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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Diagnosed With Subchorionic Hematoma. Brown Spotting. Chances Of Miscarriage?

I'm 6 weeks 3 days pregnant and diagnosed with subchorionic hematoma approx 2cm in size. I was bleeding bright red blood when I was 5 weeks but no cramping. Was admitted to ER and prescribed progesterone and duphaston. Bright red bleeding stopped but has been having brown spotting on and off until now. Had ultrasound vaginal scan last two days and my doctor pointed that my SCH has turned from clots to liquid and will surely experience bleeding. She also diagnosed my case as threatened miscarriage. I am put to complete bed rest. Since yesterday, I am having very dull cramping (heaviness feeling) with brown spotting (sometimes stringy). Is this a sign of impending miscarriage?
Thu, 13 Jun 2013
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General & Family Physician 's  Response
Hello,

Thanks posting your query,

Your current presenting symptoms it seems you are having a threatened miscarriage and will require urgent attention from your DR.
The current statistics for pregnancy loss with a SCH is 1-3%. This low percentage is related to large clots. Most pregnancies progress with no further complications. Most clots resolve on their own by 20 weeks of pregnancy. The clot either bleeds itself out or the body absorbs it.
There is no known cause for a SCH but many researchers speculate that during egg implantation, the egg slightly separates or tears from the uterus causing a bleed. There is nothing a woman did or could have done to cause or prevent them. SCH occurs to pregnant women of all ages and races.
You might still require treatment with progesterone or estrogene and maybe additional medications such as aspirin, lovenox etc in an attempt to try to dissolve the clots (Note that there is no definitive treatment).

Hope this helps and wish you the best
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Pregnant. Diagnosed With Subchorionic Hematoma. Brown Spotting. Chances Of Miscarriage?

Hello, Thanks posting your query, Your current presenting symptoms it seems you are having a threatened miscarriage and will require urgent attention from your DR. The current statistics for pregnancy loss with a SCH is 1-3%. This low percentage is related to large clots. Most pregnancies progress with no further complications. Most clots resolve on their own by 20 weeks of pregnancy. The clot either bleeds itself out or the body absorbs it. There is no known cause for a SCH but many researchers speculate that during egg implantation, the egg slightly separates or tears from the uterus causing a bleed. There is nothing a woman did or could have done to cause or prevent them. SCH occurs to pregnant women of all ages and races. You might still require treatment with progesterone or estrogene and maybe additional medications such as aspirin, lovenox etc in an attempt to try to dissolve the clots (Note that there is no definitive treatment). Hope this helps and wish you the best