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Chorionic hematoma is the pooling of blood between the chorion, a membrane surrounding the embryo, and the uterine wall. [2] It occurs in about 3.1% of all pregnancies, [2] it is the most common sonographic abnormality and the most common cause of first trimester bleeding. [3]
Miscarriage, also known in medical terms as a spontaneous abortion, is an end to pregnancy resulting in the loss and expulsion of an embryo or fetus from the womb before it can survive independently. [ 1 ] [ 4 ] Miscarriage before 6 weeks of gestation is defined as biochemical loss by ESHRE .
A blood count determines the degree of anemia and may point out bleeding problems. The pregnancy test is important, particularly as bleeding in early pregnancy presents as gynecological hemorrhage and ectopic pregnancy can be fatal. Diagnosis is broadly classified into supportive and definitive investigations:
Bloody show refers to the passage of a small amount of blood or blood-tinged mucus resulting from labor or cervical weakness. Pregnancy loss refers to death of the fetus at any time during pregnancy. Pregnancy loss most commonly occurs during the first trimester, when it is referred to as early pregnancy loss.
Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. [3] Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery. [ 1 ]
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
Had Avery Davis Bell had a miscarriage in Boston, where she lived until 2020, doctors could snap into action. But because she was having a miscarriage in a hospital in Georgia, surgery had to wait.
Early pregnancy loss is a medical term that when referring to humans can variously be used to mean: Death of an embryo or fetus during the first trimester. This can happen by implantation failure, miscarriage, embryo resorption, early fetal resorption or vanishing twin syndrome. [1]