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Any pregnant woman is terrified of hearing these four words spoken together: “detachment of the gestational sac”. The gestational sac is the place where the baby grows, is protected and normally, is the first to appear in pregnancy and therefore the detachment of the gestational sac is serious and needs attention. The sac is formed even before the embryo can be viewed on an ultrasound and can begin to appear in the fourth or fifth week of gestation . A fundamental part for the good progress of the pregnancy, the gestational sac must be fixed on the uterine wall for the baby’s safety.
When is the risk greater?
The risk always exists in the first trimester of pregnancy and if there is or when there is a hormonal drop or any impact on the pregnant woman. Under these conditions, the sac may somehow suffer a hematoma and there is a risk of miscarriage due to detachment. At the beginning of pregnancy, some women confuse placental detachment with 6 weeks of pregnancy with ovular detachment or gestational sac detachment. They are different problems but they need practically the same care for treatment. At 6 weeks there is no placenta yet, as it forms after 10 gestational weeks .
What is Gestational Bag Detachment?
Although it is somewhat obvious by its name, the detachment of the gestational sac may not actually be a detachment, did you know? In fact, the detachment of the gestational sac has a complex name in medicine, subchorionic hematoma . The detachment of the gestational sac is nothing more than an accumulation of blood between the sac and the wall where it would be fixed. The severity of this episode can lead to spontaneous abortion.
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What Are the Symptoms of Detachment of the Gestational Sac?
The detachment of the gestational sac can have degrees , depending on its severity the symptoms become more intense, but they are basically similar from woman to woman.
- Abdominal pains and severe or mild cramps
- Bleeding bright red or brown
How to Diagnose?
The symptoms are the basics to take the pregnant woman to the emergency room. In the end, when there is a bleeding, a yellow light turns on as a sign of attention, there is something wrong. But the accurate diagnosis of the detachment of the bag, is only done even with the performance of an ultrasound to diagnose the reason for the bleeding.
How to Treat Detachment?
After diagnosing the hematoma and the size, the treatment for the detachment is made with hormone, progesterone and absolute rest . If the case is serious, he may even admit the pregnant woman with detachment of the gestational sac for a more intense treatment in the maternity hospital.
It is advisable for women with detachment of the gestational sac to drink plenty of fluids, to refrain from sexual intercourse and physical efforts during recovery. Usually the detachment of the bag happens alone with the help of medication. Most of the women who had some kind of detachment hematoma carried the pregnancy forward until the end without any major problems.
After 15 days of absolute rest, the pregnant woman must repeat the ultrasound exam to find out if the detachment of the gestational sac is cured and, in short, ruling out a possible threat to pregnancy. Any signs of bleeding in bright or brown color see your doctor or an emergency room as soon as possible, detachment of the gestational sac is perfectly circumventable and can only be a brief scare in the beginning of pregnancy.
Questions from Readers:
Can Ovular Detachment Cause Placenta Detachment?
Yes, the treatment of ovular detachment should be carried out with caution and as quickly as possible so that it does not become a placental detachment. The precautions are basically the same as those recommended for placental detachment.
See also: Bleeding During Pregnancy – Warning Sign!
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.
