Subchorionic Hemorrhage in Early Pregnancy: Understanding Size & Implications

Question
Hi,
I'm 6 weeks and 6 days pregnant. When i was 6weeks and 1 day pregnant, i had mild spotting(brown in color) and went to ER. They had done few tests and found that I've subchronic hemorrhage of size 1.7*2.0*1.7 cm. I'm not quite sure how severe or how big this is. My baby's heart beat is 130. Can you tell me you suggestions on my hemorrhage size please.

Answer
Dear Kiran,

A subchorionic hematoma is simply a collection of blood either within the folds of the developing placenta or between the placenta and the uterine wall. A small to moderate sized hematoma will usually it will dissipate on its own and not have any negative effect on the pregnancy. At times it can cause some vaginal bleeding/spotting. Large hematomas that hemorrhage can carry a higher risk to the pregnancy. Thus, the smaller the hematoma the better.

It sounds as if yours is fairly small in size. If so, the blood should be reabsorbed and it will resolve itself. During the next ultrasound, they will look at it again and re-measure to make sure that it is the same size or smaller. As long as there is appropriate fetal growth and a strong, steady heart rate, you should have no serious concerns regarding this hematoma. I'm sure your doctor will keep an eye on it to make sure it isn't enlarging.

I hope this has helped you and answered your question. I wish you well.

Brenda