THE INFLUENCE OF LOCALIZATION OF INTRAUTERINE HEMATOMAS ON PREGNANCY AND ITS OUTCOME

Abstract

The aim of the study was to evaluate the effect of localization of an intrauterine hematoma on the course of pregnancy and its outcome.A prospective observational study was conducted that included 78 women with endometrial hematoma, 64 of whom had subchorial hematoma and 14 subamnial. The comparison was carried out according to the main demographic characteristics, characteristics of the course of pregnancy, obstetric and neonatal outcomes.The analysis showed that it was equally common in the group of women with subchorial and subchorionic hematoma. The size of hematomas in the group of women with terminated pregnancy was significantly larger compared with those who managed to maintain the pregnancy to a period of more than 22 weeks. At the same time, there were no significant differences in the incidence of gestational complications after 22 weeks among women with subchorial and subamniotic hematomas.According to the results of the study, the frequency of complications in the group of women with subamnial hematomas is comparable to the similar indicators in the group with subchorional hematomas. The volume of subamniotic hematomas was greater, but this did not affect the incidence of adverse outcome during intergroup comparison.