Long-term prognosis of pregnancies in women with intrauterine hematomas.
To evaluate the long-term significance of intrauterine hematomas in patients with threatened abortion, 380 women with a living fetus of more than 8 weeks were studied. On ultrasound, intrauterine hematomas, defined as an echo-poor subchorionic collection, were found in 86 women. Two hundred ninety-four patients without hematomas served as controls. The rate of miscarriage was significantly increased in the study group (22.1 versus 8.2%; P less than .05). Patients discharged from the initial hospitalization without aborting still had a higher abortion risk than controls (16.3 versus 5.6%; P less than .05). Second-trimester debut of symptoms was followed more often by preterm delivery. Thus, patients with intrauterine hematomas continue to be a high-risk group for the remainder of their pregnancies.
Børlum
K G
KG
Department of Obstetrics and Gynecology, Randers County Hospital, Denmark.
Thomsen
A
A
Clausen
I
I
Eriksen
G
G
D000022:Abortion, Spontaneous / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis; D011379:Prognosis; D014463:Ultrasonography; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis