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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. [3]
The trophoblast layer differentiates into amnion and the chorion, which then comprise the fetal membranes. [4] The amnion is the innermost layer and, therefore, contacts the amniotic fluid, the fetus and the umbilical cord. [5] The internal pressure of the amniotic fluid causes the amnion to be passively attached to the chorion. [4]
Normally the maternal circulation and the fetal circulation are kept from direct contact with each other, with gas and nutrient exchange taking place across a membrane in the placenta made of two layers, the syncytiotrophoblast and the cytotrophoblast. Fetal-maternal haemorrhage occurs when this membrane ceases to function as a barrier and ...
Placenta with attached fetal membranes (ruptured at the margin at the left in the image), which consists of the chorion (outer layer) and amnion (inner layer). The part of the chorion that is in contact with the decidua capsularis undergoes atrophy, so that by the fourth month scarcely a trace of the villi is left. This part of the chorion ...
The inner of these membranes, the amnion, encloses the amniotic cavity, containing the amniotic fluid and the embryo. The outer membrane, the chorion, contains the amnion and is part of the placenta. On the outer side, the amniotic sac is connected to the yolk sac, the allantois, and via the umbilical cord, the placenta. [4]
The chorion and amnion membranes are labelled in this depiction of a growing fetus in the uterus. The amniotic sac consists of two parts: The outer membrane is the chorion. It is closest to the mother and physically supports the much thinner amnion. The chorion is the last and outermost of the membranes that make up the amniotic sac. [13]
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
The gestational sac is spherical in shape, and is usually located in the upper part (fundus) of the uterus.By approximately nine weeks of gestational age, due to folding of the trilaminar germ disc, the amniotic sac expands and occupy the majority of the volume of the gestational sac, eventually reducing the extraembryonic coelom (the gestational sac or the chorionic cavity) to a thin layer ...