Can subchorionic hematoma debris collect inside the amniotic fluid?

Question

Hello doctor,

I had an SCH at 12 weeks, which is starting to shrink at 19 weeks. I now have a lot of debris in my amniotic fluid, which is apparently the SCH slowly breaking off. My gynecologist is not concerned at all, but I have a couple of questions.

How did the SCH debris end up inside the amniotic fluid when it was located behind the chorion?
Is the chorion permeable?
Does this mean that the SCH has weakened a section of my membranes?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I saw your questions; generally, subchorionic hemorrhages get absorbed by the body, like any clot or hematoma anywhere in the body. Red blood cells form pigments, and they get absorbed. The absorption is not macroscopic, not visible obviously in the ultrasound.

The debris in amniotic fluid is not because of the dissolving hematoma; it is because of the shedding of fetal cells, amniocytes, and lots of other kinds of stuff from the growing fetus. Membranes do not get weak as the clot gets absorbed.

As obstetricians, we are not concerned at all about this as the prognosis is good. Adding too many thoughts to it brings unnecessary anxiety to pregnancy.

Please let me know if you have any more questions on your mind.

I would be happy to guide you.

Thank you.