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Conference moira::parenting

Title:Parenting
Notice:Previous PARENTING version at MOIRA::PARENTING_V3
Moderator:GEMEVN::FAIMANY
Created:Thu Apr 09 1992
Last Modified:Fri Jun 06 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:1292
Total number of notes:34837

855.0. "Subchorionic Hemorrage" by ASIC::MYERS () Tue Nov 22 1994 14:53

    Has anyone experienced a subchorionic hemorrage?
    
    My best friend is 10 weeks pregnant and last night started some rather
    heavy bleeding and passing of clots.  Everyone was pretty certain that
    she had had a miscarriage but the ultrasound this morning showed the
    baby was doing just fine and that she had suffered a subchorionic
    hemorrage.
    
    From what she was told it seems that a small portion of the placenta
    separated from the uterus and that was causing the bleeding and the
    clotting.  It will supposedly reattach, but she was wondering if anyone
    out there had had this happen to them and how long it took before it
    did reattach, did you severely have to restrict your physical
    activities (she's on complete bedrest for 48 hours) and did/could it
    happen again?
    
    Many thanks.
    
    Susan
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855.1Yes!ELIS::PEGGThu Nov 24 1994 08:3319
    Hi there,
    
    Yes, we experienced it with our Jamie although much later on in the
    pregnancy, around 6 months. Same symptoms as your friend. My wife was
    made to stay in bed in hospital for a week and then let home on the
    understanding that she should take it very easy. Without thinking, she
    picked up a rather large potted plant within hours of getting home and
    it all started again. She was in and out of hospital for the last three
    months!!!! It was all rather distressing. I have known other women
    experiencing this much earlier and being confined to bed for the
    duration, not very heartening I know, but realistic. 
    
    The only thing she can do is take things very very easy. We had to get
    a home help, otherwise it was hospital according to our doctor.....
    
    Best wishes and good luck to your friend.
    
    Dave Pegg
    
855.2Update and another questionASIC::MYERSMon Nov 28 1994 10:2320
    Basenoter back again.  Well, the bleeding has tapered off, but my
    friend was confined to bed at least through today and will find out
    more what the doctors have to say this morning.  
    
    Meanwhile, I have a question about whether she should be getting a
    Rhogam shot (she is Rh- and hubby is Rh+).  When I had my miscarriage
    my doctor made me get the shot the day I found out that the baby wasn't
    alive anymore (I had just barely spotted and the ultrasound showed no
    heartbeat) and then another one a few days later after my D&E.  At my
    prompting, my friend spoke with the nurse on Friday (no doctors in the
    office that day) and was told that she didn't need the shot until 28
    weeks or unless she needed a transfusion.  That doesn't make sense to me,
    afterall, I thought you needed the shot if there was any bleeding
    at all, and this is placenta that has torn.  Seems like they would want
    to be cautious. Anyway, she's going to check with a doctor again today.
    
    Thanks for any info, it's been helping her feel a little more
    optimistic.
    
    /Susan
855.3err on the side of caution?STAR::LEWISMon Nov 28 1994 10:538
    I was in a minor car accident when I was about 6 months along with
    my first pregnancy. The ultrasound showed that the placenta was ok,
    but they did do a blood test to make sure that there had been no
    blood leakage. I guess if the test had turned out positive, I'd have
    had to have the Rhogam shot. Also, I had to have a rhogam shot at
    16 weeks after an amnio. Seems to me a blood test is the very least
    they should do...but I'm not a doctor.
    Sue
855.4CLOUD9::WEIERPatty, DTN 381-0877Mon Nov 28 1994 11:594
    I thought the shot was only after the 1st child, and not a problem
    until subsequent pregnancies ??
    
    But, I'm RH+, so what do I know?
855.5CNTROL::JENNISONNo 'ellMon Nov 28 1994 12:037
	I believe they do the Rhogam shot as a matter of course
	even in first pregnancies if there are no antibodies present,
	though I can't be sure, as I had a miscarriage prior to
	having my first.

	Karen
855.6ENQUE::ROLLMANMon Nov 28 1994 12:0817

The shots are to prevent antibody sensitivity, so they give
them whenever there could have been contact between the
mother's blood and the baby's blood, or when there will
be contact.  Examples: amnio; a couple weeks before delivery, 
since one never really knows when the baby is going to come;
injuries to the placenta; fetal surgery (my guess - I think 
they would do Rhogam for this).

The shots given after delivery are to protect the *next*
baby.


Pat

(an Rh- married to an Rh+)
855.7She's getting the shotASIC::MYERSMon Nov 28 1994 13:1123
    Hi,
    
    This is my friend's 2nd pregnancy (our due dates are 6 days apart and
    our daughters are 15 days apart, I love it.).
    
    She called a little while ago to let me know that she had spoken with a
    doctor and she's scheduled for a Rhogam shot this afternoon.  She had
    to bring it up and they were "Oh gee, how did we let that slip by, yes,
    you do need to get a shot.", so, I'm glad I pushed the issue with her.
    
    Right now she's been approved for marginal activity, no lifting, keep
    the stairs to a minimum, etc. and she will go back to work part,
    part-time (she only works 3 days a week, but has a 3 hr round trip
    commute into Philly).  She'll also have an ultrasound in 3 weeks.
    
    She says to say many thanks for all the responses both here and through
    E-mail (and thanks from me, too).
    
    /Susan