Clinical Insights into Subchorionic Hematoma and Nursing Management in Early Pregnancy

Regitha Jales S., Tintu S. R.

Abstract: The article examines a subchorionic hematoma as a condition in which blood collects between the uterine wall and chorionic membrane, a complication that often emerges during early pregnancy and is closely tied to threatened miscarriage. In my view, the case study of a 36 year old gravida three patient brings the discussion into clearer focus, since her clinical picture reflects the varied ways this condition can unfold. It is evident that the size and position of the hematoma play a meaningful role in shaping fetal outcomes, and this raises another point about how maternal age, early gestational status, and assisted reproductive technologies may influence vulnerability. Taking this further, the narrative underscores how diagnosis relies heavily on ultrasound, supported by laboratory findings, while management tends to revolve around progesterone therapy, activity modification, and close maternal and fetal monitoring. The clinical details, including vital signs, imaging findings, and symptom profile, offer a practical window into real world healthcare settings, and in my view, they illustrate how uncertainty often accompanies early pregnancy complications. Although many hematomas resolve over time, the potential for miscarriage, growth restriction, or placental complications continues to shape clinical decision making, which is why nursing care is framed around stabilization, education, and emotional reassurance. Overall, the discussion provides a grounded perspective on both the physiological and caregiving dimensions of subchorionic hematoma in the first trimester.

Keywords: subchorionic hematoma, early pregnancy bleeding, threatened miscarriage, fetal monitoring, nursing management

How to Cite?: Regitha Jales S., Tintu S. R., "Clinical Insights into Subchorionic Hematoma and Nursing Management in Early Pregnancy", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 745-747, https://www.ijsr.net/getabstract.php?paperid=SR251209105858, DOI: https://dx.doi.org/10.21275/SR251209105858