International Journal of Medicine and Health Development

Log in or Register to get access to full text downloads.

Remember me or Register

DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Sub-chorionic Haematoma: Has it a prognostic relevance in Pregnancy Outcome?

Arthur C Ikeme, Hyginus U Ezegwui, SO Mgbor


Aim: To evaluate the significance of sub-chorionic haematoma found in patients with first trimester vaginal bleeding , on pregnancy outcome.

Method: This is a prospective study. Five hundred and thirty six patients with first trimester bleeding had abdomino – pelvic ultrasound. Forty-seven patients had sonographic evidence of subchorionic haematoma. The pregnancy was followed up in the forty – seven patients.

Result: Spontaneous abortion occurred in 13 patients (27.7%) premature labour in 12 patients (25.5) and spontaneous term vaginal birth in 22 patients (46.8). There was no sonographic evidence of ectopic pregnancy and trophoblastic disease.

Conclusion: Majority of the patients who had sub-chorionic haematoma had a normal term pregnancy. However if the subchorionic haematoma was extensive and associated with passage of dark blood clots per vaginam the prognosis for the fetus was poor.

Key words: First trimester bleeding, sub-chorionic haematoma, pregnancy outcome.

(J College Med: 2003 8(1): 36-39)

AJOL African Journals Online