Ovular detachment: what it is, symptoms, causes and treatment

Ovular detachment is the accumulation of blood between the placenta and the uterus due to the displacement of the fertilized egg from the wall of the uterus, which can happen during the first trimester of pregnancy.

As a result of these situations, vaginal bleeding, abdominal pain and a feeling of contraction in the abdomen may be noticed. However, some women may not present symptoms, and this situation is only discovered during prenatal examinations.

If ovular detachment, also called subchorionic hematoma, is suspected, it is recommended to consult an obstetrician. Treatment usually involves rest and regular follow-up with a doctor, which is important to avoid complications such as premature birth and miscarriage.

Main symptoms

The main symptoms of ovular detachment are:

• Vaginal bleeding;
• Sensation of contractions in the abdomen;
• Dor abdominal.

However, sometimes ovular detachment may not cause symptoms, being identified only in the ultrasound examination normally indicated during prenatal care. Learn about the problems that can be detected by ultrasound during pregnancy.

Is ovular detachment serious?

Ovular detachment can be serious in some cases, increasing the risk of complications such as premature birth, miscarriage and placental abruption, especially when the hematoma is large or appears early in pregnancy.

How to confirm the diagnosis

The diagnosis of ovular detachment is made by the obstetrician taking into account the symptoms, when present, and the results of imaging tests such as ultrasound, which can show the presence of a hematoma in the uterus.

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However, in case of vaginal bleeding during pregnancy, it is recommended to seek an obstetric emergency for evaluation, as it may be indicative of miscarriage, especially when it appears before 20 weeks of pregnancy. See more causes of bleeding during pregnancy and what to do.

Possible causes

The exact cause of ovular detachment is not yet known. However, detachment is more common in cases of malformations of the uterus wall, history of miscarriages and uterine infections.

How treatment is carried out

Treatment for ovular detachment depends on the size of the hematoma, the mother’s age and the length of the pregnancy. However, in most cases, the detachment does not require specific treatment and the hematoma tends to disappear within 1 to 2 weeks.

During this period, the treatment of ovular detachment is normally carried out with rest and regular monitoring with an obstetrician, and it is common for the doctor to recommend repeating the ultrasound at other times to check the size of the hematoma and the health of the baby.

Furthermore, some precautions that can also be recommended to prevent the hematoma from increasing include:

• Avoid having intimate contact;
• Do not stand for a long time, preferring to sit or lie down;
• Avoid exertion, such as lifting heavy objects or doing physical exercise.

In the most serious cases, it may be necessary for the pregnant woman to be hospitalized to avoid complications that could put her or the baby’s life at risk, such as a drop in blood pressure due to blood loss or fetal distress.