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Long-Term Prognosis of Pregnancies in Women With Intrauterine Hematomas

From the Department of Obstetrics and Gynecology, Randers County Hospital, Denmark; and the Department of Obstetrics and Gynecology, University Hospital of Aarhus, Denmark

Abstract

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 echopoor 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 <.05). Patients discharged from the initial hospitalization without aborting still had a higher abortion risk than controls (16.3 versus 5.6%; P <.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.

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