Pediatric Gynecology: Assessment Strategies and Common Problems

Jane H. Kass-Wolff, RN, MS; Ellen E. Wilson, MD

Disclosures

Semin Reprod Med. 2003;21(4) 

In This Article

Foreign Bodies

Unexplained bleeding may also be an indication for the presence of a foreign body. The vaginal discharge is often dark brownish in color and occurs daily, requiring the use of a panty liner by the child. The discharge is often malodorous. Vaginal irrigation as described earlier may wash out any loose pieces of toilet paper, but objects such as safety pins or parts of toys may require that the child be anesthetized to be removed. Following removal sitz baths are recommended until the residual symptoms subside.

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