Tips for subchorionic hemorrhage (subchorionic hematoma)

[maximbella]

Hi ladies! Two days ago, I started heavily bleeding and was rushed into a sonogram. It turns out that I have a large Subchorionic hemorrhage (subchorionic hematoma) surrounding approximately 50% of the gestational sac to the left of the sac. My doctor told me that given the size of the hematoma, I need to be on bed rest for the week before coming back next week to do another ultrasound (I'll be 8 weeks next week). I got some great advice in my DDG from ladies that had experienced it in their pregnancies, but other than bed rest advice from my doctor, I didn't get much else. Does anyone have any good advice on how to manage this and hopefully make it go away? The risk of miscarriage and preterm labor is really scary to me! TIA!

[Pinkmama]

Hi hun, first of all just wanted to tell you SCH are super common in pregnancy. I had it on both my pg. The first one with my healthy son and second with my mc, but it was definitely not the reason for mc. When I had ir I was in STRICT bed rest and progesterone suppositories. Don't worry to much, they tend to go away! Good luck


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[XXforhubby]

Honestly, there is not much you can do besides bed rest for the specified amount of time, avoiding strenuous exercise once bed rest is over, and just taking it easy when you can. These normally resolve on there own. Don't be alarmed if in 2 weeks you see some brown spotting when the initial scab falls off. This can be alarming, and I was grateful I was told by my perinatologist. It should be temporary- like once and should stop within the same day. It literally looked like a scab in the toilet, tmi!

(((Huge Hugs)))! I'm praying this resolves itself soon!!!


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[LMSM]

Hi hon,

Îm happy Bub is well :) but I know it's scary!!
I had a sch with DD2, but never bled and was told it's actually good for the blood to get out so the hématoma can get a chance to diminish.
I have one this pregnancy too, and was told to rest as much as possible, stay hydrated (when I bled this time it was after a morning of barely drinking and was dehydrated as per blood work showing ketones were off) ... no heavy lifting etc.
I do have progesterone pessaries with can help so may be worth asking about some ;)
I hope all goes well, I know it is so stressful to wait without knowing what the outcome will be.
Last time mine subsided on its own by 20 weeks and have a healthy chunky girl :)

[maximbella]

Thank you so much for sharing your stories! I had never heard of it prior to this last week and was certain it wouldn't be a favorable outcome. Praying that the rest will help it resolve in its own. [emoji120]


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[atomic sagebrush]

The best thing to do is rest and patience because your body is working to clear it on its own. I know it's terrifying but tons of people do have them and they either clear up, or...they don't. It isn't your fault, nothing you can do or not do to help get rid of the thing (and many recommendations would actually make it worse) it's just one of those things that happen and more often than not, they do resolve.

ARe you taking anything that may thin your blood (even something that seems benign like pineapple core?)

[maximbella]

Thanks Atomic! I've taken doctors orders and been trying to stay as low key as possible. I'm not taking anything that I know of to thin blood - only pill is a prenatal and DHA fish oil. Outside of that, I'm eating my usual diet that is heavily vegetarian with some lean protein (chicken and fish). Anything specific that I should avoid?


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[LMSM]

I may be wrong but I do seem to recall something about high levels of fish oil actually thinning the blood???
So if you already have some in your prenatal, I wouldn’t take an additional dose hon ;)

[atomic sagebrush]

Reduce the fish oil to every other day immediately. It is a blood thinner. Do not STOP taking it, go to every other day and then after the next scan we will talk about the results - if it's still there or has grown we may want to start weaning off it, if it seems to be resolving we will continue at the 3x a week/EOD

Just need to stress this again - do NOT stop taking the fish oil totally, do NOT continue taking it as much as you are.

Limit or avoid the following: fresh pineapple, hot spicy foods (curry or cayenne based), nuts especially walnuts, and most importantly, fresh garlic. No fresh garlic! And I'd cut way back on caffeine as well.

[maximbella]

Oh wow I would have never known...thank you so much for telling me!!! This is what I've been taking. Will do as you instruct and update after my next scan Friday. Also great to know on garlic, I eat that almost daily in my cooking. Yikes!

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[atomic sagebrush]

Yeah, that's a lot of fish oil - we can never know the cause but it can't be helping. 3x a week for now, and please, please keep me posted on this as it develops. It can fix itself but we need your blood to clot a little better than it has been. :hugs:

[maximbella]

Huge thanks! Next ultrasound is Friday, will definitely keep you posted. Please let me know if there is anything else I should try to better clot.


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[atomic sagebrush]

WE don't want you to do a 180 and now take things that make your blood clot, either, so no Dr. Google! We need to just let your body clear this up on its own by allowing it to do that, dialing back on the fish oil and taking it easy and then it will work itself out over the course of time. I have actually handled this a few times before and had good success with this approach so please do not panic and drop the fish oil totally, or start taking things that make your blood clot more, this is a gentle, gradual thing.

[maximbella]

Thanks atomic! I'm working on not panicking! [emoji51] I'm taking your suggestions and will keep you posted after my appointment Friday.


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[maximbella]

Hi atomic! I finished my ultrasound and wanted to follow up. Most importantly, baby is growing right on track and has a healthy strong heartbeat at 163 bpm. So very happy to see that! The SCH is "slightly smaller" than last Friday, and the doctor noted that the blood looked more "old" than it appeared in the last ultrasound (something about the color on the image indicates if the blood is fresh or old - it was black this time versus gray on the image last time). I did have some spotting this morning, which was brown. I'm still on full pelvic rest, which is not great, but it does seem to be working. Thoughts on where to go from here?

[atomic sagebrush]

Perfect, that's exactly what we want to see.

Keep going at the 3x a week intake of the fish oil. Still continue avoiding the things we talked about, especially the fresh garlic.

[maximbella]

Perfect, will do! And thank you!!


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[maximbella]

I'm trying to increase my intake of fruits and veggies to aid in healing the hematoma. I'm not a huge fruit or veggies person, think drinking this once a day is ok? Wasn't sure about lavender. I'm also having a glass of fresh oj in morning. This bedrest is getting the best of me and I'm determined to shrink this hematoma as quickly as possible!!

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[atomic sagebrush]

No let's not take the chance. We just don't know what the effects would be. Vit. K causes blood to clot which sounds like "oh we should totally do that" but remember, having your blood clot too easily may be bad too, and we want your body to just maintain right where it is until it's cleared things up.

[maximbella]

Okay, so should I try to take in more whole fruits and veggies as well, or just maintain my diet as is cutting out garlic, pineapple, nuts, etc.?

[atomic sagebrush]

Just do what you're doing. There's no proof that fruits and vegetables will make the SCH clear up faster and many fruits and veg have either blood thinning components (like garlic and onions and cruciferous veg) or Vit K (dark leafy greens)

[maximbella]

Ok, thanks atomic. I've started spotting again over the weekend (albeit brown instead of bright red this time), so starting to get anxious. I'll continue to do the same. Appreciate it.


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[4blue2pink]

hope your ok max, spotting will always be scary :( but on the plus side brown blood is old blood, i would imagine its very normal to have brown spotting in your situation? as nasty as this sounds the blood has to go somewhere.. and this could be the last/older bits from your original bleeding just woking their way out. when are you back in for your next check? we've all got our fingers crossed for you and your little bean over in the due date thread xx

[maximbella]

Thank you so much 4blue! I go back in tomorrow, but for my first OB appointment since I've been seeing the RE. I'm hoping she will do an ultrasound and check on baby. I'm hoping that's what brown blood means also, and I agree, has to go somewhere. Just wish it would just disappear. I'm such an active person and this 1.5 weeks on bedrest (while not a long time) feels like ETERNITY! Really very hard for me, and unfortunately gives me more time to over analyze everything. [emoji51]


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[XXforhubby]

Max- remember that as the scab starts to form and fall off there will be some brown spotting. It may happen off and on until it falls off completely leaving behind new tissue.


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[4blue2pink]

[QUOTE=XXforhubby;935328] Max- remember that as the scab starts to form and fall off there will be some brown spotting. It may happen off and on until it falls off completely leaving behind new tissue.

^ this sounds promising max :) like what needs to happen is happening, though i agree that no spotting at all would be preferable! yes i can imagine being stuck in bed 24/7 is very very frustrating, is it that you are literally only allowed up for the bathroom? you need some netflix series's to binge watch!!
thats good that you are being seen tomorrow, fingers crossed you get another scan, id be surprised if they dont seen as thats the only way they can check on the size of it and also the best way to check baby :heart: i will be thinking of you and keeping an eye out for your update. xx

[maximbella]

Thank you both so much!!! I didn't think of it that way, good to hear that. I'm really praying that's it. I'm so so so ready to get back to life as normal (and omg I miss the gym lol).

How long did it take for yours to fully heal? Once it's gone, can you resume normal activity?


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[atomic sagebrush]

Yes that's just what I was going to say - brown blood is normal and to be expected as this clears itself up.

You will be able to resume normal activity once it clears up. It gets better and better as the pregnancy progresses and the placenta grows into the uterus more fully.

[atomic sagebrush]

Yes that's just what I was going to say - brown blood is normal and to be expected as this clears itself up.

You will be able to resume normal activity once it clears up. It gets better and better as the pregnancy progresses and the placenta grows into the uterus more fully.

[maximbella]

Hi ladies! I just finished my first OB appointment and the tech that did my ultrasound said she actually saw two hematomas - the one I've known about, and then another "very small one". The large one is located on the other side of the placenta, so hope that is at least a good thing? Anyway, go back again in four weeks. I'm still spotting and she told me to expect bedrest for at least until after first trimester.


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[atomic sagebrush]

Drop back on the fish oil to 2x a week. Did it seem new??

[maximbella]

She couldn't tell me either way. It might have been there prior and the other tech didn't see it. Augh really hope it's not a new one.


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[atomic sagebrush]

Ok. Sometimes they can tell by the color. Let's go to 2x a week and keep taking it easy. :heart:

[maximbella]

They both seemed black on the screen as opposed to grayish the first time I went (which I guess indicates older blood)? It was a different tech so I guess I won't know either way for sure until my next appointment on 9/14. I'm still spotting and on modified bedrest. Really not moving around much in hopes that I can get this to go away sooner. Keep you posted after that next appointment.

One question on opinion. I've told my side of the family the complete situation, but my husbands side doesn't know I'm pregnant yet. They are judgmental and no matter what I do, they'll blame the hematoma on something I "did". When is the right/safe time to let them know the news, after my 12 week scan? Not sure what the risk of miscarriage is past that, but I'd like to be as conservative as possible with telling them while still balancing not offending them by telling them in the second trimester. Anyone?


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[atomic sagebrush]

I think between now and your next scan it's going to be very obvious if things are moving in the right direction. I think they are, but I want more closure with what the doc is telling you before you start telling people who may not react ideally. I don't think you're going to have to wait any longer past that point anyway, so my advice would be to play it by ear and see what they say at the next scan, and make up your mind at that time.

[maximbella]

Thanks, makes perfect sense! [emoji175]


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[atomic sagebrush]

Hope you're doing ok today!

[maximbella]

Thanks atomic! Spotting isn't letting up, but as long as it's not red I'm trying not to freak. The worst part is bedrest for me. I'm very active and this is torture. But obviously well worth it! Reduced fish oil to 2x/week. Should I take 2 capsules (recommended on bottle), or just one at a time?


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[atomic sagebrush]

Have you been taking 2 capsules all the time??

Since you just cut back to 2x a week take the 2x one more, and then go to one.

[maximbella]

Yes, I started taking 2 capsules per the bottle recommendation as soon as I got a bfp, which of course I didn't know about the hematoma at the time. I've been taking 2 each time, 3 times per week but reduced to 2 times a week. Should I go ahead with one pill twice a week now?


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[atomic sagebrush]

Take the 2x one more time, then go to one per dose.

[maximbella]

Ok thank you, will do. Will update after my NIPT screening on 9/14, assume they will ultrasound to check on hematoma as well.


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[maximbella]

Hi atomic. I had my NIPT today and thankfully baby looks healthy. Hematoma still present, but shrunk 1 cm. Both the tech and doctor both guessed boy. Trying to process it all....


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[Mommy2apples]

So excited for a healthy Baby max!!


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[atomic sagebrush]

What gestation???

[maximbella]

What gestation???

11+6 at the NIPT (which I KNOW is very early). I'm mad at myself for asking and honestly walked in so confident that it was a girl, so when they both separately said that, I literally was in shock. I'm really still praying and holding out hope for my third little lady. I should hear back in 2 weeks regarding the blood which will confirm gender. Here's the two sonogram shots they gave us. Anything stick out to you as boy? I don't know what to look for. I still feel so good about my sway, Femara, and hubby being on SSRI. [emoji175][emoji120]

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[atomic sagebrush]

Did the NIPT say boy, or the ultrasound??

I see nothing on the pics that looks even remotely boyish (although this is meaningless at this gestation, since you can't tell gender for another week or even two)

I think that you should pretend for the next week that it IS a boy. Just try it on for size. And then that way if they're right, you'll have prepared yourself a little bit more. I don't ever want anyone walking confidently into an ultrasound only to have the rug out from under them since even the best sways can produce opposites, and I did that with DS 3 and it was literally one of the worst moments of my whole life (and I hate hate hate it now that I ever felt like that about my wonderful boy.)

[maximbella]

It was the NIPT ultrasound. I did the bloodwork at the same appointment to confirm gender which should be back within two weeks.

I love that advice! I think it's smart instead of holding out hope for a girl and being disappointed. Thank you. I'll update accordingly.


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[maximbella]

I got the call. It's confirmed a boy....


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[XXforhubby]

(((Huge Hugs))) Give yourself time to process this and please don't bottle in your feelings. Know we are all here for you! I know right now your head is spinning but trust that you did all that you could have done. For reasons we don't always understand, we are given the child we need instead of the child we want. Someday you will see that this little baby pushed through SO many odds just to come to you. I know with every fiber in my being that he will melt your heart and fit perfectly into your family. Until then, vent away!


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[Georgia_Peach]

I am.sorry you didn't hear girl maxim. I know how much you wanted another girl. I just can't help but be super happy for you though that you are going to be welcoming a little brother for your girls. Honestly ... any boy mom will tell you how truly lucky we are to have these little guys. The sweet snuggles, the mama's boy. It's something I wouldn't trade for the world.
You will have the "million dollar family" now. Your girls will have a brother to protect them. It gives such a wonderful dynamic to the family. I am so happy for you.
Just take the time you need to grieve this. I know how hard gender disappointed can be.
Xo

[atomic sagebrush]

I'm so sorry the sway did not go as we had all hoped. But I do really want to give you congrats on your new addition. It's going to be different than you had envisioned but different isn't always bad. :heart: