Subchorionic Hematoma (SCH) in Early Pregnancy: What Intended Parents and Surrogates Need to Know

Описание: Early pregnancy bleeding can be terrifying—especially after the long emotional and financial journey of IVF and surrogacy. Many intended parents describe hearing “the surrogate is bleeding” as one of the most stressful moments of the entire process.

The reassuring truth?
One of the most common causes of early bleeding is Subchorionic Hematoma (SCH), and in most cases, SCH resolves on its own and leads to completely healthy pregnancies.

In this video, we break down everything intended parents and surrogates need to know about SCH: what it is, why it happens, how common it is in IVF pregnancies, and which symptoms actually require urgent attention. We also discuss new research (2020–2025) that clarifies the real risks and outcomes.

🔍 What You’ll Learn in This Video
💡 What Is SCH and Why It Happens

How blood collects between the chorion and uterine wall

Why IVF pregnancies—especially fresh or hormone-programmed FET cycles—see higher SCH rates

📊 How Common Is SCH in IVF?

Occurs in 18–27% of IVF pregnancies

Recent 2024–2025 studies showing SCH in ~1 in 5 euploid transfers

⚠️ Symptoms and When to Worry

Spotting, bleeding, and cramping

Red-flag symptoms that require emergency care

Why many SCH cases have no symptoms and are only found on ultrasound

🧪 Diagnosis & Monitoring

How SCH is detected on ultrasound

Role of HCG and progesterone testing

Why monitoring matters more than size

🩺 Treatment & Management Strategies

Activity modification and pelvic rest

Ultrasound monitoring

Progesterone support (including new data on dydrogesterone)

Why most SCH cases are managed with reassurance, not intervention

📚 What Research Says About Outcomes

Some studies show no difference in live birth rates

Others (especially early-diagnosed SCH with bleeding) show increased miscarriage risk

Why bleeding symptoms, not size, are often the stronger predictor

❤️ Emotional Impact on Surrogates & Intended Parents

Why SCH triggers fear even when outcomes are good

How to communicate, stay informed, and reduce anxiety

Reassurance: most IVF pregnancies with SCH progress normally

🌟 Key Takeaways

SCH is common, especially in IVF pregnancies.

Most cases resolve naturally and do not harm the baby.

Bleeding with SCH warrants closer monitoring.

Evidence is mixed, but the majority of SCH pregnancies still lead to healthy births.

Good communication between surrogates, clinics, and intended parents is essential for peace of mind.