A 20 yo G1P0
at 6wk1day by LMP presented with vaginal bleeding. She had onset of bleeding 1 hour prior to
arrival, soaked through 1 pad. She was
seen at her OB earlier that day (prior to onset of bleeding) and had an US
which showed +FHR. Transabdominal and transvaginal
ultrasound showed an IUP with +FHR of 120 BPM (image below). Her beta hCG was 72,813 and she was Rh+. Hypoechoic material was seen surrounding the
gestational sac, consistent with subchorionic bleeding. The patient was given return precautions and
instructed to follow-up with her OB in 48 hours. You wonder if should have given any specific precautions regarding subchorionic hematoma?
