Abstract
Vitamin K, which is produced in the large intestines of adults, is naturally lacking in neonates. It is a crucial part in the clotting cascade for activating clotting factors II, VII, IX, and X. For the past several decades, it has been a standard in Western Medicine to give an IM Vitamin K injection to neonates post birth. In recent years, statistics of refusal have continued to grow creating an increased prevalence of Vitamin K Deficiency Bleeding Disorders. This study is aimed at exploring the statistics of injection refusal, reasons for refusal, alternative methods to injections, and the importance behind parent education. The studies analyzed demonstrate that there are higher rates of refusal in birth centers and home births as opposed to hospital births. Alternative methods studied, such as breast feeding and mother supplementation, have not been shown to be an equivalent to the IM injection, however, there is promising research regarding an oral method of Vitamin K administration. Based on the research conducted, it is imperative that providers ensure proper patient education throughout the entire pregnancy regarding screenings and preventions, such as a Vitamin K injection and what it prevents, so that parents can make informed decisions when their child is born.
Included in
In newborn babies, what are the risks of developing Vitamin K deficiency bleeding disorders if not provided IM Vitamin K injection at birth?
Vitamin K, which is produced in the large intestines of adults, is naturally lacking in neonates. It is a crucial part in the clotting cascade for activating clotting factors II, VII, IX, and X. For the past several decades, it has been a standard in Western Medicine to give an IM Vitamin K injection to neonates post birth. In recent years, statistics of refusal have continued to grow creating an increased prevalence of Vitamin K Deficiency Bleeding Disorders. This study is aimed at exploring the statistics of injection refusal, reasons for refusal, alternative methods to injections, and the importance behind parent education. The studies analyzed demonstrate that there are higher rates of refusal in birth centers and home births as opposed to hospital births. Alternative methods studied, such as breast feeding and mother supplementation, have not been shown to be an equivalent to the IM injection, however, there is promising research regarding an oral method of Vitamin K administration. Based on the research conducted, it is imperative that providers ensure proper patient education throughout the entire pregnancy regarding screenings and preventions, such as a Vitamin K injection and what it prevents, so that parents can make informed decisions when their child is born.