Hematoma in pregnancy

Hematoma in pregnancy – what is it?

A hematoma is nothing more than extravasated blood found in tissues. Its formation occurs when vessels are damaged and blood spreads freely into the surrounding areas. During pregnancy, there are usually two types of hematomas to deal with:

Subclavian hematoma

It localizes between the uterine wall and the chorionic villi, causing detachment of the chorionic villi tissues and thus disrupting gas exchange and nutrient exchange between mother and baby.

Extramedullary hematoma

He, in turn, occurs in cases of premature separation of the placenta. Due to the very large volume of blood flowing through the uterus, its appearance can lead to internal bleeding and, in the short term, result in life-threatening shock to the mother.

Hematoma in pregnancy – what are the symptoms?

One of the main symptoms that accompanies a hematoma in pregnancy is bleeding from the reproductive tract. It can have a different clinical picture, ranging from mediocre spotting with visible clots to intense bleeding (hemorrhage). It is worth noting that the main bleeding, especially in the case of extramammary hematoma and premature separation of the placenta, takes place within the abdominal cavity, and only a small part of it gets outside and is visible to the naked eye. For this reason, it is very important to react quickly in this type of situation. Hematoma in pregnancy can also be associated with complaints of abdominal pain. Sometimes, however, hematomas, especially subclavian hematomas, are asymptomatic and do not affect the well-being of the fetus.

Read more:
Bleeding during pregnancy-is it dangerous?

Hematoma in pregnancy – what is the treatment?

An abdominal ultrasound is most often used to diagnose a hematoma in pregnancy. It is through it that the gynecologist is able to visualize the hematoma and, based on the patient’s condition and assessment of fetal well-being, decide on the next therapeutic steps. In the case of subclavian hematoma in early pregnancy, until recently, doctors recommended, among other things. strict bed regime. Currently, however, this procedure is being abandoned, as it risks thromboembolic complications. Sometimes pharmacotherapy is necessary in the form of taking acetylsalicylic acid to thin the blood, as well as progesterone to prevent excessive uterine contractions. A sparing lifestyle and avoidance of lifting are also recommended.

In the case of premature placental detachment, and the consequent formation of an extramammary hematoma, hospitalization and monitoring of fetal well-being are essential, among other things. Fluid therapy to replenish fluids lost during bleeding. In the case of both hematomas, it is sometimes necessary to terminate the pregnancy before the scheduled delivery date.