Sub-chorionic haematoma: Has it a prognostic relevance in pregnancy outcome?

Aim: To evaluate the significance of sub-chorionic haematoma found in patients with first trimester vaginal bleeding , on pregnancy outcome. Method: This is a prospective study. Five hundred and thirty six patients with first trimester bleeding had abdomino - pelvic ultrasound. Forty-seven patients...

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Bibliographic Details
Main Authors: Arthur C Ikeme, Hyginus U Ezegwui, S O Mgbor
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2003-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2003;volume=8;issue=1;spage=36;epage=38;aulast=Ikeme;type=0
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Summary:Aim: To evaluate the significance of sub-chorionic haematoma found in patients with first trimester vaginal bleeding , on pregnancy outcome. Method: This is a prospective study. Five hundred and thirty six patients with first trimester bleeding had abdomino - pelvic ultrasound. Forty-seven patients had sonographic evidence of subchorionic haematoma. The pregnancy was followed up in the forty - seven patients. Result: Spontaneous abortion occurred in 13 patients (27.7%) premature labour in 12 patients (25.5) and spontaneous term vaginal birth in 22 patients (46.8). There was no sonographic evidence of ectopic pregnancy and trophoblastic disease. Conclusion: Majority of the patients who had sub-chorionic haematoma had a normal term pregnancy. However if the subchorionic haematoma was extensive and associated with passage of dark blood clots per vaginam the prognosis for the fetus was poor.
ISSN:2635-3695