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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Sonography Reports Shows RC Bleed, Threatened Abortion. Guidance For Further Measures?

Hello Doc? I am Sandeep Mahajan. My wife is pregnant. And the results of Obstetric Sonography are as follows: LMP - 13/11/2012 ; GA by LMP - 9 weeks 6 days A single gestational sac is noted in uterine cavity . Single fetal pole & yolk sac echo seen. The foetal cardiac pulsations are present. The M.S.D is 1.8 cm ----- 6 weeks 2 days of gestational age. App. EDD is -- 14.9.2013 Chorionic rim is globular. 4*6 mm RC bleed seen. Liqour is adequate. The internal os is closed. Both ovaries shows normal echotexture and are normal in size. No adnexal mass is seen. IMPRESSION: Single viable intrauterine Pegnancy seen. Average Gestational age -- 6 weeks 3 days. 4*6 mm RC bleed noted S/O threatened abortion. Sir will you please alloborate about the above impression or we will have to go for abortion or our baby can be safe by taking precautionary measures?
Sat, 9 Feb 2013
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OBGYN,  's  Response
Hello
Thanks for your query. As you can already see, the pregnancy is lagging behind by 3 weeks.
This either means a slowly growing pregnancy, or a late conception due to late ovulation.
Also, a retro chorionic ( RC ) bleed, means bleeding in the supportive tissues of the uterus, that support the growing pregnancy, and in future form the placental tissue.
This is a bad sign, because if the bleeding increases or persists, it might lead to an abortion.
Hence the terminology employed is a threatened abortion.
Moreover, sometimes, with proper pregnancy support, in the form of progesterone supplementation, strict rest and avoidance of stress/coital activity / strain, the bleed might stop and resolve, leading to continuation of a normal pregnancy.
Please continue having serial visits with your obstetrician as indicated, and serial ultrasounds to know the status of the retro chorionic bleed.
Be positive, and all the best.
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Pregnant, Sonography Reports Shows RC Bleed, Threatened Abortion. Guidance For Further Measures?

Hello Thanks for your query. As you can already see, the pregnancy is lagging behind by 3 weeks. This either means a slowly growing pregnancy, or a late conception due to late ovulation. Also, a retro chorionic ( RC ) bleed, means bleeding in the supportive tissues of the uterus, that support the growing pregnancy, and in future form the placental tissue. This is a bad sign, because if the bleeding increases or persists, it might lead to an abortion. Hence the terminology employed is a threatened abortion. Moreover, sometimes, with proper pregnancy support, in the form of progesterone supplementation, strict rest and avoidance of stress/coital activity / strain, the bleed might stop and resolve, leading to continuation of a normal pregnancy. Please continue having serial visits with your obstetrician as indicated, and serial ultrasounds to know the status of the retro chorionic bleed. Be positive, and all the best.