thinks I never had a fibroid and it was probably this bleed showing back up around 20 weeks. I just don't understand and I am super tired of having a dramatic pregnancy.
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  #2  
April 8th, 2010, 10:48 PM
Gaby&Emmy'sMama's Avatar aka NZ-Emma
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is haematoma the word you're looking for?????

I can't answer your questions, but I think if it was something to be worried about, they'd have put you on bedrest, rather than just tell you to 'take it easy'.... I always say, if you have questions or concerns, contact your ob - you're paying them, so it is your right to have all the reassurance you need.....

((Hugs))
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  #3  
April 9th, 2010, 06:24 AM
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I totally can't answer either but I think the words you were looking for were subchorionic hematoma. And yes, those are usually between the uterus & placenta and if they grow, can push the placenta away from the uterine wall. You can either bleed them out (scary!) or they resolve. But in many cases either outcome causes no harm. "does it put you at risk for complications" Again, no idea. But try to think about all the woman who had mammograms and had lumps that never amounted to anything. Sometimes u/s technology can show things that we are better off not seeig. I had several large subchorionic hematomas and laid low for two weeks and they mysteriously resolved. It was amazing. So I have no real info but to say keep getting checked and ask your dr what possible risks and outcomes there are.

Sorry it's so stressful (
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  #4  
April 9th, 2010, 08:01 AM
Hoping's Avatar Mega Super Mommy
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I was doing a little research and it amounted to nothing. I thought the subchorionic hematoma's were between the placenta and the uterus, mine is on top of the placenta. I could find a lot of info on the subchorionic, but nothing on something that wasn't between the placenta and wall.
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Last edited by Hoping; April 9th, 2010 at 08:30 AM.
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  #5  
April 9th, 2010, 10:50 AM
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No More Research!!!! Heres the thing, on the internet, usually people in pain are reaching out. Say someone had this blood clot thing and it resolved, that person isnt likely to post about it. They went on to have a healthy baby. But say someone had it and then had a loss, they may be needing to discuss it. So the internet can work against you! You may get a biased perspective... and scare yourself silly. The lack of info is good - may mean that it's uncommom and resolves.

(This is supposed to be a pep talk. Is it helping? Or am I negating? Trying to be helpful!!!)
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  #6  
April 9th, 2010, 12:57 PM
Trish36's Avatar Mom of 4
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it is a hematoma, but it doesn't always have to be between the placenta and the uterus. If it is there then the danger would be of your placenta detatching itself, depending on how big the bleed was. There is also something called a 'septal cyst', but I can't find much info on it. I think the only danger there is if it's near the cord.
I'm glad your dr. is monitoring you and hopefully it will resolve itself soon.
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  #7  
April 9th, 2010, 12:57 PM
Hoping's Avatar Mega Super Mommy
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LOL thanks. You are right, I need to stop the googling . I'll just see what the specialist has to say about it Wednesday.
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  #8  
April 10th, 2010, 01:06 AM
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Hi! I have has 2 of them this pregnancy - it is called a subchorionic hematoma. Rebecca also had one. I only spotted a little and it disappeared by 24 weeks. One was right by my placenta - the other was on the opposite side of my uterus.
So - it's generally only dangerous when it is before 8 weeks, and/or more than half of babies size. At 28 weeks your baby is something like 26 cm long - so again the bleed (7.6 cm) is much smaller than the baby - which is good! So - I took it easy for a few weeks - and then went back to life as usual. I think they are likely concerned about you because it is so near the placenta and it came back. They might be worried that your placenta is pulling away a bit? I don't think anyone really knows why this happens.
Are you taking any blood thinners? Like - I was taking baby aspirin and STOPPED. If you are - I would talk with your doctor about that right away.
Ok - anyway - basically what I can say - is you are probably just fine but it's not a bad idea to go as gently as you can and to keep an eye on it. Do go in right away if you start bleeding or you feel a lot abdominal pain.
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  #9  
April 10th, 2010, 06:17 AM
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I am sorry I can't be of any help but it looks like the other girls have it covered. Just wanted to send you some as it must be scary, I am glad your Dr is looking after you.
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  #10  
April 10th, 2010, 06:55 AM
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I don't have any helpful info to add. Just wanted to say that I hope everything goes great at your appointment on Wed.
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  #11  
April 11th, 2010, 08:33 PM
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Hi Hoping,

I will be 20 weeks tomorrow and have the same diagnosis as you with the bleed being on the top of the placenta rather than between the placenta and the uterus. I have been having bleeding through the entire pregnancy though and it is now happening every day and most days 2x per day. I'm taking iron as I was a bit anemic probably due to all the bleeding. I was hoping this bleeding would have stopped by now as the first ultrasound measured the hematoma at 3cm then next it had gone down to 1.4cm. At 18 weeks it was back up to 3.5cm. The baby is measuring fine though and there is enough amniotic fluid in the sac so the bleed doesn't seem to be affecting the baby so far.

From what I understand there is nothing to be done except "take it easy" though the doc did say if this keeps up I'll be going for monthly ultrasounds, might have to go on more restrictive bed rest come 28 weeks, and come in for non-stress tests as well. I guess I haven't been taking it easy enough but like you said it is difficult with another child, I have a 3year old. For those moms would took it easy for a few weeks and the bleeding resolved, how easy did you take it exactly?

I also wonder if this is the king of thing that would make you high risk as to preclude a home birth which is a route I had hope to go after the relative ease of our first birth. I guess wait and see is the word for now.


Jenn
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