General Objective At the end of the session B.S.C 3 rd year students will be able to explain about “ Pseudomensturation ”
Specific Objectives At the end of the session B.S.C. 3 rd year students will be able to: - define pseudomensturation - state the cause of pseudomensturation - state the treatment of pseudomensturation
Pseudo- Mensturation A blood stained vaginal discharge, occasionally seen to girl babies are known as pseudo mensturation . The menstural like bleeding occurs in ¼ of the female babies after 3-5 days of birth.
Causes Withdrawal of estrogens which have passed into fetal blood stream from the placenta.
Management Treatment does not require in this condition and it disappears within 1 week after birth. Reassure the mother that this is normal physiology. Advice to clean genitalia with wet clean cotton cloth or cotton swabs.
Contd.. Advice the mother and family to return for care if signs and symptoms are worsen . If bleeding seems excessive, rule out the cause as it may due to vitamin k deficiency or other coagulopathy disorder .
References Levene , M. (1990). A textbook of Jolly’s disease of children (6th ed.). Noida: Blackwell science (101-102) Gupte , S. (2011). The short textbook of pediatrics (11th ed.). New Delhi: Jaypee brothers medical publishers (p) ltd. (129-131) Tuitui , R. (2007). Manual of Midwifery Postnata l(4th ed.). Kathmandu: Vidyarthi Pustak Bhandar . (141-142) Dewan, P. (2022). Comprehensive Textbook of Child Health Nursing (1st ed.). Kathmandu: Samiksha Publication Pvt.Ltd . (102) Prasai , D. (2018). Textbook of Midwifery Nursing Part III (1st ed.). Kathmandu: Medhavi Publication (203-206)