Obstetrical outcome of subchorionic hematoma in first trimester
Department of Obstetrics and Gynaecology, SMS. Medical College, (Affiliated to Rajasthan University of Health Sciences), Jaipur, Rajasthan, India.
Research Article
International Journal of Life Science Research Archive, 2023, 05(01), 009–013.
Article DOI: 10.53771/ijlsra.2023.5.1.0066
Publication history:
Received on 13 May 2023; revised on 27 June 2023; accepted on 30 June 2023
Abstract:
Background: Threatened abortion during the first trimester of pregnancy may be due to many reasons including subchorionic haematoma (SCH).The presence of SCH can have several adverse effects on pregnancy outcome.
AIM: To determine the impact of SCH identified during the first trimester of pregnancy on adverse pregnancy outcomes.
Material and Methods: This was a prospective study conducted by enrolling 151 women each with and without Subchorionic Haematoma. All women were followed until delivery to observe the outcome of the pregnancy.
Results: Out of 151 women in each of the two groups- 110 (72.8%) women with SCH and 118 (78.1%) women without SCH gave birth to a live neonate. The relative risk of pregnancy wastage (spontaneous abortion, IUFD & stillbirth) for the women with SCH and without SCH was 1.22 (95% CI 0.81 - 1.82; p-value = 0.33). 27% and 11.5% of pregnant women with and without SCH had a preterm delivery (p = 0.004).
Conclusion- The mere presence of SCH did not increase the risk of pregnancy loss but there was increased incidence of IUGR,preterm bith,antepartum haemorrhage.
Keywords:
Antepartum haemorrhagel; Preterm birth; Subchorionic haematoma; Stillbirth
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