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How Long Do I Need Bed Rest For Vaginal Bleeding During Pregnancy?
Question: Hi I am 10 weeks pregnant. At 8 weeks I had a gush of blood and bleeding for at least a few hours. The next day an ultrasound showed two subchorionic hematomas outside the placenta and the baby was fine with a strong heartbeat. I was on modified bedrest for four days. On the fifth day I no longer had blood on my pad past 10am and proceeded with normal activities (hanging washing etc) and nothing strenuous. I had another gush of blood that night with two clots. I have been on more strict bedrest since and this is my fifth day on bedrest and today was my first day with no blood on my pad. Wondering what the best next course of action is, whether to continue on bedrest and if so how long for?
Thanks for your help
Thanks for your help
Brief Answer:
Rest for another 2-3 days
Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your problem and anxiety related to the issue.
You should continue modified bed rest for another 3 days and thus make it a rest of 7 days complete at a stretch and then start normal routine and non strenuous activity with adequate rest in between.
And most importantly get a repeat scan before resumption of activity to see the size of hematomas.
The second bleed you had was probably the expulsion of the hematomas formed during previous episode (documented on ultrasound).
It is common to have small bleeds oozing altered colored blood after having documented hematomas on ultrasound as uterus tries to expel out the blood.
But it is usually very hard to distinguish between fresh bleeding and expulsion of preformed hematoma so extra rest is always recommended.
Also avoid intercourse till 12 weeks and keep taking as much rest as possible.
All the best.
Regards
Dr Manisha
Rest for another 2-3 days
Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your problem and anxiety related to the issue.
You should continue modified bed rest for another 3 days and thus make it a rest of 7 days complete at a stretch and then start normal routine and non strenuous activity with adequate rest in between.
And most importantly get a repeat scan before resumption of activity to see the size of hematomas.
The second bleed you had was probably the expulsion of the hematomas formed during previous episode (documented on ultrasound).
It is common to have small bleeds oozing altered colored blood after having documented hematomas on ultrasound as uterus tries to expel out the blood.
But it is usually very hard to distinguish between fresh bleeding and expulsion of preformed hematoma so extra rest is always recommended.
Also avoid intercourse till 12 weeks and keep taking as much rest as possible.
All the best.
Regards
Dr Manisha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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