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Followup To
Question - Thank you again for your quick reply. I have seen my doctor who performed another scan to confirm the location of the bleed. He said that it was on the anterior abdomnal wall and was 'old blood' from a small abruption on the bottom of my placenta (position: posterior and high). He did not measure the bleed for growth/degeneration. The blood does not seem to be interfering with the fetus in any way and growth is still on target for dates with an estimated weight of 460 grams/16 oz.
The doctor has suggested that pregnancies that have sustained a bleed have a 30% chance of delivery before 34 wks. Is this consistant with your knowledge? Would this type of a problem place me at greater risk for PROM/preterm labour? Any information would be greatly appreciated as my doctor was not very forthcoming.
thanks again,
amanda
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Followup To
Question -
I am 25 yrs old and am in my 2nd pregnancy (the first miscarrying at 12w+5) at 20w+6. I had a large bright red bleed at 15w+6, which was said to have resolved itself without the doctor ever finding the location of the bleed. After the initial bleed, I spotted on and off for 2.5 wks.
I went in for an anomaly scan today and the radiologist found an area of bleed in the anterior wall measuring 3.7cm x 5.9cm X .8cm. The placenta is posterior and high.
My midwife suggested that the bleed will likely reabsorb, but as I will not be able to see the consultant til next week, I was wondering if this bleed shoud be a cause of concern at the present time and if I should augment my activities in any way in the mean time. Does this bleed increase my chance of late miscarriage?
thank you for your time,
amanda
Answer -
You may he a "subchorionic bleed" which is a sequesration of blood within the folds of the developing placenta. This usually dissipates on its own and does not interfere with the pregnancy at all. However, I am not sure where the bleeding is located. You may hve an anterior hematoma in the wall. You have to find out if the blood was in any way near the fetus. As long as it is not involving the fetus and there is adquate growth of the fetus and the fetal heartbeat remains steady, you usually have nothing to worry about. If, on the other hand, you start bleeding heavily with cramps, that can be the beginning of a miscarriage. I would have your obstetrician review the sonogram and discuss the findings with you. Until then, you need not worry.
new question-
thanks so much for your speedy response. I've not been able to find any information regarding 'anterior hematoma'. Could you briefly describe what that entails and any risk factors?
The baby is measuring ahead or bang on for dates depending on the sonographer and the bleed seems to be oposite from the placenta. The heartbeat ordinarilly stays in the 150s.
thanks again,
amanda
Answer -
You will have to ask your doctor exactly where the bleed was. An anterior hematoma is on the anterior portion of the uterus or towards your belly, while a posterior hematoma is on the posterior wall towards your back. However, I do not know what, exactly, they were referring to. If the bleed was not near the placenta, it is not a subchorionic bleed. You have to discuss the sonogram with your doctor. A subchorionic bleed can be anterior or posterior but usually is in the folds of the placenta. I really do not know what they saw on your sonogram so you will have to find out. Once you find out what it was, I can comment on it for you.
AnswerAny time that you have bleeding during pregnancy, there is a slightly increased risk of miscsrriage. However, if the baby's heartbeat is good and there is adequate growth of the fetus, and the sonogram showed the placenta to be normal, I woujd not worry. I agree with the midwife.
