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Review
. 2025 Aug;72(4):773-791.
doi: 10.1016/j.pcl.2025.03.004. Epub 2025 May 22.

Evaluation of Bleeding Disorders in the Newborn

Affiliations
Review

Evaluation of Bleeding Disorders in the Newborn

Matthew A Saxonhouse et al. Pediatr Clin North Am. 2025 Aug.

Abstract

Neonatal bleeding disorders may present a diagnostic challenge to the pediatric clinician. Isolated thrombocytopenia rarely presents as a hemorrhagic emergency. Appropriate laboratory testing with incorporation of time of presentation and disease state is crucial to formatting an appropriate differential diagnosis. Deficiencies of certain coagulation proteins coupled with multiple acquired risk factors and/or thrombocytopenia can result in a hemorrhagic emergency in the neonatal period.

Keywords: Factor XIII deficiency; Fetal and neonatal alloimmune thrombocytopenia; Hemophilia; Hemorrhagic disease of the newborn; Neonatal hemorrhage; Thrombocytopenia.

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Conflict of interest statement

Disclosure The authors have nothing to disclose.