Subchorionic Hematoma

How is subchorionic hematoma treated?

Many subchorionic hematomas will heal on their own over time — just as other cuts on your skin’s surface would. Your healthcare provider will evaluate your symptoms, review your health history and determine the location and size of the hematoma with ultrasound. A treatment plan is dependent on those factors, plus your baby’s gestational age.

Some possible treatments for subchorionic hematomas are:

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• Reduction in activities like exercise and lifting heavy objects.
• Complete bed rest.
• Avoiding sex.
• Follow-up ultrasounds to assess the size of the hematoma.
• Monitoring of symptoms that suggest early labor like contractions and cramping.
• Hospitalization.
• Anti-D immune globulin (Rh0(D)) for people who are RhD negative.

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Contact your healthcare provider immediately if you experience bleeding during pregnancy. Finding the cause of vaginal bleeding as early as possible is always better.

How long do subchorionic hematomas last?

There is no set amount of time for how long it takes a subchorionic hematoma to heal. In some cases, it will shrink in size on its own over a few weeks without causing any complications. Other times the hematoma can be large and problematic. Your healthcare provider may be able to predict if your subchorionic hematoma will resolve after an evaluation and ultrasound.

Does subchorionic hematoma harm my baby?

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Most of the time a subchorionic hematoma does not harm your baby. If your hematoma is small, it may never cause problems or heal on its own as your pregnancy grows. In the case of large hematomas or hematomas that occur late in pregnancy, your healthcare provider may be more concerned about pregnancy complications.

It’s important to know that in most cases, a subchorionic hematoma will not affect your baby, and your baby will be born healthy.

Is having a subchorionic hematoma considered a high-risk pregnancy?

It depends on how severe the hematoma is and if you have other medical conditions. If your bleeding is excessive or the hematoma is large, you will likely be considered a high-risk pregnancy. However, if your hematoma is small or causing minor spotting, your healthcare provider may suggest a follow-up ultrasound in several weeks.

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