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Chorionic hematoma is the pooling of blood between the chorion, a membrane surrounding the embryo, and the uterine wall. [2] It occurs in about 3.1% of all pregnancies , [ 2 ] it is the most common sonographic abnormality and the most common cause of first trimester bleeding .
Management consists of vigilant observation over days to detect progression and, if required, manage complications (e.g. hemorrhagic shock, unconjugated hyperbilirubinemia and jaundice from hemolyzed red blood cells). The subgaleal space is capable of holding up to 40% of a newborn baby's blood and can therefore result in acute shock and death.
This pathology occurs due to the normal physiological drop in maternal clotting factors after delivery which greatly increases the risk of secondary postpartum hemorrhage. [14] Another bleeding risk factor is thrombocytopenia, or decreased platelet levels, which is the most common hematological change associated with pregnancy induced hypertension.
Early clamping of the umbilical cord does not decrease risks and may cause anemia in the baby, and thus is usually not recommended. [2] Active management of the third stage is a method of shortening the stage between when the baby is born and when the placenta is delivered. [15] This stage is when the mother is at risk of having a PPH.
Some other common factors that can cause cephalohematoma are when using forceps or vacuum-assisted delivery methods, vaginal delivery of large infants, primigravida (the first pregnancy conceived by a pregnant person), when the infant is in a non-ideal position during delivery, and having a prolonged second stage of labor.
The first image shows Thomas when she was a baby and delivered by Dr. John White in 1995. The second shows a 29-year-old Thomas alongside Dr. White and her own baby, whom he delivered on July 7, 2024.
Antepartum bleeding, also known as antepartum haemorrhage (APH) or prepartum hemorrhage, is genital bleeding during pregnancy after the 28th week of pregnancy up to delivery. [1] [2] It can be associated with reduced fetal birth weight. [3]
Swelling appears 2-3 days after birth. If severe the child may develop jaundice, anemia or hypotension. In some cases it may be an indication of a linear skull fracture or be at risk of an infection leading to osteomyelitis or meningitis. The swelling of a cephalohematoma takes weeks to resolve as the blood clot is slowly absorbed from the ...