12 weeks pregnant, 10% dissection, is it okay?

Question
Hello doctor,
My wife is 12 weeks 3 days pregnant. Ultrasound results showed normal pregnancy but 10% dissection. In addition, my wife sometimes has mild lower abdominal pain, no bleeding. The doctor asked me: 12 weeks pregnant, 10% dissection, is it okay?
\ Anonymous customer
Reply
Hello,
With the question "Is 10% dissection at 12 weeks pregnant?", the doctor would like to answer as follows:
Dissection of the gestational sac is a hematoma. around the gestational sac, which occurs when the placenta detaches from the lining of the uterus instead of attaching as it should. The cause of gestational sac detachment may be due to the abnormal pregnancy that cannot continue to develop, the fetus dies and is pushed out of the uterus. Some factors that increase the risk of dissection are caused by the mother, such as:
The mother walks and moves a lot. The mother has diseases such as uterine fibroids, uterine adhesions, ovarian cysts, scarring in the uterus. uterus, endometriosis, a history of placental abruption, previous gestational sac separation The mother has uterine malformations such as bicornuate uterus, septum uterus... The mother has a history of disorders blood clotting, high blood pressure The mother is addicted to tobacco, alcohol, coffee or strong stimulants Having bacterial, viral, parasitic infections or toxic metals such as lead, mercury Have abnormalities in amniotic fluid, luteal insufficiency, thyroid disease, diabetes,. In addition, the relationship between the rate of gestational sac dissection and the level of danger of gestational sac dissection is as follows:
The rate of gestational sac dissection 10%: If the mother fully complies with the nursing care instructions of the doctor. doctor, the chances of keeping the pregnancy are very high. Dissection rate is about 20%: The ability to stay pregnant is also related to the cause of threatened miscarriage and compliance with the treatment instructions of the doctor. If there are signs of placental detachment, but the embryo sac is still there and the fetus is still developing, the pregnant mother does not need to worry too much, should pay attention to rest, abstain from sex, eat nutritious food, do not travel much, avoid stress, ... to increase the ability to keep the pregnancy. If the dissection rate is about 30% in the first 3 months of pregnancy, the risk of stillbirth, stillbirth, and miscarriage can be up to 50%. If the rate of gestational sac dissection is 50%, this is an extremely dangerous condition, the risk of miscarriage is up to 90%, it is very difficult to keep the pregnancy. Determining the size of the dissection area plays an important role. Your wife is in the case of 10% cesarean section, if the mother fully complies with the doctor's instructions for pregnancy care, the possibility of keeping the pregnancy is very high. However, if you have signs of vaginal bleeding or lower abdominal pain, you should see your doctor for advice and treatment.
If you still have questions about 10% ablation pregnancy, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

Answered by Master, Doctor Phung Thi Ly - Obstetrician - Obstetrics Department - Vinmec Times City International General Hospital.