Retrochorial hematoma in the uterus: symptoms and treatment
Retrochorial hematoma – accumulation of blood clots between the wall of the uterus and the shell of the fetal egg – the chorion. There are three degrees of pathology: mild, medium and severe.
Reasons for the development of retrochorial hematoma:
- physical stress and nervous tension;
- hormonal changes;
- severe toxicosis;
- inflammatory processes in the uterus, injuries and bruises of the abdomen;
- infections of the urinary tract;
- blood coagulation disorders;
- anomalies of embryo development;
- severe chronic diseases;
- harmful environmental impact and work in harmful production.
Retrochorial hematoma is treated by an obstetrician-gynecologist.
Main symptoms
As a rule, this pathology occurs in the early stages of pregnancy. In many cases, retrochorial hematoma without secretions develops asymptomatically. However, there are a number of signs for which you should consult a specialist. Pain in the lower abdomen, radiating to the lower back, and fatty discharge are the main symptoms of hematoma development. Spastic pain in the lower abdomen and bright red blood discharge are alarming symptoms that indicate the beginning of bleeding. In their presence, immediate hospitalization of the woman in a hospital is necessary in order to preserve the pregnancy.
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Discharge with retrochorial hematoma
As mentioned above, the bright red color of discharge in this pathology is an alarming symptom and requires immediate consultation of a specialist and treatment in a hospital. This type of discharge indicates the beginning of bleeding with an increased risk of egg detachment. Bleeding is especially dangerous in the early stages of pregnancy.
Greasy discharge of dark red color indicates the resorption of the hematoma, this is a favorable symptom. Experts call this period the "stage of organization", which lasts from two to five weeks.
Please note that the color of secretions in retrochorial hematoma is very important.
Diagnostics
Retrochorial hematoma during early pregnancy is usually diagnosed during ultrasound examination of the uterus. Ultrasound will show a change in the shape of the fetal egg and significant thickening of the uterine wall. In addition, it will help to specify the location of the hematoma and its size. The periodicity of the examination is prescribed by the doctor.
Additional studies include:
- general clinical analysis of blood and urine;
- blood for coagulation (coagulation time, number of platelets, fibrinogen, prothrombin);
- biochemical examination of blood;
- vaginal smear on flora;
- analysis for sexually transmitted infections;
- hormone analysis;
- cardiotocography and dopplerometry of the fetus (recommended in late pregnancy).
Retrochorial hematoma in the uterus: treatment
At the first signs of pathology, pregnant women are prescribed bed rest and complete rest. Sex life is prohibited. Therapy depends on the condition of the patient and the size of the hematoma. The treatment scheme is prescribed by a specialist who will monitor its implementation. We will remind that with symptoms of open bleeding, a woman is hospitalized in a hospital.
The main drugs recommended for the treatment of retrochorial hematoma in the uterus are: analgesics and antispasmodics, drugs that improve utero-placental blood flow, sedatives, hemostatic and hormonal drugs. Vitamin-mineral complexes and homeopathy - auxiliary therapy. Treatment with folk medicine should be carried out under the strict supervision of a specialist. Pregnant women need to pay attention to the diet, fresh vegetables and fruits should prevail. Carbonated water, semi-finished products and fast food are prohibited. Do not abuse foods that thin the blood (citrus, pineapple, figs, dried apricots, cranberries, and viburnum).
Medical therapy is recommended during periods of threatened abortion, as well as dangerous periods, namely: from 12 to 14 weeks, from 20 to 24, from 28 to 32 and from 36 to 38.
Forecast
Much depends on the size of the retrochorial hematoma, the period of pregnancy and timely treatment. In most cases, the pathology is successfully treated without negative consequences for the development of the fetus. Termination of pregnancy, slowed growth of the embryo, development of hypoxia of the fetus are the consequences of a retrochorial hematoma, the area of which is more than 40% of the size of the fetal egg.
If you have any questions, please contact our medical center. In the clinic, you will be able to undergo the necessary diagnostics and receive specialist advice.
Related services:
Ultrasound examination
Obstetrician-gynecologist consultation during pregnancy
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