What to do in case of ovular detachment

In case of suspected ovular detachment, where the pregnant woman has persistent colic up to 12 weeks of gestation and excessive bleeding in the first trimester, it is recommended to immediately go to the hospital to have an ultrasound and assess the need to start treatment, which can be done with rest, water intake, restriction of intimate contact and use of progesterone drugs.

Ovular detachment in pregnancy, scientifically called subchorionic or retrochorionic hematoma, occurs in the first trimester and is characterized by the accumulation of blood between the uterus and the gestational sac.

In mild cases of ovular detachment, the hematoma usually 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. .

Treatment for ovular detachment

Treatment for ovular detachment should be started as soon as possible to avoid serious complications such as miscarriage or placental detachment, for example. Generally, the 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 remedy 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.

Symptoms of ovular detachment

The pregnant woman with ovular detachment does not always present symptoms and, therefore, only the ultrasound exam can identify the hematoma. However, in some cases, the pregnant woman may have symptoms such as vaginal bleeding and cramping abdominal pain and, therefore, in the presence of these symptoms she must immediately go to the hospital.

When to see a doctor

It is recommended that the pregnant woman call the obstetrician or go immediately to the hospital if she has the following symptoms:

  • Abdominal pain;
  • Vaginal bleeding;
  • Abdominal cramps.

It is not yet known what causes ovular detachment, so it is not possible to prevent its onset. However, having tests when these symptoms appear helps to avoid complications.

See other causes of colic and bleeding in pregnancy at:

  • Colic in pregnancy
  • Bleeding in pregnancy