Obstetric and perinatal aspects of retrochorial hematomas

The problem of pregnancy loss has medico-social, scientific and practical significance. Almost 85% occur in the I trimester gestation (up to 13 weeks), 15% – II III trimesters. One causes bleeding is retrochorial hematoma (RCH) accumulation blood space due partial detachment chorionic plate from adjacent decidua a genetically normal embryo. article provides an analysis publications that highlight obstetric perinatal aspects characteristics RCH, etiological features their occurrence important points treatment avoid development further complications, preservation prolongation pregnancy. diagnostics subsequent therapy provide early support for reduce incidence gestational complications are considered. Ultrasound examination uterus great prognostic importance diagnosis which can identify threatening signs associated with preterm birth, fetal growth retardation, placental abruption ІІ ІІІ trimesters, low birth weight. data modern researches indicate RCH presence living embryo, appointment pathogenetic based on gestagenic antifibrinolytic key success this pathology, significantly decreasing rate losses improvement quality process. Today, obstetricians gynecologists have deal task find new preclinical predict possible develop effective algorithms prevention treatment, will prolong achieve positive outcomes.