Journal article
Oral Vitamin K Prophylaxis in Newborns: A Survey of Clinician Opinions and Practices
Hospital pediatrics, Vol.10(2), pp.153-158
02/01/2020
DOI: 10.1542/hpeds.2019-0219
PMCID: PMC6986901
PMID: 31907174
Abstract
OBJECTIVES:
The majority of newborns in the United States receive intramuscular (IM) vitamin K for prophylaxis against vitamin K deficiency bleeding (VKDB). Oral vitamin K is less effective than IM vitamin K in preventing VKDB but is widely used in Europe and by some in the United States when parents refuse IM vitamin K for their newborn. Our aim was to assess the practices, opinions, and knowledge of newborn clinicians regarding oral vitamin K prophylaxis when parents refuse IM vitamin K.
METHODS:
We conducted an electronic survey of newborn clinicians from 3 academic medical centers in California, Iowa, and Connecticut. Descriptive statistics and χ2 tests were performed.
RESULTS:
Of 160 newborn clinicians at 3 sites, 110 (69%) completed the survey. Of respondents, 58 (53%) believed the incidence of IM vitamin K refusal is increasing and had prescribed or recommended oral vitamin K at least once. Regarding knowledge, 32 (28%) and 23 (20%) respondents did not know whether oral vitamin K decreases the risk of early- and late-onset VKDB, respectively. There were no significant differences in opinions, knowledge, or practices across institutions or practice settings (NICU, well-newborn nursery, or both) (P > .05).
CONCLUSIONS:
Our study findings suggest that newborn clinicians may lack knowledge about the effectiveness of oral vitamin K in preventing VKDB. More information is needed about oral vitamin K regimens and outcomes of newborns who receive oral vitamin K.
Details
- Title: Subtitle
- Oral Vitamin K Prophylaxis in Newborns: A Survey of Clinician Opinions and Practices
- Creators
- Jessica H. Cheng - University of California, DavisJaspreet Loyal - Yale UniversityKelly E. Wood - University of IowaLaura R. Kair - University of California, Davis
- Resource Type
- Journal article
- Publication Details
- Hospital pediatrics, Vol.10(2), pp.153-158
- DOI
- 10.1542/hpeds.2019-0219
- PMID
- 31907174
- PMCID
- PMC6986901
- ISSN
- 2154-1663
- eISSN
- 2154-1671
- Language
- English
- Date published
- 02/01/2020
- Academic Unit
- Stead Family Department of Pediatrics; Hospital Medicine
- Record Identifier
- 9984354382202771
Metrics
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