Jonnah Marie B Yabut
St. Luke’s Medical Center – Global City, Philippines
Title: Swallowed maternal blood syndrome complicated by hemorrhagic disease of the newborn
Biography
Biography: Jonnah Marie B Yabut
Abstract
In these times where prenatal checkups and administration of prophylactic newborn medications are prioritized, neonatal hematemesis and melena have become uncommon for newborns. We report a case of a term newborn male delivered via cesarean section for placenta prevail totalize and end cervical polyp, at a tertiary hospital presenting with hematemesis and melena at the first day of life. Patient was initially treated as swallowed maternal blood syndrome after ruling out other causes. However, the patient also presented with prolonged prothrombin time (PT) and partial thromboplastin time (PTT) which was attributed to decreased circulating coagulation factors due to immature liver and decreased Vitamin K despite being given routine newborn prophylactic dose. Additional doses of Vitamin K and fresh frozen plasma transfusion were done then noted with improvement on the levels of bleeding parameters and resolution of bleeding episodes. This case report highlights the different causes of hematemesis and melena in term well newborns, the diagnostics that were utilized, and the recommended management.