SCH – Subchorionic Hematoma

My knowledge on the complications of infertility and pregnancy continues…

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After my first bleeding incident and the trip to the ER, I had a second one on Thursday with more blood and some very large clots and a smaller one on Friday. I had an ultrasound on Wed and Thur and both showed healthy growing babies and strong heartbeats. This has been very terrifying. I stayed in bed most of the weekend and had my husband and a friend taking care of our twin girls.

I had one bleeding episode like this with my last pregnancy at about 6 weeks. After learning that I once again have a SCH I decided to do some research on it.

“A subchorionic hematoma is a type of blood clot found between the pregnancy membranes and the wall of the uterus. This occurs in just over l1% of pregnancies, and it appears that the bleeding occurs when small parts of the pregnancy membranes separate from the uterus.” (about.com)

The rest of my research is from many different web and blog sites. The general belief is that if your SCH happens in the first trimester and you make it to the 20th week you are usually ok. Some woman never actually bleed, it is only found out during an ultrasound exam and some woman have huge gushes and clots multiple times.

The biggest concern is when the clot is large, that is the most dangerous to the fetus. The comment about it only being 1% of pregnancies I believe to be very off. Every doctor and ultrasound tech I have met seemed very familiar with this condition and I also found tons of woman online going through it and some have had it with more than one of their pregnancies. It also seems to be more common in twin pregnancies.

The most frustrating thing about it is the different doctors approaches. There are doctors that tell their patients everything from change nothing in your daily life to ones that suggest full bedrest. How could there be such a huge mix of opinions on a matter that could mean life or death for your unborn child??? Doctors state that there is currently no proof yet that bedrest will help (no one has bothered to research and do studies on the condition), so they are hesitant to suggest it. Although I found that most woman said that shortly after bedrest the bleeding would stop.

It is an internal wound, why would you not give it a chance to heal? That’s like running a marathon with an open cut on your leg…it’s not going to heal and will probably get worse.

It really upset me to come across some of this misguided information. One woman was even told that she would definitely miscarry and should just get a D&C right away, even though her baby was still alive. She changed doctors and went on to have a healthy full-term baby!!!!

I in no way claim to be a medical expert, but the data and facts seem to definitely lead to some basic conclusions. If you have a SCH, get as much rest as you can, try to stay off your feet, drink lots of water (dehydration causes the uterus to contract), eat foods rich in iron, vitamin c and zinc and take an iron supplement if you are bleeding. My doctor also has me doing daily progesterone shots to hopefully help strengthen the uterus and stop the bleeding. I hope this helps others going through this scary condition…

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