Synchronic hematoma 14 weeks, looking for reassurance

[Flopsy145]

TW- blood loss
Hiya, im 14+4 today and all previous scans, including one done two days ago, were totally fine. This morning as I stood up out the car there was just a huge gush of blood that kept coming for a few minutes as well as a palm sized clot, with no cramps. I was sure this was a miscarriage and sounds awful but I was desperately trying to find the baby as didn't want to just flush it, couldn't find it and assumed I hadn't passed the whole thing. I was luckily seen by EPU who told me to come up straight away, did a scan and baby is in there kicking away happy as can be and my cervix is closed.
Had a speculum examination by a Dr who confirmed closed cervix and said just one of those things, will be some more period like bleeding but doesn't predict any further issues based on what she's seen.

All in all I'm a bit stunned by what's happened today, I don't really know what to think, is the baby going to be ok, is it going to happen again etc.
Has anyone been through as this stage of pregnancy and it all worked out well?
How was this missed on a scan two days ago?

Edit, title should say subchronic

Hi @Flopsy145

This must be such a nerve wrecking time for you. I had a subchorionic hematoma and a big gush of blood and a huge clot but I was around 6 weeks.. so a lot earlier in comparison. Was convinced I was miscarrying but I wasn’t. I went for 3-4 early scans (private and one at EPU) where they couldn’t explain the bleeding but they finally diagnosed a hematoma at about 8-9 weeks. I had no cramping and the bleeding tailed off but I was spotting up until I was 14 weeks. Thankfully baby was fine and completely unaffected and the rest of my pregnancy went well. I know my experience happened much earlier in the pregnancy but I hope this may be some reassurance that it can work out well. Really hope all works out well for you, I know how scary and worrying it is xx

Thank you @raevans , it's just so nerve wracking and then you just get sent on your way as they can't really explain why it happened or what will happen. Hopefully it's all ok, I was so surprised to see a kicking baby on the scan screen I had completely accepted that the pregnancy had gone.
How did you feel physically after? My tummy feels a bit tender, not crampy though.

@Flopsy145 the same as you I was sent away with no useful information or advice and was told these things typically resolve themselves, which thankfully it did. But at the time I could have done with more reassurance. I know everyone says avoid google but due to the lack of information I did some of my own research and followed some guidance. Specifically tried to rest as much as possible and I avoided sex altogether until well into the second trimester when my bleeding stopped
I definitely remember my tummy felt off. Didn’t feel like period cramps but yeah maybe tender is the right word. I would say that after the initial heavy bleed and a few weeks later I definitely felt a bit tender but it was also my first pregnancy so didn’t have anything to compare it to or know of it was just growing pain I may have been feeling. If you have any more questions, feel free to ask and I’ll try and help if I can x

I had an SCH at 13 weeks with my second son. Was at work, went to the toilet and there was a lot of blood! I remember sobbing and having to tell my boss whilst get to triage as soon as possible in a taxi!

The SCH was 6cm and I bled on and off until 18 weeks. It was a mix of bright, dark and brown blood but come my 20 week scan it was completely resolved.

Gave birth at 38+2 weeks to a healthy 8lb 13oz boy 💙

During my bleeds I took it very easy, no heavy lifting, no sex and drunk lots of water!

Big hugs, you will be ok xx

Thank you both ❤️ the bleeding has stopped now just feeling a bit tender still and drained. Will follow the advice you have both given, I have a private scan booked for 31st so hoping that will also be reassuring. Thank you again!

I had something similar, had my dating scan at 12+1 which was fine and no mention of heamatoma but then 12+4 I passed a big clot . I was convinced I was having a miscarriage (I’ve had 4 miscarriages previously and one child before those), I called EPU and they offered a scan for next day. In the scan they saw a subchronic heamatoma but baby was fine. They didn’t seem concerned at all and sent me home saying to call if I started bleeding again, there was no advice to bed rest etc. I continued to wipe old brown blood for the next few weeks but there was no red bleeding after the first day. I also took it very easy for the next few weeks, no lifting, less exercise etc. I was already on progesterone and aspirin since early pregnancy and was told just to continue that.

I’m 18+5 today and everything is going fine, although I’m slightly anxiously waiting for my 20 wk scan next week. I had consultant appointments in weeks 16 and 17 (I get some extra due to my previous miscarriages) and on both occasions the different consultants did a scan and could no longer find the heamatoma so it looks like it’s absorbed in.

Hope everything goes well for you OP.

Thank you @May5th I hope your 20 week scan goes well ❤️ sorry you had to go through it too. So hard when these things are missed and you're just caught so off guard a few days later. Did you feel any cramps or anything after your bleed?
I've had some light red/pinky blood on and off but the Dr who examined me said she could see there was a bit more to come out, so I'm trying not to worry.
The scan I had yesterday said they couldn't see anything else, no hematoma or anything so I'm hoping the massive gush got majority out and the bleeding will stop soon, feels so unnatural bleeding and wearing a pad while pregnant even though seems actually pretty common.

Hi @Flopsy145 I’m currently dealing with a large sch and am about the same gestation as you. That’s great that they can’t see it on the scan anymore. From what I gather, the main risk is if you bleed loads it can sometimes irritate the uterus, affecting the cervix and potentially start premature labour/rupture of membranes. If the bleeding has mostly stopped and cervix is looking fine then I think there’s every reason to be positive.

Fwiw I’ve now had two massive scary bleeds and two moderate ones (plus light bleeding and spotting in between), and I have had mild cramps with them - oddly the cramps were more noticeable with the moderate bleeds than the huge ones.

Despite being told these usually resolve, my anxiety is through the roof, so I really do sympathise!

@Dinosaurus86 sorry you're going through it as well, thank you for the reassurance ❤️ the bleeding is pretty much stopped now just a bit of brown. Very mild cramps that I probably wouldn't have noticed if I wasn't paying such close attention. Just very nervous about it happening again, really just caught me off guard. Don't think I'll be doing another pregnancy after this, can't handle the anxiety. Us women really do go through the ringer don't we!
I hope yours clears up soon, whens your next scan?

I had an extremely large subchorionic hematoma (approx 20cm!). Bled heavily from 5 weeks until I was about 24 weeks then it slowly resolved and was all gone by 28 weeks. Normal delivery, healthy baby who is now a very sassy almost 6 year old. She was always a handful!

@Stressfordays wow, that sounds brutal. I do find it amazing that we can bleed out that much and everything just be fine, my husband was amazed that it was like a murder scene and the baby was all ok. Glad your pregnancy went ok ❤️

Thanks @Flopsy145, I’m hoping I’ll start to relax more after the 20 week scan, I think once you’ve had miscarriages you’re trying to protect yourself by not getting too excited which is a bit sad - but I try to take it day by day (of course having a bleed does not help!!) To answer your question I didn’t really have cramps but I did take I it very easy for some time. My heamatoma on the scan was 2.8cm x 2.6 x 0.6 but the EPU didn’t say if it was large or small just put the measurements into the report they sent afterwards. From what I read they’re not uncommon and although the articles list out risks thankfully most people have been fine. Although I know it doesn’t help with anxiety at the time. I hope everything goes well for you and @Dinosaurus86.