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Posted by Master, Doctor Tran Thi Thu Ha - Obstetrics Department - Vinmec Times City International HospitalAccumulation of choroidal fluid is a fairly common phenomenon for pregnant women, if not detected and treated promptly, the pregnant woman with choroidal fluid can lead to miscarriage, depending on the degree of fluid accumulation, Doctors will have different treatment regimens.
1. Assess the level of danger when having choroidal fluid collection
Many studies evaluate the size of the hematoma with the choroidal fluid to predict the danger, the larger the hematoma, the worse the prognosis, there are many methods of evaluating the hematoma such as measuring the size of the blood mass. hematoma or the ratio of hematoma to gestational sac size or gestational sac circumference ...
If measuring the size of the hematoma to evaluate is often inaccurate because the same hematoma size at different gestational ages, different prognosis. For example: 20mm subchondral hematoma at 6 weeks' gestation is different from 11 weeks' subchondral hematoma.
Therefore, prognosis is usually based on the ratio of the size of the hematoma and the gestational sac. The higher this ratio, the higher the miscarriage rate
Size < 10%: Miscarriage risk 5.8%. Size 10 -25%: Risk of miscarriage 8.9%. Size 25-50%: 10.8% risk of miscarriage. Size > 50%: Risk of miscarriage 23.3%. There was no difference in the risk of miscarriage between pregnant women with bleeding symptoms and those with no bleeding symptoms of women with subchondral hematoma.
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2. What to do when you have membrane fluid accumulation?
There is no specific treatment for subchorionic hematoma, but some supportive measures are given: Pregnant women should rest, need exercise and a reasonable diet rich in vitamins, fiber, drink enough water, Avoid constipation, relax psychologically.
Use tocolytics, assess the risk of infection. Progesterone is very helpful in increasing the implantation capacity of the embryo and softening the uterine muscles. Pregnant women need to be closely monitored until the hematoma disappears.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. birthing process Newborns get comprehensive care
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