6.10 Subchorionic Hemorrhage (SCH) After Embryo Transfer: Essential Information for Surrogate Mothers

A subchorionic hemorrhage (SCH) is a common early pregnancy condition that occurs when blood collects between the uterine wall and the chorionic membrane. While it can be concerning, most cases resolve on their own with proper medical management. At GSHC Surrogacy & Egg Donation, we ensure that surrogate mothers receive comprehensive support, monitoring, and guidance throughout the process.

What Is a Subchorionic Hemorrhage?

SCH occurs due to the rupture of small blood vessels during embryo implantation. This may result in:

Light to moderate vaginal bleeding or spotting (pink, red, or brown discharge).
Mild cramping or no symptoms at all.
Blood accumulation visible on ultrasound scans.

💡 While SCH can be alarming, many cases resolve without complications.

Potential Risks and Monitoring

While mild to moderate SCH is generally not dangerous, larger hemorrhages require closer monitoring:

Small SCH: Often reabsorbs naturally with rest and regular check-ups.
Moderate to large SCH: May require activity restrictions and additional ultrasounds.
Severe SCH (rare cases): If bleeding is heavy or prolonged, there may be a higher risk of pregnancy complications.

💡 The fertility clinic and OB provider will determine the best course of action based on the size and progression of SCH.

What Should a Surrogate Do If Bleeding Occurs?

If you experience bleeding or spotting, take the following steps:

✔️ Notify your case manager or clinic immediately.

✔️ Follow medical advice on activity restrictions, including possible bed rest.

✔️ Avoid lifting heavy objects or strenuous activities.

✔️ Continue all prescribed medications (progesterone, estrogen, or blood thinners) unless instructed otherwise.

✔️ Attend all follow-up ultrasounds to monitor SCH resolution.

💡 Prompt communication and adherence to medical instructions help ensure the best outcome.

Treatment & Medical Management

Your fertility clinic or OB provider may recommend:

Continued hormonal support to maintain pregnancy stability.
Pelvic rest (avoiding intercourse and strenuous activity).
Additional medications if necessary, based on medical evaluation.

💡 If heavy bleeding or severe cramping occurs, seek immediate medical attention.

Keeping Intended Parents Informed

Transparent communication with intended parents is essential when SCH is diagnosed. While some surrogates may hesitate to share medical concerns, keeping intended parents informed ensures trust, reassurance, and supportthroughout the journey.

✔️ Provide factual, clear updates without unnecessary alarm.

✔️ Reassure them that SCH is common and being monitored closely.

✔️ Share medical updates from ultrasound results and doctor recommendations.

✔️ Encourage open dialogue and address concerns.

💡 If needed, GSHC case managers can help facilitate communication between surrogates and intended parents.

Final Thoughts

While subchorionic hemorrhage can be unsettling, most cases resolve without complications when properly managed. At GSHC Surrogacy & Egg Donation, we ensure that surrogates receive medical support, clear guidance, and open communication with intended parents.

By following medical advice, maintaining transparency, and staying proactive, surrogates help create a stable, reassuring surrogacy experience for everyone involved.

Start Your Surrogacy Journey Today!

📩 Contact us now to learn more about becoming a surrogate mother and making a life-changing difference for intended parents!
📞 Call: 310-953-0137
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