<prompt> Female newborn presents with vaginal bleeding, 4 days after birth, what is to be done?Wait and watchClotting Factor deficiency to be ruled outBleeding time to be doneBlood transfusion  <response>: ANSWER: A Wait and watchREF: Shaw 13th ed p. 48Repeat from December 2009Vaginal bleed may be noticed in neonates in first week, it is due to withdrawal of maternal estrogen circulating in the newborn circulation. No treatment is needed except for reassuranceThe vaginal bleeding in a neonate is physiological due to presence of maternal hormones and hence it subsides after sometime 