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Subchronic bleeding during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi
Doctor :   Dr XXXXXXXX here
User :   Doctor ..I had a question
Doctor :   how can iI help You?
User :   I am 3months pregnant and i had a bleeding episode some time back ..In the recent ultrasound it says thta it is subchronic bleed ...It this serious ?
Doctor :   Have You done a urine test and a hcg blood test?
User :   yes
Doctor :   I mean after the bleed
User :   no because the ultarsound showed the baby had good growth an dthere was fetal heart beat
Doctor :   subchronic bleeds are usualy common in first trimester and and are of no consequence however You need to check with Your gynaecologist about whether the fetus is safe and whether u require any hormobnal therapy
Doctor :   What is the size of the bleed
Doctor :   Are U there
User :   5 cms*1.2cms
Doctor :   Was a follow up Ultrasound done by the doctor?
User :   initially it was 2.6 cms*1.2 cms but it has increased though there is no bleeding now
Doctor :   Did you have vaginal bleed too?
Doctor :   When was the last Ultrasound scan done?
User :   yes 3 weeks back anf after tha in the ultrasound the size of the bleed was 2.6cms*1.2cms..after that the bleeding stopped however in my ultrasound yeasterday the size had icreased to 5 cms *1.2 cms
Doctor :   Ok we cannot right now predict the outcome of the subchorionic hematoma
Doctor :   it depends on the age of the mother and the size of the hematoma and also the age of the foetus
Doctor :   Hence may I know your age?
User :   29yrs
Doctor :   Ok that is fine
User :   what do i need to do ...i am really worried ..will it lead to miscarriage
Doctor :   Actually it is common in first trimester ultrasound finding
Doctor :   THere is no active intervention that is done right now
Doctor :   The most important thing is rest and do not be apprehensive about
Doctor :   as these factors can increase the risk further
Doctor :   The next thing is to follow up with the Gynecologist for further scans and serial beta HCG levels
Doctor :   If the serial Beta HCG levels are doubling for every 48 hours it is a factor to indicate that the foetus is growing well
User :   but does it double vey 48 hrs after 12 weeks
Doctor :   not necessarily
Doctor :   Have you crossed 12 weeks, you mentioned it as 3 months
User :   yes
Doctor :   Ok
Doctor :   What was your Gynecologist's opinion?
User :   she only said they will do a follow up scan concern was can the size increasing without any active bleeding also?
Doctor :   yes it can
User :   ok
Doctor :   Is the Gynecologist monitoring the Foetal Heart rate?
Doctor :   That shows the foetal wellbeing ( baby)
User : was 170 yesterday
Doctor :   That is good rate
Doctor :   You should not be apprehensive, take ample rest
Doctor :   and follow up with the Gynecologist is the next best step for you
Doctor :   I hope you are taking Iron and Folic acid supplements
User :   Alos one thing i didn't mention was is twin pregnancy . 2 different sacs ..can this effect the other twin?
User :   i am taking folic acid
Doctor :   Ok
Doctor :   Is it the hematoma only at one sac?
User :   yes
Doctor :   Ok
Doctor :   Now for this question we need details of the ultrasound findings
Doctor :   regarding the details of sacs
Doctor :   Hence such question can be answered by your treating Gynecologist only
User :   ok
User :   thanks for your time
Doctor :   Do you have any more queries?
Doctor :   Would you like to take a second opinion from another Gynecologist too?
User :   NO
Doctor :   I hope this is useful chat
User :   yes i would like to take a second opinion
Doctor :   Can you just send me a summary of the two ultrasound reports
Doctor :   to YYYY@YYYY
User :   sure will do that ..will do it in 5 mins
Doctor :   I hope this is your first pregnancy
Doctor :   and there were no abortions earlier too
User :   thanks for your time
Doctor :   Ok I shall be waiting for your reports
Doctor :   to initiate the specialist opinion
User :   yes..this is the first pregnancy
Doctor :   Ok
User :   bye..this was helpful
Doctor :   Thanks for consulting me
Doctor :   Bye for now
User :   thanks ..this was helpful
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