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Mumsnet Discussions: Pregnancy : NEED URGENT ADVICE ESPECIALLY IF YOU ARE A MIDWIFE PLEASE........... (42 messages)
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Contact the poster Contact mumsnet about this post By infoseeker on Mon 10-Mar-08 12:43:19
Hi there - I'm also 15 weeks and have a subchorionic haematoma.

I've seen 2 consultants about this and as you may know, we're in a rare group as most people with subchorionic haematomas have them before 12 weeks.

If it makes you feel any better - I've been hospitalised 3 times with severe blood loss (haemorrhage lasting c.5 hrs and then residual bleeding of 5+ days) and the diagnosis is a subchorionic haematoma and my baby is still OK.

Each time I've been certain that I have miscarried as have passed clots the size of my hand. But the baby is still OK - unbelievable!

In terms of the blurb above, here's my understanding of it all:

BPD is the circumference of the head. 3 cms is normal for your dates. I know this because I am 5 days behind you and my BPD is 2.83 - and this is about 20% on the chart which indicates normal growth patterns.

Femur is the thigh bone - used as an indicator of growth. They didn't do this measurement on me but as long as they say it's normal then no worries. The notes also indicate that your baby is alive and moving on its own (good stuff), that your placenta is at the back of your uterus (all good) and that the fluid around the baby is the right amount (also good).

The blood (ie the haematoma) is anterior which means to the front of your uterus and is an asmall - average size. I hope that is helpful.

Other questions you might like to ask: How has the placenta been affected by this? Should I expect more bleeding from the haematoma? Can you see where the bleed is originating from?

Hope this is helpful - but it sounds like you and your baby are doing just fine K.x
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Fri 29-Feb-08 16:32:43
thanks

actually, now that the panic is over do you think it would be safe to have sex before dp has to buy bigger underpants lol blush

poor mans been deprived for 5 weeks....
Contact the poster See this person's profile Contact mumsnet about this post By elesbells on Fri 29-Feb-08 08:16:38
Iliketosleep, I too had terrible bleeds with dd2. They started from about 16wks right through until I had her. It was really scary as there was so much blood (tmi)

They never did find the reason (but it seemed to happen more after sex, so that was a no no for a while)

DD2 is 17 now, so no long term damage! I hope it all goes well for he rest of your pg. I'm glad the last scan was a positive one.

best of luck smile
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Fri 29-Feb-08 08:00:28
good luck julezboo xx

thanks everyone xx
Contact the poster See this person's profile Contact mumsnet about this post By turtle23 on Thu 28-Feb-08 22:47:19
Hurrah!
Contact the poster See this person's profile Contact mumsnet about this post By Julezboo on Thu 28-Feb-08 21:14:20
thas brilliant news!!!

Had to check in before i went to sleep....Got my scan first thing Im hoping my bleed has shrunk or gone
Contact the poster See this person's profile Contact mumsnet about this post By merryberry on Thu 28-Feb-08 19:46:16
fantastico
Contact the poster Contact mumsnet about this post By MrsTittleMouse on Thu 28-Feb-08 19:00:43
Hurray!
Contact the poster See this person's profile Contact mumsnet about this post By HolidaysQueen on Thu 28-Feb-08 18:57:48
that's great news iliketosleep!
Contact the poster Contact mumsnet about this post By spugs on Thu 28-Feb-08 18:53:30
brilliant news hun grin
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Thu 28-Feb-08 18:42:27
hi all,

Bleed has shrunk from 65x30x80mms to 17x53mms grin

she said baby looked perfect (of course it did) wink

im so happy tra lalalalaaaaaaaa

gringringrin
Contact the poster Contact mumsnet about this post By Paranoid1stTimer on Thu 28-Feb-08 09:45:59
Hi iliketosleep...

Hope you are doing ok and tryin to relax n take it easy.

I also had scary bleeds early on at about 15 weeks then again at 24 ish weeks which was awful since every textbook I read said you should defo not be bleeding at that stage. I am now 37+5 so hoping your LO will be totally unaffected by all of this and just happily growing away no probs.

They thought I had an "ectropian" at first so the bleeding was just coming from cells that were meant to be inside the uterus growing outside and getting ruptured for some reason.

It turned out that the edge of the placenta near the cervix had started coming away causing the bleeding but then the placenta had just moved up slightly and was ok again. They did say it meant every time my uterus took a big stretch there may be a bleed in which case they would monitor the situation but ever since the 2nd sonographer (who was really, really kind and great at her job!!!) noted what happened and the consultant checked me over again a few weeks later, I've been ok as far as I know.

Totally thinking of you - it is terrifying but just try your very best not to worry and it is better that they actually have "diagnosed" something rather than "some women have bleeds and we never know why"... Not very reassuring coming from a medical professional even though it must be true...
Contact the poster See this person's profile Contact mumsnet about this post By fitnfortyone on Thu 28-Feb-08 09:45:49
fingers crossed for you iliketosleep, will do our best to keep popping them out over on the march board
x & {{{hugs}}}
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Wed 27-Feb-08 21:30:17
thankyou fellow march 08ers

now get back over there and start birthin' them babies grin

I cant believe how many of you have popped already!!! shock

good luck to all of you xxxxx
Contact the poster Contact mumsnet about this post By skidoodle on Wed 27-Feb-08 19:51:05
thinking all good thoughts for you and everything crossed you get the reassurance you need tomorrow. s (march 8)
Contact the poster See this person's profile Contact mumsnet about this post By CricketsMum on Wed 27-Feb-08 18:56:06
Really hope it all resolves itself - hang on in there! Keeping fingers crossed for you. xx (March 08 board)
Contact the poster Contact mumsnet about this post By Glammama on Wed 27-Feb-08 18:29:23
Fingers crossed for you that this worrying time will be soon over and your baby continues to grow and thrive just as it has been doing. . Good luck with the next scan. Best Wishes ,G (March 08 board)
Contact the poster See this person's profile Contact mumsnet about this post By turtle23 on Wed 27-Feb-08 17:55:43
iliketosleep...keeping my fingers crossed for you. Big hugs from the March08 board. xx
Contact the poster See this person's profile Contact mumsnet about this post By hertsnessex on Wed 27-Feb-08 15:07:40
iliketosleep,

thinking of you. praying all is ok.

cx
Contact the poster See this person's profile Contact mumsnet about this post By mumofk on Wed 27-Feb-08 13:59:59
Hi, can't add much but your original report mentioned the bleed being by the os-that's the inside bit of your cervix so you are quite likely to have the blood passing through your cervix so you know about it. Noone has a definate answer as to why some ladies bleed and some don't. Some ladies have bleeding and a cause can't be seen on the scan- with you knowing where it is- i.e. right by the exit- that does make it more likely for you to keep having bleeding, whether its bright fresh blood or older blood. If you're lucky it might settle down over a few days or weeks, but (sorry,bit depressing this bit) some ladies have bleeding (and the worry) ALL through their pregnancies.
Bleeding does not neccesarily = miscarriage/stillbirth. Bleeding does = anxiety, worry, panic!
Your next scan may show the area of bleeding has got bigger. Again, that doesn't mean you will miscarry, it can just take a while for it all to settle down.
Getting to 15 weeks without bleeding is good, your baby is growing normally which is great (they may not re-measure your little one unless there has been 2 weeks between scans).
Its extremely unlikely anything you do will make much difference, but the only advice anyone can/will give you is to rest up and try to relax ( yeah, right!)
Take care,
mumofk
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Wed 27-Feb-08 13:26:57
they told me to go back in 5weeks for my 20 week scan but i phoned today to try and get a better explanation and explained the bad bleed last night and she got me the scan for tomrrow as said bleeding sounds quite bad. Im scared to move although ive only had bleeding while lying in bed hmm
Contact the poster See this person's profile Contact mumsnet about this post By Julezboo on Wed 27-Feb-08 12:31:41
good luck iliketosleep

I have a subchronic heamatoma too, had one with my DS. I am being scanned fortnightly x
Contact the poster Contact mumsnet about this post By NAB3wishesfor2008 on Wed 27-Feb-08 12:30:35
Good luck with your scan tmw and rest all of today if you can.
Contact the poster Contact mumsnet about this post By MissingMyHeels on Wed 27-Feb-08 12:26:29
ILTS - I had some big bleeds between 8 and 14 weeks and they were the result of a retroplacental haematoma and I was told to expect bleeding to continue throughout. I had spotting until about 20 weeks and am now 38+2 and all is fine. How big is the fluid/blood?

My obs consultant told me to expect to bleed until the haematoma came out so try not to worry too much. Is it above the baby or below?

Keeping my fingers crossed for you.
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Wed 27-Feb-08 12:22:09
lovely registrare (sp?) on delivery suite has just explained it all to me and i have another scan tomorrow
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Wed 27-Feb-08 12:19:21
i had another big bleed last night
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:40:42
can i just ask, sorry for asking tmi blush

when i go to the toilet or sit in a squatting position i have a feeling like something is about to fall out blush

could this be the bleed putting pressure on my cervix?
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:30:07
shock i bow down in awe of your knowledge grin

Im so glad it all worked out ok for you i hope i am the same!!

hertsnessex i think dp will be even if hes very "meh" about the situation wink
Contact the poster Contact mumsnet about this post By minster on Tue 26-Feb-08 17:27:18
Bipariental diameter 30.0 mm - head measurement
femur length 17.0 mm - leg measurement
(both are used for dating)

heart action present - good
amniotic fluid normal - fluid levels are normal, you haven't lost fluid with the bleed
placenta posterior - placenta has formed at the back of the uterus

fetal movement seen - baby is moving around good

an area of bleed and fluid seen adjacent to the os and within the subchronic space, anterior aspect of the uterus, measuring approx = 65x30x80mms - this is the bleed, the subchorionic space is along the edge of the placenta, the bleed is near to the cervix (the os) and the mm measurements are the size of the area of bleeding.

This type of bleed is sometimes called a subchorionic haematoma, I've had them in two of my pregnancies. Most go on to resolve with absolutely no problems at all, you may have a bit more bleeding (probably old brown blood) or the bleed may be absorbed meaning that there won't be more bleeding.

The advice I've been given (from the FMC in London), is to take things easy until there's absolutely no bleeding or spotting, stay well hydrated because the blood can irritate the uterus, and if you get another red bleed to go back to be rescanned.

I hope you're okay, it is really scary.
Contact the poster See this person's profile Contact mumsnet about this post By hertsnessex on Tue 26-Feb-08 17:26:59
i know the 'lifting' thing is a bit of an old wives tail, but my mw said it to me, and if ou think about it, there is some truth in it, especially i tihnk in a bleed.

get some rest, make dh wait on you!!!

xx
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:22:35
thanks for that, thats very reassuring

she didnt tell me not to lift anything infact she barely said anything just spurted alot of medical jargon at me and sent me on my way lol
Contact the poster See this person's profile Contact mumsnet about this post By hertsnessex on Tue 26-Feb-08 17:19:35
iliketosleep,

all the news sounds good to me, im not a mw, im a doula, but did have bleeds and extra scans.

if there is something particular you are worried about in relation to what they wrote then call and ask, they are there to help, and happy too.

take it easy - i am sure she told you this, no lifting blah blah! but please take care, rest and stay at home if you can, its great the bleed has stopped and looks to be clotting. just take extra care of yourself

cxxx
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:15:52
they have said just to look out for any more bleeding and go back in 5 weeks for my 20 week scan. I would have liked more check ups for piece of mind to be honest but ho hum
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:14:36
thanks xx

she showed me but i dont really know what i was looking for, it was sort of the length of the sac in a sort of half moon type shape i think but it wasnt there at my 9 week or 11 week scan, strange i think xx
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:14:07
thanks xx

she showed me but i dont really know what i was looking for, it was sort of the length of the sac in a sort of half moon type shape i think but it wasnt there at my 9 week or 11 week scan, strange i think xx
Contact the poster See this person's profile Contact mumsnet about this post By goingfor3 on Tue 26-Feb-08 17:13:24
Looking at my maternity notes you babies measurements are spot on for dates.smile. When is someone going to see you again?
Contact the poster Contact mumsnet about this post By LadyOfWaffle on Tue 26-Feb-08 17:13:07
Have they said anything about ging back again for scans/check ups or anything to look out for?
Contact the poster Contact mumsnet about this post By LadyOfWaffle on Tue 26-Feb-08 17:11:49
How far gone are you? All I can translate is femur length which is either a bone in the arm, or leg (I always forget which), heart action present kinda self explan, but def a good sign and the appearance of intrauterine pregnancy means it's 'in the right place' - not ectopic/in your tubes etc. I don't know anything about that type of bleed (or any really) but didn't want your post to pass by {{huugs}} x
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:11:37
15+2 its taking forever to cook this bean thanks for the bump FA x
Contact the poster See this person's profile Contact mumsnet about this post By goingfor3 on Tue 26-Feb-08 17:09:59
ILTS, I'm so sorry you are having this worry(sad). I can't really help except to say that BPD is the width of the babies head and the femure length is the length of one of the leg bones. How many week are you now?
Contact the poster Contact mumsnet about this post By Flllightattendant on Tue 26-Feb-08 17:09:54
Bump xx
Contact the poster See this person's profile Contact mumsnet about this post By iliketosleep on Tue 26-Feb-08 17:05:59
On sunday evening i had a very bad bleed which lasted around 40 seconds, it started by coughing.

had scan today and was told that although baby is absolutly fine there is an area of bleed and fluid between either the baby and womb or sac and womb im unsure which.

I asked if this is dangerous and she went quiet which worried me.

The other nurse stepped in and said that it can cause m/c but its not necissarely the case.

The scanner woman said that it seems to be clotting which is a good thing and baby was very active and growing exactly to dates.

Im not sure what to think now

I will write down what my notes say and see if anyone would be able to translate them for me.

Bipariental diameter 30.0 mm
femur length 17.0 mm

(dont have a clue what these are)

heart action present
amniotic fluid normal
placenta posterior

fetal movement seen

an area of bleed and fluid seen adjacent to the os and within the subchronic space, anterior aspect of the uterus, measuring approx = 65x30x80mms

Apperances of an intrauterine pregnancy and coexisting area of bleed at os


I dont know what any of this means

sorry for my spelling im not thinking straight and any advice will be very gratefully recieved xxxxxxx


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