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Ovular detachment, scientifically called subchorionic or retrochorionic hematoma, is a situation that can happen during the first trimester of pregnancy and is characterized by the accumulation of blood between the placenta and the uterus due to the detachment of the fertilized egg from the wall of the uterus.
This situation can be identified by performing abdominal ultrasound after excessive bleeding and cramping. It is important that diagnosis and treatment are made as quickly as possible, as this way it is possible to prevent complications, such as premature birth and abortion.
Symptoms of ovular detachment
Ovular detachment does not normally lead to the appearance of signs or symptoms and the hematoma formed is normally absorbed by the body throughout pregnancy, being only identified and monitored during the ultrasound.
However, in some cases, ovular detachment can lead to the appearance of some symptoms such as abdominal pain, excessive bleeding and abdominal cramps. It is important that the woman goes immediately to the hospital for ultrasound to be performed and the need to initiate appropriate treatment is assessed, thus helping to prevent complications. See more about colic in pregnancy.
In mild cases of ovular detachment, the hematoma disappears naturally until the 2nd trimester of pregnancy, as it is absorbed by the pregnant woman's body, however, the larger the hematoma, the greater the risk of spontaneous abortion, premature birth and placental detachment.
Possible causes
Ovular detachment does not yet have very well-defined causes, however it is believed that it can happen due to excessive physical activity or common hormonal changes during pregnancy.
Thus, it is important that the woman has some care during the first trimester of pregnancy to avoid ovular detachment and its complications.
How treatment should be
Treatment for ovular detachment should be started as soon as possible to avoid serious complications such as miscarriage or placental detachment, for example. Generally, ovular detachment decreases and ends up disappearing with rest, ingestion of about 2 liters of water per day, restriction of intimate contact and ingestion of a hormonal drug with progesterone, called Utrogestan.
However, during treatment the doctor will also be able to advise on other care that the pregnant woman should have so that the hematoma does not increase and that include:
- Avoid having intimate contact;
- Do not stand for a long time, preferring to sit or lie down with your legs elevated;
- Avoid making efforts, such as cleaning the house and taking care of children.
In the most severe cases, the doctor may also indicate absolute rest, it may be necessary for the pregnant woman to be hospitalized to ensure her health and that of the baby.