Can a Subchorionic Hematoma Come Back? Understanding Recurrence and

Prevention

Subchorionic hematomas, also known as subchorionic hemorrhages, are a common complication during pregnancy. These occur when blood collects between the uterine lining and the chorion, the outer fetal membrane. While subchorionic hematomas can cause anxiety and concern for expectant mothers, it is important to understand the possibility of recurrence and how to prevent it.

What is a Subchorionic Hematoma?

A subchorionic hematoma is a collection of blood that forms between the uterine wall and the chorion. It is typically caused by the separation of the chorion from the uterine lining, leading to bleeding. This condition is often detected during routine ultrasound examinations and can vary in size and location.

Can a Subchorionic Hematoma Come Back?

Yes, a subchorionic hematoma can come back in some cases. While there is no definitive answer as to why some women experience recurrent subchorionic hematomas, several factors may contribute to their recurrence:

• Incomplete resolution: If a subchorionic hematoma does not fully resolve before the end of pregnancy, there is a higher chance of recurrence.

• Underlying conditions: Certain medical conditions, such as blood clotting disorders or uterine abnormalities, may increase the likelihood of recurrent subchorionic hematomas.

• Trauma: Physical trauma to the abdomen, such as a fall or impact, can cause the separation of the chorion from the uterine lining and lead to the formation of a subchorionic hematoma.

Prevention Strategies

While it may not be possible to completely prevent the recurrence of subchorionic hematomas, there are several strategies that may help reduce the risk:

1. Rest and avoid strenuous activities: Engaging in excessive physical activity can increase the risk of subchorionic hematomas. It is important to listen to your body and take breaks when needed.
2. Avoid sexual intercourse: Sexual intercourse can sometimes cause trauma to the cervix and increase the risk of subchorionic hematomas. It is advisable to abstain from sexual activity until the hematoma has resolved.
3. Follow your healthcare provider's recommendations: Regular prenatal care is essential in monitoring the progress of a subchorionic hematoma. It is important to attend all scheduled appointments and follow any instructions given by your healthcare provider.
4. Manage underlying conditions: If you have any underlying medical conditions that may contribute to the recurrence of subchorionic hematomas, work closely with your healthcare provider to manage and treat these conditions.

When to Seek Medical Attention

While subchorionic hematomas are generally not considered life-threatening, it is important to seek medical attention if you experience any of the following symptoms:

• Heavy vaginal bleeding

• Severe abdominal pain

• Dizziness or fainting

• Fever

Conclusion

Subchorionic hematomas can be a source of concern for expectant mothers, especially if they recur. While the exact cause of recurrent subchorionic hematomas is not fully understood, there are steps you can take to reduce the risk of recurrence. By following prevention strategies and seeking regular prenatal care, you can better manage this condition and ensure a healthy pregnancy. If you have any concerns or questions, don't hesitate to reach out to Statcare for expert guidance and support.

Remember, your health is in your hands. Take control and prioritize your well- being.

Sources:

• https://www.healthcare.gov/glossary/urgent-care/
• https://urgentcareassociation.org/