The reasons for the formation of retroamniotic, intrathecal or extramembrane hematoma on the body of the uterus during pregnancy, and can it be cured without risks to the child. How long does a hematoma empty during pregnancy. Retrochorial hematoma during pregnancy: n

25.09.2017

Retrochorial hematoma during pregnancy is a blood clot that fills the space between the uterine wall and the fetal egg. It accompanies such a dangerous condition as the threat of miscarriage.

Women are interested in how a hematoma comes out during pregnancy, how are conditions treated?

Possible reasons

There are several reasons for such a condition during pregnancy, like retrochorial hematoma. The bulk is similar to the conditions that will be the main threat for abortion.

Retrochorial hematoma

These include:

• hormonal problems;
• stressful conditions;
• the development of inflammatory diseases of the uterus, tumor processes - fibroids, endometritis;
• negative impacts associated with labor activity - radiation, noise;
• pressure fluctuations;
• bad habits - smoking and others;
• somatic ailments of a chronic nature;
• bad ecology;
• pathological conditions of the vessels, especially those that are suitable for the uterus;
• mechanical injury to the uterus;
• genetic problems with the fetal egg;
• serious physical activity;
• infectious processes that are sexually transmitted;
• toxicosis at any stage of pregnancy;
• anomalies in the female reproductive system;
• development of systemic diseases;
• blood clotting problems.

Characteristic symptoms

The answer to the question: how long will the hematoma go out during pregnancy will depend on the severity of the problem. The disease does not manifest itself and is detected as part of a routine ultrasound diagnosis. In such cases, the state of health of the pregnant woman remains satisfactory, there are no specific complaints.

In some cases, there will be symptoms characteristic of a threatened abortion.
The main manifestation of how retrochorial hematoma comes out is the appearance of bloody discharge. Depending on the duration of pregnancy and the severity of the hematoma, their intensity may vary.

The appearance of discharge is not always a bad sign. If they differ in dark red coloration, are brown, this is a symptom of the devastation of the hematoma.

If you have to deal with secretions of a bright red color - a dangerous symptom. The situation can be aggravated by the appearance of pain in the lower abdomen. In this case, you need to see a doctor - this condition is dangerous. This is an indicator of the threat of interruption, the growth of education in size.

With this diagnosis, pregnant women complain of soreness in the lumbar region or in the lower abdomen, which can burn to be both aching and pulling.
Such sensations are permanent, but may intensify against the background of factors, including light physical exertion.

Consequences of a hematoma in the uterus during pregnancy

This condition is dangerous for a pregnant woman. Depending on the activity of blood secretion, the severity of the situation is judged. If blood loss reaches 15 ml or more, these are serious and dangerous conditions, since the formation occupies up to half of the total area of ​​​​the uterus.

The consequences of the violation can be expressed in inhibition of the development of the fetus in the uterus, creating conditions for the rejection of the embryo. This threatens with premature detachment - after detachment of the placenta, bleeding begins. If blood enters the abdominal cavity, then a threat is created not only to the life of the fetus, but also to the pregnant woman.

Diagnostic methods

There are several informative studies that identify this kind of formation. This is an ultrasound examination of the fetal egg and the uterine cavity.
Its results reveal:

• violation of the shape of the attached fetal egg against the background of the impact that the thickened area has on it;
• local thickening of the uterine wall, as a sign of uterine tone (the condition indicates the current threat of interruption);
• hematoma, it is important to determine its position and dimensions, a tendency to increase or decrease.

In addition to ultrasound, diagnostic methods include a number of laboratory tests:

• urine test;
• smear from the vagina on the flora;
• the presence of diseases that are sexually transmitted;
• dopplerometry, CTG in the later stages of bearing a baby;
• assessment of blood clotting;
• biochemical blood test;
• hormonal assessment.

Hematoma treatment

The answer to the question: how much does a hematoma come out during pregnancy is individual in each case. Depending on the situation, the tactics of treatment are also chosen.

During the period of time, while there is a threat of spontaneous abortion, therapeutic actions are carried out. Additionally, they are carried out during dangerous periods of pregnancy, 12-14 weeks, from 20 to 24 weeks, from 28 to 32 weeks, and also at the final stage from 36 to 38 weeks.

If brown discharge appears, characteristic of a hematoma, with a threat of interruption, it is important to stop the existing signs, relax the muscles of the uterus. For this, a woman needs to comply with bed rest, lie with her legs raised up in order to normalize the movement of blood.

Conservative treatment is as follows:

• minimization of physical activity in compliance with bed rest;
• drugs such as Dicinon and Vikasol to stop bleeding;
• taking vitamin complexes that will smooth out the lack of vitamins and valuable substances in the body;
• Magne B6 to relieve spasm if there are no kidney problems;
• normalization of blood circulation through Curantyl;
• a balanced daily menu, which should include vegetables and fruits;
• drugs to relieve spasms, including papaverine;
• lifting the pelvis in a prone position to ensure the outflow of blood from the uterus;
• if the blood circulation in the hematoma area is problematic, Actovegin is prescribed;
• taking hormonal drugs to minimize the risk of spontaneous abortion.

What medicine and how many days to drink it, the doctor can prescribe, taking into account the condition of the woman, the duration of pregnancy, the presence of ailments. Hospitalization is often recommended for women in order to exclude physical activity and sexual activity during this period.

How long does a hematoma come out?

In each case, the answer to the question of how much a hematoma will come out during pregnancy is individual. It is determined by the state of the woman's body, the severity of the condition and the moment when treatment is started.

In most cases, the formation resolves at the end of the second trimester of pregnancy, if it was detected in a timely manner, measures were taken for treatment.
It is important to regularly monitor the condition of a woman in order to prevent complications.

Consequences

In the vast majority of cases, a hematoma during pregnancy does not give serious consequences for a woman and her baby, the outcome of pregnancy is favorable.
But an unfavorable outcome is also possible. It is typical for the most difficult cases. When education accounts for more than 40% of the size of the fetal egg at this stage of pregnancy, or when its volume reaches 60 cm3.

This condition can lead to:

• frozen pregnancy;
• delay in fetal development;
• spontaneous abortion;
• chronic fetal hypoxia.

For a woman during pregnancy, it is important to carefully monitor the state of her body, undergo scheduled examinations in order to timely detect possible problems and respond promptly to them. Then the outcome of pregnancy will be favorable.

T81.0 Bleeding and hematoma complicating procedure, not elsewhere classified

Causes of hematoma during pregnancy

Modern obstetrician-gynecologists are increasingly faced with the problem of bearing a fetus by a woman who has been diagnosed with intrauterine hemorrhage. Quite often, it develops against the background of fragile blood vessels that provide nutrition to the uterus and placenta.

These are the main causes of hematoma during pregnancy:

• Failure in the metabolic processes of a woman.
• Inflammatory and infectious diseases that affect the genitourinary system of the expectant mother.
• Severe degree of toxicosis, which is especially dangerous on later dates pregnancy.
• Sharp jumps in blood pressure. High numbers are especially dangerous.
• Strong stressful situations.
• The cause of hematoma during pregnancy can also be the pathology of the development of the fetal egg.
• Failure of the hormonal background.
• Problems with blood clotting pathological changes the walls of the vessels of the placenta and the whole body of a woman.
• Abuse of alcohol and smoking during the period when a woman is carrying a child.
• Congenital or acquired pathology of the development of the uterus.

Symptoms of a hematoma during pregnancy

Waiting for the birth of a child is a state of complete happiness, a time of hope and one of the most charming moments in the fate of any woman. But at the same time, it is anxiety and concern for the health of an unborn baby. A hematoma in the uterus during pregnancy is a difficult test for a woman who is expecting a baby. Indeed, if it is present, the fetal egg begins to exfoliate from the surface of the endometrium of the uterus, in this place blood gradually accumulates, forming a bruise.

A hematoma in the uterus during pregnancy poses a serious danger to bearing a child, as it can provoke spontaneous miscarriage, especially in severe pathology. With a mild degree of severity, a woman may not even notice and learn about her existence after a successful birth.

A severe degree of hematoma development during pregnancy is a danger not only for the baby, but also for his mother. Bleeding provokes a deterioration in the general state of health in the mother, post-hemorrhagic anemia develops. Due to a failure in blood circulation, the fetus receives less oxygen, which leads to "oxygen starvation", and this, in turn, to inhibition in the development of the child, both physically and psychologically.

Hematoma in early pregnancy

For many, the word "hematoma" is directly associated with a serious injury. Therefore, having heard such a diagnosis and not fully understanding its essence, a pregnant woman begins to get nervous. And it can be understood. Because the hematoma early dates pregnancy may indicate the onset of rejection of the fetal egg, which leads to miscarriage (termination of pregnancy). By the way, this pathology is not very rare, and a greater percentage of its manifestation occurs in the fifth - eighth week of pregnancy.

There are many reasons for such a pathology: it is a hormonal failure, and a burdened hereditary history, sexual intercourse, a great nervous or physical overstrain.

But diagnosing a hematoma in the early stages of pregnancy allows, if possible, to undergo a course of treatment as soon as possible, which will be the key to the normal development of the fetus and favorable childbirth.

Often enough future mom does not even suspect the existence of an internal hematoma, and for her the most complete surprise is its presence, which was discovered during a routine ultrasound examination. Symptoms of a hematoma during pregnancy mainly depend on the severity and location of the pathology.

• Light severity. In this case, the pregnant woman feels normal, no physical manifestations of internal hemorrhage are determined. A hematoma during pregnancy is diagnosed only with the help of an ultrasound examination or after the birth has successfully completed naturally, as it leaves its marks on the placenta.
• Medium severity. In this case, the woman experiences pulling, aching pain in the lower abdomen. May appear from the genital tract discharge of a red or brownish hue. In the presence of such symptoms, you should immediately seek help from an obstetrician-gynecologist who leads the pregnancy. Whether or not there is a discharge largely determines the volume of the hematoma and its location. With a moderate pathology, a heartbeat disorder is heard in an unborn baby.
• Hematoma during severe pregnancy. The intensity of blood secretions increases, and pain in the lower abdomen increases. She becomes crampy. Against the background of the opened bleeding, the expectant mother's blood pressure drops. The woman may even lose consciousness.

Any practicing doctor knows that if a retrochorial hematoma is diagnosed, this means that there is a direct threat of abortion.

Allocations with a hematoma during pregnancy

If during the first trimester of pregnancy a woman observes light brown discharge from the vagina, but against this background she does not feel any discomfort and deterioration in her state of health, you should not be particularly worried, even if an ultrasound examination (which every pregnant woman undergoes routinely) reveals a hematoma during pregnancy.

Another question is if the color of the discharge is bright red. This already suggests that the bleeding does not stop. In this situation, it is urgent to take emergency measures, otherwise premature rejection of the fetus may occur, and the woman will lose the child.

Forms

We are used to seeing various kinds of hemorrhages on the surface of the skin, but many did not even realize that there are also uterine hematomas that occur on the uterus during the period when a woman is carrying her baby. There is a classification of this pathology. Differentiate these types of hematomas during pregnancy:

• Clinic and period of development of the disease:
  • Retrochorial. This type of effusion is diagnosed in the early stages of pregnancy (up to 16 weeks) and is a detachment of the fetal egg from the chorion (outer germinal membrane).
  • Retroplacental. By the 16th week of pregnancy, with the normal development of the fetus, the placenta is already fully formed. If a hematoma occurs later, it, earlier due date, provokes placental abruption, which is fraught with spontaneous abortion, that is, a woman loses an unborn child.
• According to the severity of the pathology:
  • Pathology of mild severity.
  • The average degree of manifestation of the disease.
  • Hematoma during pregnancy, acute, severe.

A hematoma during pregnancy of mild or moderate severity is an indication for a caesarean section, while the operation is scheduled for an earlier period than the term of natural childbirth was set.

Retrochorial hematoma during pregnancy

The chorion is the outer germinal membrane that surrounds the embryo and is formed at the initial stages of the gestational period, being the precursor of the placenta. This is where the retrochorial hematoma during pregnancy takes its name, which is determined by its timing of origin and location. This pathology develops as a result of detachment of the fetal egg from the chorion. It is observed in the first trimester of pregnancy, before moving into the second. In the place of rejection, blood gradually begins to collect - a hematoma forms, a clear sign of the threat of spontaneous abortion.

This pathology is accompanied by vaginal discharge of a slightly brownish hue. In this case, the woman experiences a pulling pain in the lower abdomen. If the localization of the hematoma falls on the bottom of the uterus, there may not be obvious symptoms of the pathology. Then hemorrhage can be detected only with the help of ultrasound.

When brown discharge appears, a woman begins to worry about the fate of her pregnancy, obstetricians and gynecologists do not consider this a bad symptom. Since blood accumulates in the cavity between the membranes of the chorion and the fetus, folds there, taking on a brownish tint, discharge of this color, on the contrary, may indicate that blood clots gradually begin to come out, “resolving” the hematoma.

When it is really necessary to sound the alarm, it is when the discharge is scarlet. This is a clear sign that the bleeding has not stopped, the hematoma continues to grow, the fetal egg continues to exfoliate, and if emergency measures are not taken, the woman in labor may lose the child, since in such a situation premature termination of pregnancy occurs. In this case, in order to assess the growth of a hematoma during pregnancy, the doctor prescribes not only an ultrasound scan, but is also obliged to control the level of fibrinogen in the blood plasma.

Retroplacental hematoma during pregnancy

In the case when the rejection of the fetal egg comes from the chorion, as a rule, this occurs in the first trimester, a retrochorial hematoma develops. If this process begins later (after 22 weeks of pregnancy), when the chorion has degenerated into the placenta, the same process of embryo rejection is called retroplacental hematoma. It proceeds according to the same scenario as in the first case, when the appearance of bleeding is a real threat of abortion.

Similarly, retroplacental hematoma during pregnancy is the main symptom that indicates the threat of miscarriage. Clinic of this pathology: appeared pulling pain in the lower abdomen, spotting, increased tone uterus ... The behavior of the fetus itself also changes: its physical activity, there are negative changes in the heart rhythm (tachycardia is heard first, and then bradycardia), which indicates a violation of its normal development. The obstetrician-gynecologist interprets these signs as untimely rejection of placental tissue, which can lead to miscarriage.

In this case, in the early diagnosis of retroplacental hematoma during pregnancy, ultrasound helps, which allows you to take adequate measures in a timely manner to save the fetus, and even the woman in labor.

Subchorionic hematoma during pregnancy

The most common subchorial hematoma occurs during pregnancy. This is a fairly dangerous type of hemorrhage. He requires immediate contact with his doctor. In the case of differentiation of this pathology, the size of the hematoma must be observed in dynamics.

Retroamniotic hematoma during pregnancy

A retroamniotic hematoma is diagnosed during pregnancy at the first ultrasound examination (approximately 12 weeks of gestation), often it does not differ in any blood secretions, but nevertheless, for reinsurance, an obstetrician-gynecologist observing pregnancy can put the expectant mother in the obstetrics and gynecology department in order to observe growth in the process hematomas.

Subamniotic hematoma during pregnancy

It does not pose a danger to the normal development of the unborn child. In the future, the hematoma, especially if the place of its localization is the uterine pharynx, is able to resolve on its own or come out in the form of clots.

Intrauterine hematoma during pregnancy

This is a rather serious pathology. External or internal causes lead to detachment of the ovum, which provokes bleeding, then a hematoma is formed at the site of rejection. If the hemorrhage area does not increase, and the pregnant woman feels satisfactory, the embryo develops normally - then there should be no cause for concern. If the obstetrician-gynecologist sees the progression of the pathology, the question is raised about the hospitalization of the woman in labor and her treatment.

Complications and consequences

The birth of a new man is the greatest sacrament that nature has given to man. But how much the expectant mother has to be nervous until the moment when her baby is born. Hemorrhages of various localization. How dangerous are they? What are the consequences of hematoma during pregnancy? Naturally, complications can manifest themselves, and maybe everything goes fine. A lot of this problem depends on the parameters of the hematoma. The most dangerous is a hematoma, which occupies at least 40% of the total area of ​​​​the embryonic membrane and the volume of which exceeds 20 ml. Such a hematoma can inhibit the growth and full development of the fetus, and cause spontaneous abortion. Inhibition in the growth of KTP (coccygeal-parietal size) for more than ten days indicates an increase in the risk of an unfavorable outcome of bearing a child.

The most dangerous consequence of this course of events may be the "womb of Couveler". Premature detachment of the placenta leads to the fact that the endometrium is filled with blood, foci of necrosis appear in it, which is already an indication for complete resection of the uterus. And this is a sentence - a woman can never become a mother.

Also, with a hematoma during pregnancy, there is a high probability of heavy bleeding, the consequences of which are quite difficult to predict, since it can even lead to death, both for the child and for the woman in labor.

But if the pregnant woman passed in time effective treatment, the chances of giving birth on their own and at the time of a normally developed baby increase dramatically.

What is dangerous hematoma during pregnancy?

The first question asked by a woman after (after an ultrasound scan) she heard this diagnosis: “What is the danger of a hematoma during pregnancy?”. In many ways, the answer to this question depends on the size of the hematoma, the timing of manifestation and its localization. When diagnosing a hematoma in the first trimester of pregnancy, this is fraught with spontaneous abortion. If the pathology occurs at a later date, the consequences of its appearance may affect the development of the fetus (lag in physical development, hypoxia (the amount of oxygen insufficient for the full development of the child)).

The most dangerous in this category are effusions of 20 ml or more, which is about 40% of the volume of the fetal egg. In addition to inhibition in the development of the fetus itself, the risk of further detachment of the placenta increases. If the KTP (coccyx-parietal size) of the embryo is delayed in growth by more than ten days, this is a bad sign, which indicates a greater likelihood of an unfavorable pregnancy resolution. Although with adequate therapy the fetus continues to develop normally, but in this case it is shown C-section.

Diagnosis of hematoma during pregnancy

It is desirable to diagnose any pathology in the early stages of its manifestation, when cardinal negative changes have not yet occurred, which can no longer be corrected. Therefore, in order for the pregnancy to end with a normal birth, a hematoma is diagnosed during pregnancy.

The main source of information during this period is ultrasound (ultrasound) - this is a modern, fairly informative, research method. In addition, the obstetrician-gynecologist prescribes another examination.

• Clinical detailed blood test
• General urine analysis.
• A blood test for RW and HIV is being carried out.
• Coagulogram. Determination of the prothrombin index (PTI), which shows how well the blood coagulates, as well as activated partial thromboplastin time (APTT).
• A smear for microflora, which is taken from the vagina.
• Blood chemistry.
• Screening for various sexually transmitted infections (STIs).
• Dopplerometry (one of the types of ultrasound, used to assess the nature and speed of blood flow in the vessels, in this case, in the baby and in the placenta).
• If necessary, a blood test for hormones is prescribed.

Hematoma during pregnancy on ultrasound

Hemorrhage during the period of bearing a baby appears when, by coincidence, the fetal egg begins to be torn away from the attached place. This leads to the development of bleeding. This pathology in such a period is observed quite often and, based on the severity, can cause a miscarriage. Hematoma during pregnancy on ultrasound is recognized quite easily - this is one of the most accurate and informational methods for its determination. The presence of hemorrhage in the uterus is evidenced by:

• Increase the thickness of one of the walls.
• Changing the parameters of the fetal egg.
• The presence of a blood clot in the interval between the chorion - the uterus.
• Deformation of the contour of the uterus.

Treatment of hematoma during pregnancy

When diagnosing uterine hemorrhage, the expectant mother is shown bed rest (physical and emotional rest). At the same time, the treatment of hematoma during pregnancy includes not only a drug complex, but also an adjustment in the nutrition of a pregnant woman. Foods that stimulate increased intestinal motility are excluded from the diet.

To stop or prevent bleeding, the attending physician, if necessary, may prescribe drugs such as vikasol, dicynone, vitamin C.

Vikasol. This drug is given by injection into a muscle for three to four days, with a four day break. The daily dosage is 1-1.5 mg, divided into two to three injections. The maximum daily dose is 30 mg, a single dose is 15 mg. If necessary, after a break, the course of treatment is repeated.

This drug also has side effects: the appearance of spasms in the bronchi, thromboembolism (acute blockage of a blood vessel by a thrombus), rash and itching of the skin, hemolytic anemia (increased destruction of red blood cells), urticaria, as well as erythema (redness of the skin).

Dicynon. To prevent bleeding, the doctor usually prescribes one or two ampoules of the drug, which are injected into a muscle or vein, then after four to six hours, one ampoule is injected into the woman or two tablets of the drug are taken.

Summons Dicinon and side effects which include: pain in the head, heaviness in the stomach, heartburn, lowering blood pressure, paresthesia of the lower extremities, flushing of the face.

Contraindications Dicinon:

• Thromboembolism of vessels.
• vein thrombosis.
• Hemorrhage.
• Individual intolerance to the components of the drug.

Vitamin C. A vitamin tablet is taken orally, chewed, with a small amount of water immediately after a meal. The daily dosage is 250 mg. Course duration - 10 - 15 days. If necessary, the dosage can be doubled.

Usually ascorbic acid is well tolerated, but there are exceptions when side effects begin to appear: diarrhea, diarrhea, nausea and vomiting, excitation of the central nervous system, the formation of kidney stones, the appearance of an allergic reaction to the drug.

There are also contraindications: thrombophlebitis, predisposition to thrombosis, hypersensitivity to ascorbic acid.

Treatment of uterine hematoma during pregnancy

In the case of diagnosing a hemorrhage in the early stages, the treatment of uterine hematoma during pregnancy is carried out using the most popular medicines such as papaverine and no-shpa.

But if the hematoma occupies a small area, then treatment may not be given, the attending physician will only carefully monitor its parameters and, in case of growth, begin treatment.

Papaverine. This drug is administered both intramuscularly and intravenously at 40-60 mg three to five doses per day.

Carefully enough, it is necessary to take this drug for women prone to constipation, who have a history of individual intolerance to the components of the drug, liver failure, glaucoma and other pathologies.

There are also side disorders: drowsiness, arterial hypotension, ventricular extrasystole and some other manifestations.

No-shpa. The dosage of this drug is 40-80 mg once. Reception - three times a day.

This drug is contraindicated for those patients who suffer from hypersensitivity to the components of the drug, as well as a violation of the normal functioning of the kidneys and liver, arterial hypotension, atherosclerosis of the coronary arteries, and so on.

There are also side effects:

• Increased heart rate.
• Increased work of the sweat glands.
• Dizziness.
• Drop in blood pressure.
• Rashes on the skin of an allergic nature.
• And others.

To stop the bleeding, the doctor prescribes hemostatic medications (Vikasol, Ascorutin, Dicynon), they will not allow the hematoma to progress during pregnancy.

Askorutin. This drug is taken one tablet three times a day. The course of treatment is as needed, but about three to four weeks. This drug is contraindicated for use in patients with hypersensitivity to the components of the drug, as well as in gout, diabetes, thrombophlebitis and some other pathologies.

To relieve stress, it is useful to drink valerian tablets or drops, and tea with melissa leaves.

Not bad to take in this situation and vitamins of group B:

• Vitamin B1 or thiamine. Promotes the formation of energy from fats, proteins, carbohydrates. Its lack can be filled with foods such as liver, pork and beef, spinach, yeast, cereals, nuts.
• Vitamin B2 or riboflavin. It is extremely important for maintaining vision, normal functioning of the human skin and mucous membranes, as well as for the synthesis of hemoglobin. They are very rich in asparagus, dairy products, eggs, meat, fish.
• Vitamin B3 or nicotinic acid (niacin). Promotes detoxification. Contained in such products as: liver, veal and chicken meat, kidneys, heart, milk and others.
• Vitamin B6 or pyridoxine. This vitamin is involved in carbohydrate metabolism, hemoglobin synthesis, and so on. It is found in large quantities in beans, rice bran, yeast, wheat germ...
• Vitamin B12 or cyanocobalamin. Takes part in the formation of erythrocytes, positively affects nervous system. Contained in seafood, liver, dairy products.

A woman with a hematoma during pregnancy should not introduce foods that have obvious strengthening and laxative properties into her diet. During this period, you should not abuse carbonated drinks, drink coffee and very strong tea, as well as dietary supplements.

To support the immune system of a pregnant woman are prescribed gestagens.

Duphaston. In case of a threatened abortion, the drug is administered orally once at a dosage of 40 mg. In the future, every eight hours the patient receives 10 mg of the drug until the symptoms disappear completely. To date, there is no data on the contraindications of the drug in question, except for the individual intolerance of its components.

Utrozhestan. The capsule of this drug is inserted into the vagina with the threat of abortion. The daily dose is 200-400 mg, the reception is carried out in the morning and in the evening (I and II trimesters of pregnancy).

This medicine is contraindicated for people who are hypersensitive to its components, with thrombophlebitis, thromboembolism, bleeding of unknown etiology, and so on.

Assigned the same tocolytic drugs that help relieve uterine spasms.

Magnesium sulfate. The drug is administered intramuscularly in 20% or 25% solutions. The attending gynecologist prescribes the concentration and dosage individually. The prescribed dosage varies at the level of 5-20 ml.

Treatment of retrochorial hematoma during pregnancy

Retrochorial hematoma is formed when the fetal egg is rejected from the chorion, the precursor of the placenta. This pathology is diagnosed quite often and with an adequate approach and timely therapy does not lead to irreversible consequences. Treatment of retrochorial hematoma during pregnancy is carried out only in a hospital under the constant supervision of an obstetrician-gynecologist.

During this period, it is necessary for the expectant mother to reduce physical activity, have more rest, and for medical reasons, bed rest is also attributed. The diet should be balanced and complete.

Treatment of retrochorial hematoma during pregnancy includes not only dietary and lifestyle adjustments, but also drug therapy. During this period, a woman is prescribed hemostatic medications (vikasol, dicynon, ascorutin). To stop pain and relieve spasms, a pregnant woman should take antispasmodics (paraverin, no-shpu). A vitamin and mineral complex is also prescribed, ready to support the body of the expectant mother. As well as vitamin E (tocopherol) - an antioxidant designed to protect cells from the influence of pathogenic flora; and folic acid, a vitamin enzyme essential for the growth and development of the circulatory and immune systems.

For a more intense outflow of blood from the female genital area, a woman needs to lie so that the pelvis is slightly raised. This is easily achieved by placing a folded blanket or pillow under the buttocks. During this period, it is recommended to stop any sexual relations.

To relieve uterine spasms and relax the muscles, a pregnant woman is prescribed magne B6, which take two tablets two to three times a day. The drug is washed down with plenty of water. The contraindications of this medication include the pathology of the kidneys and hypersensitivity to the components. Side effects have also been identified: peripheral neuropathy, diarrhea, numbness in the limbs, pain in the abdomen.

To improve the quality of fetal nutrition, to prevent the development of hypoxia, the doctor prescribes actovegin, chimes.

Actovegin. To prevent normal blood circulation and metabolic processes in the brain, both of the woman in labor and her child, the starting dose of the drug is administered intravenously - 10 ml daily for two weeks. In the future, if there are medical indications, this dose is adjusted - 5-10 ml several times a week (as prescribed by a doctor) for a month. Do not use this drug in the case when there is anuria (complete cessation of urine flow from the kidneys to the bladder), pulmonary edema, heart failure, as well as individual intolerance to the components of the drug.

Curantyl. The drug is prescribed at the rate of 75 to 225 mg per day, divided into three to six doses. Subsequently, the dose of the drug can be reduced to 25-50 mg. Only in acute manifestations of pathology, the daily dosage can be 600 mg.

The drug in question is contraindicated for people suffering from intolerance to one of the constituent substances, as well as for diseases such as collapse, myocardial infarction, bleeding of unknown etiology, and others.

Advice to women who are diagnosed with retrochorial hematoma during pregnancy should not neglect the recommendations of the attending doctor, since such a pathology is a rather serious condition.

Tranexam with hematoma during pregnancy

With bleeding or its threat, obstetricians and gynecologists quite often attribute a hemostatic drug, which is an inhibitor of fibrinolysis. Well established Tranexam with hematoma during pregnancy. In this case, this drug is prescribed at a dose of 250 to 500 mg three to four times a day. The duration of treatment is seven days.

Contraindications to the use of this drug:

• Individual intolerance to the component composition of the drug.
• Thrombophlebitis of deep veins.
• Subarachnoid bleeding.
• Kidney disorders.
• And others.

There are also side effects:

• Decreased general tone, drowsiness and dizziness.
• Heartburn, diarrhea.
• Nausea and vomiting.
• Thrombosis.
• Tachycardia (rapid heartbeat).
• Tooth and skin eruptions.
• Hives.
• Pain in the chest.
• Violation of vision.

Prevention

Modern medicine, today, can offer such measures that help prevent the development of pathology. Prevention of hematoma during pregnancy consists of:

• A complete examination of a woman to identify risk factors even before a planned pregnancy or in its first weeks.
• Identification of hereditary pathologies.
• Adequate and effective treatment of urinary tract infections.
• Treatment or maintenance therapy for vascular disorders.

Forecast

Pathology diagnosed as a hematoma during pregnancy is a fairly common phenomenon. And on how early the diagnosis was made, what is the area of ​​\u200b\u200bthe “damage” and the prognosis of hematoma during pregnancy depends.

If the violation is recognized early and the volume of the hematoma does not exceed 20 ml, and adequate and timely treatment is carried out, there is no threat of termination of pregnancy in the future. In rare cases, when the pathology captures large areas of rejection and is accompanied by heavy bleeding, there is a real threat to the life of the pregnant woman. In this case, the question of emergency termination of pregnancy is raised. If treatment was not carried out (but it was shown), then the prognosis of hematoma during pregnancy is unfavorable - there is a high probability of development spontaneous miscarriage, while timely treatment leads to normal childbirth and the birth of a healthy baby.

It can be concluded that a hematoma during pregnancy is a frequently diagnosed pathology that occurs at various stages of fetal development. The symptomatology also depends on this. If a pregnant woman is diagnosed with such a diagnosis, you should not panic, but you should not neglect the advice of a doctor either. After all, caring for yourself and your health will help not only save your life, but also give birth to a healthy, strong baby.

The period of bearing a baby is not always happy. Unfortunately, many mothers are faced with such a dangerous diagnosis as retrochorial hematoma during early pregnancy. This condition threatens miscarriage and other dangerous complications. What kind of pathology is this, why it occurs and what are its symptoms, we will understand in the article.

By the word hematoma, doctors mean an area in the human body with clotted blood. Retrochorial hematoma (RCH) is an area with clotted blood in the region of the chorion. Such formation occurs, as a rule, in the first trimester, before the chorion is converted into the placenta. Pathology indicates that there is a rupture of the capillaries connecting the chorion and the wall of the uterus. This is where his rejection begins.

Retrochorial hematoma during pregnancy in the first trimester indicates the onset of rejection of the chorion, as well as the appearance of a void between the amniotic egg and the wall of the reproductive organ. If a hematoma forms in the second or third trimester, that is, during the period when the placenta is already fully formed, such a dangerous condition occurs as its detachment. The ICD-10 code is T81.0.

Most often, the disease in the early stages of bearing a baby manifests itself in the form of pain in the lower abdomen. In this case, the pain is pulling in nature. Many girls also complain of discomfort in the lumbar region, but this is just an imaginary sign. In fact, the pain just radiates to the back. Another common symptom of a hematoma is the appearance of bloody spotting.

By the quantity and nature of this secret, a specialist can assess the size and danger of education. With the appearance of scarlet discharge in any week, the doctor may suspect that the resulting cavity is growing rapidly and has reached sizes that threaten the life of the fetus. In addition to bright red discharge, pregnant women also often feel pain of a cutting nature, there is a sharp decrease in blood pressure. In such cases, the expectant mother needs urgent medical care and hospitalization.

The fact that the retrochorial hematoma in the uterus is resolving is indicated by the discharge of a dark burgundy shade. They are usually inconspicuous. If before that the patient had a scarlet copious secret, but it was replaced by dark spotting, this indicates that the formation does not increase in size, but resolves. This indicates a reduction in the risk of losing a child.

Many mothers with the development of a problem in the organization stage may not observe any discharge at all. The appearance of a hematoma in the internal pharynx or another part of the uterus can be indicated only by pulling pains, similar in nature to menstrual pains. If you feel such a sign, you should immediately inform your doctor about it. Early diagnosis of the problem increases the chances of a favorable outcome for mother and baby.

Often, retrochorial hematoma occurs in pregnant women without visible symptoms. Mommy can learn about the development of this dangerous pathology at an early stage only during a planned ultrasound scan.

On such a basis as the presence or absence of a secret on underwear, a gynecologist can judge some features of the course of the pathology. For example, if there is no discharge, we can say that the formation has formed in the upper part of the genital organ and can only be detected using ultrasound.

Even slight bloody or brown discharge indicates an early stage of the disease. If at the same time the blood continues to accumulate, over time the discharge will be more abundant. Having found even slight red spots on the linen, a woman should immediately seek medical care.

According to medical statistics, about 70% of women face this problem to one degree or another during childbearing. To date, scientists have not been able to identify the exact causes of this pathology. Presumably, the following conditions should be attributed to the provoking factors of this problem:

• Intense physical activity during pregnancy and overstrain of the abdominal muscles. During the bearing of the baby, the expectant mother must refrain from lifting weights and sports that involve intense exercise. If you wish, you can do yoga, swimming, or just walk more often in the fresh air.
• Another very common cause of hematoma formation is emotional upheaval and stress. Due to hormonal changes, during this period, the expectant mother often becomes irritable, acutely perceives even trifling situations. To prevent the development of retrochorial hematoma, you need to try to be less nervous. This will help prevent many unwanted complications.
• Various abdominal injuries can provoke a pathological condition. It may happen in in public places, for example, in a tram or train, when someone accidentally pushes a woman. In this case, spotting may appear after a few days.
• Anomalies in the development of the reproductive organs in the mother, as well as various infections of the reproductive system.
• Bad habits - alcohol, active or passive smoking.
• A severe form of toxicosis can lead to the formation of a hematoma.
• Infectious and non-infectious inflammatory processes in the body of a pregnant woman.

The causes of pathology also include some endocrine diseases. These include diabetes, thyroid disease. If the expectant mother has diabetes, she must carefully monitor her diet, lifestyle and visit a specialist in a timely manner.

Unfavorable conditions can also provoke the disease. environment. According to medical statistics, women who live in rural areas or small non-industrial towns are less likely to experience pathology.

Treatment of pathology

Having heard from the doctor such a diagnosis as a retrochorial hematoma, the expectant mother should not panic. Extra worries are useless now. The first thing that needs to be provided to a woman during this period is complete emotional and physical peace. For this, a pregnant woman is shown staying in a hospital. This helps to eliminate physical stress and psychological experiences.

If the treatment takes place at home, the patient needs bed rest. Most of all her time, the expectant mother should lie down. In this case, it is desirable that the legs are slightly raised. Thanks to this position, it is possible to quickly achieve normalization of blood circulation in the uterus. Intimacy is banned. The fact is that with contraction of the uterus, the risk of detachment of the fetal egg greatly increases.

In addition, any physical activity that may lead to contraction of the abdominal muscles is prohibited. In no case should you lift weights, run, jump, bend over, stay in a standing or sitting position. The patient needs to lie down a lot, eat right, breathe fresh air if possible.

If the formation was detected, but the threat was stopped, the woman should pay special attention to her body and take all measures to prevent a recurrence of the pathology.

Critical periods of pregnancy

Throughout pregnancy, there are several critical periods during which the expectant mother must pay special attention to her body. Let's look at them in a table.

This does not mean that, for example, from 9 to 12 weeks, a woman should not take care of her health. Take care of your body at all stages of pregnancy. At the same time, it is very important to eat right, to avoid bad habits, not to lift weights, to rest more, to try to eliminate stress. This will help minimize the risk of retrochorial hematoma formation.

Often, the pathological condition under consideration has to be treated with the help of medications. Reviews of doctors indicate that it is impossible to cope with the deviation without the use of drugs. In this case, the type of medication, its dosage, method of administration and duration of the course of treatment is determined individually for each patient.

Therapy is carried out taking into account the tests and symptoms that accompany the pathological process. In this case, the following means are used:

• Antispasmodics that allow you to cope with painful sensations (No-Shpa, Magne B6, Papaverine Candles).
• With the development of a hematoma in the early stages, hormonal drugs may be needed. They help stop the growth of education and reduce the risk of developing negative consequences.
• To restore the balance of nutrients in the body, various vitamin complexes. Including folic acid.
• To prevent the growth of the formation, hemostatic agents are prescribed. The drugs are selected by the doctor in a certain dosage, depending on the intensity of bleeding.
• Sedatives help to normalize the psychological state of the pregnant woman. While carrying a baby, a woman can drink soothing herbal preparations (motherwort, mint, valerian).

It is important to consider that the uterine tone is directly affected by the functioning digestive system in particular the intestines. It is this organ that is located close to the uterus. If processes such as constipation, excessive gas formation, diarrhea are observed in the intestines, this negatively affects the reproductive organ itself. Often such violations lead even to a miscarriage.

While carrying a child, the expectant mother should take care of her nutrition. You need to eat more vegetables. Fruits, dairy, dairy products, cereals. From a large number sweets, too fatty, spicy, salty, smoked foods are better to refuse. Proper and balanced nutrition has a positive effect on the health of mom and baby.

The most dangerous and severe consequence of pathology is a miscarriage or premature birth. This condition can be prevented only with the timely detection of the problem and its competent treatment. Less often, pregnancy fading occurs, that is, the fetus stops developing. Statistics show that such a complication is extremely rare, however, it cannot be completely ruled out. As for the prognosis for the patient, in most cases it is positive. With adequate treatment, mommy manages to cope with the problem and endure a healthy baby.

If the formation appeared in the late stages of pregnancy and placental abruption occurred, the pregnant woman is shown urgent delivery in the form of a Caesarean section.

How does a retrochorial hematoma come out?

Can the formation dissolve on its own and leave the uterus? With proper treatment and compliance with all the doctor's prescriptions, the growth of the hematoma stops and the blood comes out in the form of secretions. Reviews of mothers indicate that they had a hematoma with a clot or smearing discharge. If they stopped, then the outcome for the woman will be positive. Despite this, if even a slight bloody or brown secret appears on the underwear, the mother should immediately contact her doctor.

Video

In this video you will find more information on the topic that interests you. Be sure to watch the video to the end.

Pregnancy is the best period in the life of every woman. This is a period of prosperity, a feeling of happiness and expectation of the birth of a miracle. But it is also a period of fear and anxiety.

And, as luck would have it, it is during pregnancy that almost every woman expects some kind of health problems. Sometimes - insignificant, and sometimes - and very dangerous.

Hematoma in the uterus during pregnancy is a serious complication when certain place blood begins to collect in the uterus. And this, as you understand, is an absolutely undesirable phenomenon. A hematoma occurs due to the fact that the fetal egg, for some reason, exfoliates from the uterus in some place (this is where the blood collects).

More recently, doctors were sure: a hematoma is formed due to bruises or falls. But in our time, doctors believe that it can form for other reasons. For example, with certain changes that occur in the general condition of the vessels of the placenta and uterus. These changes occur due to various internal disorders, for example, due to too high blood pressure, severe toxicosis in the later stages, infections, inflammation of the genitourinary system. Stress, hormonal imbalance, uterine defects, and fetal malformations, and can cause a hematoma. At the same time, the hematoma itself can develop into a very large one, but externally it is absolutely not noticeable, and therefore a woman may not be aware of its existence. Detects hematoma ultrasound.

Hematoma is very dangerous for both mother and baby. Because of it, the nutrition of the little one worsens, since it deforms the uterus, thus provoking an increase in blood pressure, but nevertheless, in almost all cases, the pregnancy ends in a successful birth. The severity of the situation depends on what form the hematoma in the uterus developed during pregnancy.

Light hematoma

The woman feels normal, does not feel any discomfort, while the hematoma can be detected after childbirth: it leaves a noticeable mark on the placenta.

Childbirth with a mild form of hematoma usually occurs naturally - in a natural way, but doctors are advised to pierce the fetal bladder themselves, and not wait until it bursts.

With a mild form of hematoma, the main thing even during pregnancy is to eliminate the causes of its formation and stabilize the condition of the pregnant woman.

moderate hematoma

It will definitely make itself felt with pains in the lower abdomen,. Of course, in such a situation, you need to see a doctor. But a hematoma of this form may not cause bleeding: it all depends on how large it is and where it formed. In this case, the baby's heartbeat can be seriously disturbed. This will be the signal for the doctor.

Severe hematoma

The woman feels very bad, periodically, or even constantly, suffers from severe pain to the point that she can lose consciousness. A pregnant woman has a significant drop in blood pressure, she has discharge.

If a hematoma of mild or moderate severity occurs, then a caesarean section is prescribed, moreover, at an earlier date than the birth itself is scheduled.

If a hematoma was diagnosed in the early stages of pregnancy, then it can be cured with drugs, such as and. It also happens that if the hematoma is small and does not harm either the expectant mother or her baby, then they will not touch it at all, but at the same time they will carefully observe the pregnant woman throughout the entire period.

To prevent continued bleeding, a woman may be prescribed hemostatic agents - they will not give the hematoma the opportunity to grow and develop further. They will definitely prescribe vitamins of group B and, possibly, E. They will recommend drinking or lemon balm to relieve stress.

In addition, a pregnant woman with a hematoma in the uterus must follow a special diet to prevent congestion in the intestines and the accumulation of gases that can put pressure on the uterus. It is contraindicated for a future mother with a hematoma in the uterus to eat strengthening and laxative foods, it is unacceptable to drink carbonated drinks, strong tea,. Her diet is less thick than usual, cereals, a lot of liquids, especially juices, kefir and milk. And, of course, she should not take any medications and dietary supplements without the recommendation of doctors.

Especially for- Elena Kichak

The presence of any features of the course of pregnancy requires a more careful approach to the pregnant woman and the baby that is in her womb. A pathology that can significantly complicate pregnancy is a hematoma localized in the uterus. This article details the causes and treatment of this pathology during early pregnancy.

What it is?

Hematoma doctors call the accumulation of blood. With a hematoma in the uterus, blood accumulates inside the reproductive organ. There are a lot of reasons that can lead to this pathological condition.

Hematomas can be different. It depends on where exactly the blood is poured. Retrochorial hematoma is an accumulation of blood in the space between the uterine wall itself and the chorion(extra-embryonic membrane that separates the tissues of the embryo from the wall of the uterus).

Retrochorial hematoma is an extremely unfavorable pathology. The risk of spontaneous miscarriage with this pathology is quite high. It is very important that such a hematoma is detected in a timely manner.

The formation of such a hematoma occurs in the early stages of pregnancy. This is due to the fact that the chorion is a temporary organ. It is present in the body of a pregnant woman for only a few weeks, and later it is transformed into placental tissue.

Causes

A variety of reasons can lead to the development of retrochorial hematoma. Most often, the development of pathology contribute to:

• dishormonal disorders;
• traumatic injuries;
• various infections;
• autoimmune diseases;
• pathologies occurring with impaired hemostasis;
• congenital pathologies associated with anatomical defects in the structure of the uterus;
• bad habits in the mother (drinking alcohol, smoking);
• work in difficult conditions associated with exposure high temperatures, noise, radiation, vibration;
• concomitant diseases of the internal organs.

The reasons that can lead to the development of retrochorial hematoma in the uterus are so numerous that sometimes it is quite difficult for doctors to establish only one of them. Quite often, the development of this pathology is preceded by the impact of several causes at once.

In women who have a burdened obstetric and gynecological history, the risk of retrochorial hematoma in early pregnancy is quite high. If the expectant mother before pregnancy underwent any operation or surgical intervention on the uterus (curettage, removal of polyps), then in this case, during the first weeks of bearing the baby, she may develop a retrochorial hematoma.

In cases where it is impossible to establish a single cause, doctors resort to prescribing symptomatic therapy. It is aimed at correcting the developed adverse symptoms. Such treatment should reduce the risk of developing dangerous complications, which are not uncommon in the case of retrochorial hematoma.

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How is it manifested?

The severity of adverse symptoms with a hematoma in the uterus depends on its size. Usually a large hematoma leads to the appearance of pronounced clinical signs in the expectant mother. Some symptoms can be so severe that they can significantly worsen the general condition of a pregnant woman. If the hematoma in the uterus is small, then the symptoms may be moderate.

One of the characteristic symptoms that can develop with this pathology is the appearance of secretions from the genital tract. As a rule, they have a brownish tint. If an intrauterine hematoma leads to the development of bleeding, then the discharge changes its color and becomes red.

A woman who has a retrochorial hematoma may also develop lower abdominal pain. Usually, the pain syndrome intensifies after performing any physical exercises or after walking fast. Lifting heavy objects can also increase pain. The epicenter of the pain syndrome in this pathology, as a rule, is located in the lower abdomen. However, in some cases, the pain can spread to the lumbar region or even "go down" to the hips. Such irradiation (spread) of pain is largely associated with the peculiarities of the innervation of this part of the body.

A woman who develops a subchorial hematoma in her uterus during early pregnancy may experience general weakness and tire easily. Fatigue can appear even when performing ordinary and familiar activities. Some women may experience dizziness. An expectant mother who has a hematoma in the uterus in early pregnancy should carefully monitor her blood pressure.

If, against the background of the existing pathology, it began to constantly decrease, you should definitely warn your doctor about this. This may indicate the progression of hematoma formation. In this case, a revision of the chosen tactics of therapy and the appointment of additional drugs are required.

In obstetric practice, there are also asymptomatic cases. In this situation, a pregnant woman, as a rule, is not worried about anything. She feels pretty good. An asymptomatic variant of hematomas is detected in such situations, as a rule, only during an ultrasound examination. Reviews of many women who have this pathology during pregnancy, this is also confirmed.

Consequences

In early pregnancy, the chorion performs quite a variety of functions. A small developing organism needs this special shell, which protects it from the influence of many external factors. A hematoma that appears in the uterus leads to disruption of the functioning of the chorion. Such an impact is also reflected in the general course of intrauterine development of the fetus.

Many pregnant women are interested in the question of whether the hematoma can resolve itself. If it is small, then in this case it may disappear. Usually the hematoma resolves in 2-4 weeks. In some cases, more time may be required. The prognosis of the course of pregnancy after the "disappearance" of the hematoma in the uterus is usually favorable. In this case, the expectant mother can carry the child in the womb until the very birth.

Hematoma of the fetal egg can be a very dangerous pathology. It threatens to disrupt the blood supply to an actively developing small organism. The lack of essential nutrients and oxygen contributes to the fact that a small embryo begins to develop poorly. Ultimately, this can contribute to the development of defects, developmental anomalies.

Another possible complication that can develop with uterine hematoma is infection. Blood that accumulates between tissues is an excellent breeding ground for pathogenic microbes. Microorganisms that got there develop quite quickly, which leads to the development of inflammation. The inflammatory process that begins with such an infection both worsens the general condition of the expectant mother and significantly affects the embryo.

Retrochorial hematoma, which has a rather significant size, often contributes to the detachment of the embryo from the uterine wall. In this case, the pregnancy, unfortunately, ends in a spontaneous miscarriage. At the same time, the embryo “leaves” the uterus along with the blood that appears during the development of bleeding during detachment.

Spontaneous miscarriage can be very dangerous for the condition of the woman herself. It happens that the bleeding that develops after the death of the embryo and its exit from the uterine cavity is quite abundant.

Severe blood loss can even lead to the development of hemorrhagic shock. In this condition, a woman's blood pressure drops sharply and consciousness is disturbed. In such a situation, it is very important to immediately seek medical help. With severe bleeding, a woman must be hospitalized in a hospital (for intensive care).

Treatment

The main goal of therapy is to stop the growth of the hematoma. At the same time, all prescribed drugs should lead to compensation for the violations that have arisen and the maximum preservation of pregnancy.

Medical therapy

The selection of drugs for hematoma of the uterus is carried out strictly individually. To do this, the doctor must determine the cause that led to the development of these disorders. Medicines may also be prescribed to correct any symptoms that have arisen.

Hormonal drugs

To correct the violations that have arisen, doctors often resort to prescribing drugs that contain analogues of female sex hormones. Usually they are appointed for a fairly long period of time. The appointment of such drugs is largely justified even with a high risk of the threat of spontaneous miscarriage. Often, doctors prescribe hormonal drugs to their patients even up to 14-16 weeks of pregnancy.

To normalize the level of the main pregnancy hormone, synthetic analogues of progesterone are most often used. They help to improve the hormonal balance in the body, and also help prolong pregnancy until the second trimester. By this time, a placenta appears in the body of a pregnant woman, which normally synthesizes progesterone.

If the placental tissue performs its functions well enough, then the need for taking synthetic progesterone drugs practically disappears. In this case, taking hormonal drugs can be stopped.

Often, to correct the violations that have arisen, doctors prescribe the hormonal drug "Utrozhestan" to expectant mothers. The active substance of this drug is progesterone, which is an important pregnancy hormone. When administered orally, the drug is quite well absorbed from the gastrointestinal tract. The medicine is prescribed by an obstetrician-gynecologist who monitors the course of pregnancy.

Antispasmodics

To relieve severe pain in the abdomen, doctors resort to prescribing antispasmodics. It is important to note that such drugs are prescribed with extreme caution. In some cases, taking antispasmodics can lead to bleeding. Only a doctor should prescribe antispasmodic drugs. Such funds are issued in short courses, on average - for 4-5 days.

During treatment with antispasmodics, a pregnant woman may experience bloody or dark-colored discharge from the genital tract. So part of the blood that is there is removed from the uterine cavity.

Antispasmodics relieve spasm of blood vessels, which leads to the appearance of such specific secretions. When part of the blood comes out of the uterine cavity, the expectant mother may feel much better.

Products containing folic acid

In the early stages of pregnancy, such agents have a positive effect on DNA synthesis, which actively occurs in the cells of the rapidly developing organism of the embryo. With insufficient intake of folic acid at an early stage of organogenesis, a child may develop various pathologies and even defects in the structure of internal organs.

Retrochorial hematoma, which appeared in the uterus in early pregnancy, is accompanied by impaired functioning of the fetus. In this case, the risk of developing dangerous pathologies increases many times over. In this case, cell damage can be minimized with the help of preparations containing folic acid.

Sedative drugs

These funds in this pathology have more auxiliary value. Many women, after determining the diagnosis, begin to worry very much about the further course of pregnancy. Such stress is dangerous not only for the pregnant woman herself, but also for the baby that is in her stomach. To normalize well-being, doctors recommend expectant mothers to walk more in the fresh air, master various breathing practices, do what they love (distract in every possible way). However, unfortunately, these recommendations do not always help in practice.

In some cases, a woman cannot be distracted and constantly thinks about the problem that has arisen. In this situation, doctors, as a rule, are forced to resort to the appointment of sedatives. Such drugs have a calming effect on the nervous system, reducing general anxiety. During pregnancy, herbal remedies are usually prescribed that do not harm the fetus.

The choice depends on the specific situation. In this case, the presence of allergies to certain plant components is necessarily taken into account. Very popular drugs that are used for sedation (sedation) are products containing valerian and motherwort. Typically, such herbal preparations are prescribed for several weeks.

Hospitalization in a hospital

In some cases, the treatment of a hematoma that is in the uterus is carried out in a hospital. A pregnant woman is in the hospital until the state of health normalizes and adverse symptoms are eliminated.

Treating retrochorial hematoma can be quite difficult. Even against the background of ongoing therapy, a pregnant woman may develop complications, one of which is the appearance of bleeding. In this situation, the timely assistance of qualified doctors is very important.

After inpatient treatment, the expectant mother is discharged home. In the future, she will be treated on an outpatient basis.

In case of any deterioration in well-being, a pregnant woman should immediately seek medical help. To endure and hope that all adverse symptoms will disappear on their own is not worth it. A hematoma in the uterus can be an extremely dangerous pathology.

The dynamics of this pathology can be assessed using ultrasound. To do this, the specialist determines whether the size of the hematoma changes with each examination. If (despite the treatment) the hematoma continues to increase, you should definitely consult about this with an obstetrician-gynecologist. With such negative dynamics, a change in the chosen tactics of pregnancy management is required, and in some cases, additional prescription of drugs.

For information on how to behave in the event of this and other causes that threaten pregnancy, see below.