Unit 6 - 1st Trimester Complications/Bleeding - #2

What are these images showing?

normal 1st trimester

15% of Clinical Pregnancies are…

spontaneously miscarried

25% of clinical pregnancy patients experience what?

some form of vaginal bleeding early in pregnancy

60% of these symptoms (severe pain, contractions, dilated cervix) result in what?

pregnancy loss

What is evidence of likely loss?

-severe pain

-contractions

-dilated cervix

What are these images showing?

1st trimester bleeding

Implantation bleeding is typically?

inconsequential

will have spotting (vaginal bleeding)

What is the appearance of implantation bleeding?

hemorrhage appears as sonolucent area

What is the follow up with implantation bleeding

-typically goes away

-follow up ultrasound recommended

What is this image showing?

implantation bleeding

What are placental hematomas?

bleeding (hematomas) contained to the placenta/ chorionic sac

• do not cause symptoms

• do not communicate with the endometrium

• will not have vaginal bleeding

What are these images showing?

placental hematomas

With Subchorionic Hemorrhage what may happen?

placenta may become detached, resulting in bleeding and hematoma formation

Subchorionic Hemorrhage occurs?

-during the first two months

-patient may be present with vaginal bleeding

What is the appearance of Subchorionic Hemorrhage?

-appears as a sonolucent area

-can be mistaken for twin pregnancy

-there should be no blood flow

What is this image showing?

subchorionic hemorrhage

What are these images showing

subchorionic hemorrhage