hematoma help?

Question

I don't know what to do.
am 15 weeks pregnant. I had bleeding a week ago, and the doctors did not see anything unusual on the ultrasound, but they prescribed bedrest for a week. The bleeding stopped.

Yesterday, I went to my regular doctor, and he did not see anything unusual in the ultrasound and said that I can start walking around again, while taking it easy.

Last night, I went for an in-depth scan to detect any birth defects, and the ultrasound doctor found a 6.1x2.5 cm hematoma. Apparently, it is NOT touching the placenta, but near. He said it was large, and that I should return to my regular doctor.

Unfortunately, my regular doctor is not in the office till tomorrow, there is no replacement doc, and I don't know what to do!!! I am very worried, and I have some pain on one side of my abdomen.

Please, if you have any experience with hematomas during pregnancy, please advise me.
I will see my regular doctor tomorrow, as well as a specialist, but what about today?

OK, here is the answer (for anyone who has the same problem and looks up this question).

I went to a doctor, and he said that a hematoma and bleeding go hand in hand -- even if I am no longer bleeding.
He prescribed 2 weeks of bedrest, as well as progesterone injections to stop the uetrus from contracting.
Apparently, a hematoma irritates the uterus, causing it to contract. The contractions can then cause more bleeding, enlarging the hematoma.... which then irritates the uetrus some more. Progesterone injections help stop the cycle.

When a hematoma is not located UNDER the placenta, it is not such a worry and the outlokk is relatively good (although still classified as a high-risk pregnancy). Hematoma that IS under the placenta is really bad, as it can detach the placenta.

Answer 1

I personally don't know squat about hematomas during pregnancy, but I Googled it, and this is what I found:

This is called a subchorionic hematoma. A subchorionic hematoma is a collection of some blood within the layers of the forming placenta. It can dissipate and disappear on its own when the hematoma "resolves" itself by dissolving. Other times you can have some vaginal bleeding (slight) and sometimes it does not cause outward bleeding. Depending upon where the hematoma is located, sometimes there can be a bit of bleeding that does not ever reach the vagina, but gets reabsorbed by the body. The size of the hematoma can obviously affect the outcome. Her doctor would be able to tell her the size of the hematoma and whether this would be considered small or large.

With any pregnancy, there is a 15-20% risk of miscarriage. Having a hematoma does not significantly increase this risk. And about 20-30% of ALL pregnancies experience some degree of bleeding. Of those, about half will go on to have full-term pregnancies and half will miscarry in the the 1st 12 weeks. As a rule, bleeding can be a sign of miscarriage, but does not mean that miscarriage is imminent. Many years ago, before ultrasounds, we wouldn't have been able to see these hematomas and this would have been considered a "threatened miscarriage" only because of the bleeding. But, as I said, about half of all women who experience bleeding (no matter what the reason), will go on to have full-term pregnancies. There is really nothing you can do to cause or prevent a miscarriage from happening.

http://en.allexperts.com/q/ObGyn-Pregnancy-issues-1007/hematoma-uterus-1.htm

Answer 2

if you think something is wrong go to the er and have them check it out and they will call your dr. if need be. or call another drs office and tell then whats going on and ask if you could just get checked out cause you are worried about your child im sure they would understand.