The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is –: (A) Administration of vitamin K, (B) Investigation for bleeding disordern, (C) No specific therapy, (D) Administration of 10 ml/kg of fresh frozen plasma over 4 hours
Answer is C. Menstrual-like bleeding (vaginal bleeding) may occur from the third to seventh day of life.
This is attributed withdrawal of maternal hormones after birth.
The bleeding would subside after 2-3 days and no therapy is required.