

Your consciousness will be doubly calm and peaceful when you realize the state of your fetus growing in your womb, where its movements and movements indicate that it is healthy. But if you feel the decrease or complete absence of this feeling, then the anxiety will take over you. Some pregnant women may face problems affecting the health of the pregnancy, and these health problems can be identified through some warning signs. Among the conditions that women may face during pregnancy is the accumulation of hematomas under the placenta. In the following Dalili Medical ,article, the symptoms of subplacental hematoma are detected.
There is no specific period for the disappearance of hematoma in the uterus, but usually the hematoma disappears within several weeks without causing any health complications or risks to pregnancy.
If the blood collection is small and without symptoms, it may not be alarming or lead to abortion.
The presence of a blood cyst on the white blood cell can be a safe thing and does not require concern, as it usually disappears on its own. However, in some cases, height leads to complications leading to infertility if left untreated. Usually, a blood cyst is formed on the ovary during the period of childbirth, and it often has some symptoms.
Hematoma can lead to complete or partial detachment of the placenta from the uterine wall. Premature placental abruption often occurs as a result of trauma or in cases of high blood pressure or pre-convulsions. This situation can also prevent some coagulation disorders in the mother, which increases the risk of severe secondary bleeding (disseminated intravascular coagulation).
It is considered the blood transfusion disease between the placentas as one of the diseases affecting the placenta. This happens in some cases of swelling during pregnancy, where the blood is transferred excessively through the blood vessels connected to the common placenta from one swelling to the other.
This condition is related to the density of blood under the placenta, and it is related to the problem of placental separation, whether partially or completely. As a result, the separation of the placenta from the wall of the uterus, which leads to the appearance of blood pooling between the placenta and the uterus, which is the source of anxiety for many pregnant mothers.
**symptoms of blood accumulation**There are some signs that indicate the occurrence of blood accumulation and separation in the placenta. If these symptoms appear, you should consult a doctor to avoid any complications. Below are the most important symptoms to recognize and take precautions:
- Assaulting the pregnant woman to a strong fall.
- The appearance of tail stains on underwear.
- The presence of blood accumulation during ultrasound examination.
The placenta begins to contract when pregnancy occurs to provide the necessary food for the fetus, but it may detach from the uterus, which leads to the accumulation of blood around the fetal sac. If the separation is slight, it does not pose a danger to the fetus, but if it is significant, it may lead to the possibility of miscarriage. To avoid this disconnection, it is recommended to avoid physical exertion and to avoid walking for long periods of time. Detachment of the placenta is considered one of the main reasons for the accumulation of blood around the gestational sac, but it is not the only reason.
The accumulation of blood that appears in ultrasound can indicate the possibility of placental abruption, especially if it is accompanied by blood secretions and an increase in fetal pulses from the normal rate. In this case, your doctor will advise you to rest and avoid sexual intercourse to avoid risks and effects on the fetal heart rate. But if there are no associated symptoms, the doctor may recommend taking birth control pills as a preventive measure only.
**Definition of hematoma and its cause:** Hematoma refers to the accumulation of blood around the placenta and thickening in the endometrium, and is also known as hematoma in the placenta or blood surrounding the fetal sac.
Although hemorrhagic placental tumors are not common among pregnant women, they do occur, as pregnant women who suffer from abnormal pregnancy are more susceptible to it than other pregnant women. Studies have shown that the average incidence of these tumors does not exceed 4%, which means that this phenomenon does not occur in more than 96% of pregnancies, which indicates that it is not common.
** Causes of subchoroidal hematoma**:
- **Vessel tears* Small tears can occur in the blood vessels between the placenta and the uterine wall, which leads to blood leakage and accumulation in that area.
- Physical injuries ** Direct injuries in the abdominal area can lead to the accumulation of blood under the choroid as a result of small tears in the blood vessels.
- Infection ** Some types of infection can cause inflammation leading to the rupture of blood vessels and accumulation of blood under the choroid.
- Hormonal disorders** Hormonal changes that occur during pregnancy can affect the integrity of blood vessels, making them more prone to rupture.
**- Hereditary factors** In some cases, genetic factors play a role in increasing the fragility of blood vessels, making them more prone to rupture.
Most of the hematological tumors do not cause bleeding and do not show any symptoms, and often they are not discovered. It is recommended that pregnant women who suffer from hematoma in the placenta visit doctors twice a week during the first three months of pregnancy. In case of bleeding or spotting, she must discuss it with the doctors to start the treatment as soon as possible. If the hematoma during pregnancy is not diagnosed at the right time, it may lead to the death of the fetus.
**Diagnosis of blood pooling around the fetal cyst**
If you notice vaginal bleeding at any stage of pregnancy, you must contact your doctor. Wadeem AlThe doctor requested an ultrasound examination to determine the size and location of the subplacental hematoma. In addition, it is recommended to restrict activity (also known as resting in bed) and avoid sexual intercourse until the hematoma disappears. In general, this condition is considered to be harmless most of the time with proper treatment and medical care, so it is better to avoid communication with your doctor.
You must see a doctor immediately in the following cases:
- If you feel sudden and severe pain in the abdominal area.
- If you suffer from dizziness or loss of consciousness.
- If you have new symptoms in the vagina, such as pain, itching or secretions.
- If you are suffering, I am sorry.
- If you feel vaginal tissue coming out, you must keep it and show it to the doctor as soon as possible
**Symptoms of subchoroidal hemangioma**
. **Vaginal bleeding:** Vaginal bleeding is considered one of the most prominent symptoms associated with subchorionic hematoma. Bleeding can range from mild to severe, and may appear intermittently or continuously. This bleeding can happen at any stage of pregnancy, but it is more common in the first trimester.
. **Abdominal or pelvic pain:** Some women describe pain in the abdominal or pelvic region, and the pain is differentiated between mild and severe. Pain can appear in the form of contractions, usually in the lower part of my abdomen or in the pelvic area.
. **Sense of pressure in the womb:** The pregnant woman feels unnatural pressure or a feeling of fullness in the womb area. This feeling may be caused by the accumulation of blood between the placenta and uterine wall, which leads to increased pressure in that area.
- **Deceleration of the movement of the fetus**: In the advanced stages of pregnancy, the height of the mother notices a decrease in the movement of the fetus inside the uterus. This decline is considered an important sign that should not be ignored, and requires urgent medical consultation.
**- Abnormal vaginal secretions**: The pregnant woman notices the appearance of abnormal vaginal secretions, such as brown secretions or those containing tail. It is recommended to monitor any changes in these secretions and contact the doctor if any unusual changes occur
**Complications of blood clotting during pregnancy**
Blood clotting during pregnancy can lead to a group of serious complications that affect the health of the mother and the fetus, and the most prominent of these complications are:
. **Blood clotting in the placenta**: This may cause the fetus to suffer from deformities as a result of the defect in the placenta, which provides food and oxygen.
. **Intrauterine growth retardation**: which leads to defects in the completion of the organs and vital functions of the fetus.
. **Pregnant heart attack**: Occurs as a result of heart clots, which leads to lack of oxygen and interruption of blood flow, which weakens the heart muscle and sometimes leads to death.
. **Premature birth**: Refers to the birth of the fetus before the normal due date, which is often the result of the accumulation of blood resulting from the separation of the placenta from the uterus.
. **Pregnant stroke**: It usually occurs when one of the blood vessels that supply the brain is thrombused, which leads to damage to the brain.
. **Veterinary Thrombosis**: When a blood clot occurs in one of the blood vessels, it usually occurs in the veins of the legs, thighs, pelvis, or arms, and it extends to the lungs, causing damage to other organs due to lack of oxygen in the body.
**Pre-convulsions of the mother**: These complications occur during pregnancy as a result of several factors, such as the lack of blood flow to the uterus, the weakness of the immune system, and problems in the blood vessels. These factors lead to high blood pressure and exposure of organs to multiple problems, such as liver or alcoholism. Most of the time, these complications are accompanied by symptoms such as severe headache, abdominal pain, and nausea
The doctor must ask to perform some necessary examinations such as ultrasound or magnetic resonance imaging, as these examinations provide an accurate image of the internal body and are considered safe for the pregnant woman. If the tests show blood clots, the doctor may suggest the following procedures:
If blood accumulation is discovered, the doctor may recommend a caesarean section, especially if the mother is suffering from blood loss caused by bleeding.
It should be taken into account that there is a serious risk to the health of the mother and the fetus as a result of this convulsion, and at birth, it is necessary to closely monitor the fetus to ensure that it is not affected by the convulsion.
**Treatment of blood pooling in the uterus**
The treatment of hematoma in the uterus depends on several factors, including the stage of pregnancy and the size of the hematoma.
**Before the 20th week of pregnancy** If you find hematoma under the placenta before puberty 20 weeks into pregnancy, your doctor will probably advise you to reduce your level of excitement, and also suggest avoiding travel. In case of any bleeding or contractions, your doctor will recommend you to go to the hospital.
**After 20 weeks of pregnancy** If hematoma under the placenta is discovered after 20 weeks of pregnancy, your doctor will teach you the signs and symptoms of early labor. Height includes the following remedies:
- Give RhoGAM agent if you have a negative Rh factor and your child carries a positive Rh factor.
- Performing ultrasound examinations approximately once a month to monitor your child's development, and the examinations may be performed more frequently if necessary.
- Providing treatment for premature labor if contractions start.
- Healing, especially if bleeding occurs after 24 weeks.