BLEEDING IN PREGNANCY? What Is A Subchorionic Hematoma?

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Bleeding in pregnancy?
What is a subchorionic hematoma?
Are you having a miscarriage if you are bleeding?

Fertility doctor Natalie Crawford, MD reviews bleeding in pregnancy and subchorionic hematoma (also known as an SCH). Subchorionic bleeding occurs with implantation and can present with bleeding in the first trimester.

Answered in this video:
What is a subchorionic hematoma or subchorionic hemorrhage (SCH)?
What causes bleeding in pregnancy?
What should you do if you have bleeding in the first trimester?
What does it means to have bleeding behind the placenta?
Does a subchorionic hematoma cause miscarriage?
Does bleeding in the first trimester mean you are losing the pregnancy?
What should you do if you have a subchorionic hematoma?

**THIS IS NOT MEDICAL ADVICE. This is medical education. Please talk to your doctor about your medical situation.

**ART behind my from the amazing Brittany Atkinson

Art next to me: from the kiddos 🙂


West BT, Kavoussi PK, Odenwald KC, London K, Hunn CL, Chen SH, Wininger JD, Gilkey MS, Kavoussi KM, Kavoussi SK. Factors associated with subchorionic hematoma formation in pregnancies achieved via assisted reproductive technologies. J Assist Reprod Genet. 2020 Feb;37(2):305-309. doi: 10.1007/s10815-019-01684-7. Epub 2020 Jan 6. PMID: 31903516; PMCID: PMC7056706.

Naert MN, Muniz Rodriguez A, Khadraoui H, Naqvi M, Fox NS. Association Between First-Trimester Subchorionic Hematomas and Adverse Pregnancy Outcomes After 20 Weeks of Gestation in Singleton Pregnancies. Obstet Gynecol. 2019 Oct;134(4):863-868. doi: 10.1097/AOG.0000000000003487. PMID: 31503169.

Anderson KL, Jimenez PT, Omurtag KR, Jungheim ES. Outcomes of in vitro fertilization pregnancies complicated by subchorionic hematoma detected on first-trimester ultrasound. F S Rep. 2020 Sep 2;1(2):149-153. doi: 10.1016/j.xfre.2020.05.008. PMID: 34223231; PMCID: PMC8244369.

Zhou J, Wu M, Wang B, Hou X, Wang J, Chen H, Zhang N, Hu Y, Sun H. The effect of first trimester subchorionic hematoma on pregnancy outcomes in patients underwent IVF/ICSI treatment. J Matern Fetal Neonatal Med. 2017 Feb;30(4):406-410. doi: 10.1080/14767058.2016.1174682. Epub 2016 Apr 28. PMID: 27045331.

Naert, Mackenzie N. BA; Khadraoui, Hanaa BA; Muniz Rodriguez, Alberto BA; Naqvi, Mariam MD; Fox, Nathan S. MD Association Between First-Trimester Subchorionic Hematomas and Pregnancy Loss in Singleton Pregnancies, Obstetrics & Gynecology: August 2019 – Volume 134 – Issue 2 – p 276-281 doi: 10.1097/AOG.0000000000003360

Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.


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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.