My Second Visit to my Ob-Gyne

I just visited my OB last July 30 for my second Transvaginal U/S. We just hear my baby’s heartbeat for the first time, I am so happy that he has 143 bmp. He is now 7w5d in gestation And it was a good sign; it’s just bothering me that my OB detected that I have subchorionic hemorrhage although it is a cm. It really worried me a lot, Dra. Delos Reyes gave me another batch of Duvagen and additional Duphaston (Dydrogesterone) because I have a history of 2 consecutive miscarriages. I hope this one’s goes well. And I hope my baby will be safe.

I have Facts here regarding the following base on the explanation of my doctor.

Subchorionic Hemorrhage is bleeding behind the placenta, often caused by a clot.  In most cases, this clot will dissolve away, resolving the problem and allowing the pregnancy to progress normally.  It may take several weeks for this clot to dissolve.  Treatment for a Subchorionic hemorrhage is typically bed rest.

Rarely, the clot dissects between the placenta and the attachment to mother.  This may lead to placental abruption.  Risk factors that may increase the chance of experiencing this include high blood pressure, smoking and cocaine use.  Symptoms may include:

-  contractions that don't stop  
-  pain in the uterus  
-  tenderness in the abdomen over the uterus  
-  vaginal bleeding

If you experience these symptoms, you should contact your physician immediately.  Treatment of placental abruption will vary according to your particular state.  If the separation of the placenta is small, the baby isn't in distress, and your condition is stable, you may be able to go home and continue the pregnancy with frequent checkups.  If the separation is moderate to severe but the baby is not in distress and your condition is stable, the doctor may induce labor and perform a vaginal delivery.  

Duphaston (Dydrogesterone)In women, progesterone is responsible for the development of a healthy womb lining (endometrium) that is necessary for pregnancy. The body produces progesterone at certain times of the menstrual cycle, causing the womb lining to flourish. If a fertilized egg does not attach to the womb lining by the end of the monthly menstrual cycle, the levels of progesterone in the body decrease. This causes the body to shed the womb lining (a menstrual ‘period’). If a fertilized egg successfully attaches to the womb lining by the end of the monthly cycle, progesterone levels in the body remain high. This helps maintain a healthy womb lining for the ongoing pregnancy.As dydrogesterone helps regulate the healthy growth and normal shedding of the womb lining, it may be used in the treatment of menstrual disorders such as absent, irregular or painful menstrual periods, infertility, premenstrual syndrome and endometriosis. It may also be used to minimise the overgrowth of the womb lining due to oestrogen (the main female sex hormone) in hormone replacement therapy (HRT) following menopause. By maintaining the womb lining, dydrogesterone is also useful in helping prevent miscarriage (spontaneous abortion) in women who have suffered repeated miscarriages or who may miscarry