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abnormal shaped amnio sac

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Hi im 21 years old and 4th pregnancy. My first ended with a miscarriage at 12 week, 2nd was a sucessful pregnancy delivering at 37 weeks due to preeclampsia, another miscarriage 4 months ago due to a low progestrone level. I am 6 weeks 1 day pregnant now. Started spotting last night, automatically thought oh no not again. Was seen at the er they checked my cervix it isn't bleeding and the spotting has stopped. My hcg is 66216 which they said was really good. My progestrone hasn't been checked yet. I then followed up with the doctors office today they did an ultrasound and said that the amnio sac is abnormal. it isn't round like it should be, and that puts me at a high risk of having another miscarriage. The doctor also said it was caused from a placenta bleed. Has anyone heard of this, and if so did it end in a misscarriage. I go wednesday to have my hcg checked again, and to the doctors office on monday for another ultrasound. Oh in the ultrasound they did find the yolk sac and fetal pole and did get a heartbeat of 132 beats per minute. Should I worry?
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replied August 10th, 2010
Hi,
Welcome to the forum. I am really glad to help you out. On your next visit, you should ask your radiologist to look for the subchorionic hematoma. A subchorionic hematoma is just like a mini placental abruption. The 2 important factors which determine the outcome in such a scenario is the size of the clot and secondly the distance from the placenta.

The small the size and the more distant it is from placenta, the better are the chances of recovery. Nobody knows the exact cause of the hematoma. Something definitely needs to be taken care of is bed rest. Sexual intercourse should definitely be avoided as it puts a lot of strain and can result in the worsening of the hematoma.

Usually, if the clot/hematoma increases in size, miscarriage happens by 16 weeks and if nothing happens till then, there are high chances that the hematoma is absorbed. I sincerely hope that helps. Take care.



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replied August 10th, 2010
Thank you so much for your reply. I will ask them on monday to look for the hematoma. Sounds like a I have a little bit of hope.
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