Presentation
Regular ANC visit at 18 weeks of gestation. No complaints.
Patient Data
Single, live, intrauterine pregnancy of 19 weeks 3 days with regular fetal cardiac activity (FHR-148bpm)
The placenta is posterior.
There is a localised echogenic area measuring 37 x 46 x 33 mm (30.5ml) in between the chorionic membrane and the fetal aspect of the placenta which shows no flow on colour Doppler interrogation.
Case Discussion
Collection of blood between the chorionic membrane overlying the placenta and the villous chorion (fetal aspect of the placenta) is term as preplacental haematoma 1. The source of bleeding is possibly from fetal vessels and may be associated with maternal hypertension. They have less clinical significance. However, the patient may present with vaginal bleeding or uterine contraction resulting in abortion, intrauterine growth restriction (IUGR), preterm labour, placental abruption and fetal distress.
On the other hand, retroplacental haemorrhage is behind the placenta, separating placenta from the uterine wall.
Unable to process the form. Check for errors and try again.