The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is

The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is –

    1. Administration of vitamin K
    1. Investigation for bleeding disordern
    1. No specific therapy
    1. Administration of 10 ml/kg of fresh frozen plasma over 4 hours

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EXP:

  • Menstural-like bleeding (vaginal bleeding) may occur from the third to seventh day of life.
  • This is attributed withdrawl of maternal hormones after birth.
  • The bleeding would subside after 2-3 days and no therapy is required.