Huber A
Zentralbl Gynakol. 1976;98(16):1017-20.
A study of 350 newborn girls revealed vaginal (uterine) bleeding in 25,4%, mostly demonstrable only by chemical micro-methods, but also macroscopically visible in 3,3%. This kind of bleeding appears always in the first week, with its highest frequency on the 5th day of life and must be regarded as a physiologic event. Analogous histologic and cytologic controls confirmed these observations, pointing toward the fact that, as a rule, no menstrual withdrawal bleeding, but degenerative, regressional changes upon the endometrium occur. Due to the rapid withdrawal of maternal hormones, nutritive disorders may lead also to diapedesis bleeding. But if any genital bleeding lasts longer than one week or appears for the first time after that period, further diagnostic procedures are essential as a possible pathologic condition may be assumed.
一项针对350名新生女婴的研究发现,25.4%的女婴出现阴道(子宫)出血,多数情况仅通过化学微量法可检测到,但3.3%的女婴出血在肉眼下也可见。这种出血总是在出生后的第一周出现,在出生后第5天出现的频率最高,必须被视为一种生理现象。类似的组织学和细胞学对照证实了这些观察结果,表明通常并非月经撤退性出血,而是子宫内膜发生退行性、消退性变化。由于母体激素的迅速撤退,营养紊乱也可能导致渗血。但是,如果任何生殖器出血持续超过一周或在该时间段之后首次出现,则必须进行进一步的诊断程序,因为可能存在病理性状况。