No one expects to have a hematoma in pregnancy and after this result in a routine ultrasound, the worries increase. However, the good news is that it is a fairly common disorder that, with proper care, is likely to have no long-term complications.
Bruises in pregnancy are more common than one would suppose and there are many reasons why they appear. It is common that, in case of having one, the doctor recommends rest for a certain period of time and regular check-ups in order to carry out the appropriate follow-up. In more delicate cases, treatment includes other care.
Why bruises appear in pregnancy
Una routine ultrasound it can lead to certain special care. It is the case of bruising in pregnancy, they appear during the study although a loss of blood during pregnancy can be a sign that this problem exists. If that is the case, it is important to see a doctor immediately in order to carry out the relevant studies. While it may be hardly a scare, follow up is recommended.
Bruises in pregnancy are known as intrauterine bruising or interdecciduotrophoblastic hematomas. What they owe? It is an accumulation of blood that occurs inside the endometrial cavity, exactly between the tissue that forms during pregnancy to house the embryo and the most superficial layer of the uterus.
Despite the evolution of current medicine, doctors still have not found the precise causes for which they can appear bruising in pregnancy. However, it is quite common, especially during the first trimester. The difficult thing about the case is that in many cases only an ultrasound can detect the problem because it is not accompanied by other symptoms, such as pain.
In many cases, a small bleeding can act as an alarm, in others the bleeding is more important. Be that as it may, it is an indicator that something is happening so in case of losses during pregnancy, it is important to make an inquiry immediately.
Risks of bruising in pregnancy
What are the risks of a hematoma in pregnancy? Intrauterine hematomas do not usually result in pregnancy loss, especially if the baby's heartbeat is recorded during the ultrasound. In many cases, bruises are naturally reabsorbed, especially during the first trimester. For this reason, doctors recommend resting to help in the process.
When dealing with larger bruises in pregnancy, care is different because there are greater risks. For this reason, a strict control is carried out in order to make the bruise disappear, something that takes longer.
It is known that there are three types of bruises during pregnancy. The most common is the subchorionic hematoma and is located on the outer membrane that covers the gestational sac and the endometrium. Retroplacental hematoma develops between the uterine wall and the placenta. It is riskier since it is linked to a possible placental abruption. Finally, there is the subamniotic hematoma or preplacental hematoma, which does not affect the placenta and is the least frequent.
Different bruises, different risks
Once a hematoma has been detected, the location and size (measuring the width by the length) will be evaluated to indicate the treatment since the risks will depend on it. The bruising in pregnancy that are small in size are not of great concern because as the pregnancy progresses the circulation also and that is why the absorption of the blood clot occurs.
In the case of a larger bruise or that is accompanied by abdominal pain, care must be taken as there is a greater risk of miscarriage. The doctor will try to prevent the bruise from continuing to grow. In cases of very large bruises or located in risky places, there will be many reservations because in addition to the possible placental abruption the possible is added roturna of the bag prematurely, which can lead to premature delivery.