The appropriate approach to a neonate presenting with vaginal bleeding on day 4 or life is:
In the first few weeks of life, a small amount of vaginal bleeding may occur, reflecting the decline of circulating level of maternal estrogens. Ref: Kligman, Behrman, Jenson, Stanton (2008), Chapter 24, "Gynecological Problems of Childhood", In the book, "Nelson's Textbook of Pediatrics", Volume 2, 18th Edition, New Delhi, Page 2273
Administration of vitamin K
Investigation for bleeding disorder
No specific therapy
Administration of 10 ml/kg of fresh frozen plasma over 4 hours