Change in hospital protocol regarding the use of vitamin K prophylaxis in newborns following a case of spontaneous subdural haematoma in a previously healthy 40-day-old infant

Boujan, M. M. K.; Sharef, K. H. S. H.

doi:10.26719/2013.19.5.502

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…[3][4][5] Pencegahan yang harus dilakukan ialah profilaksis vitamin K. Jenis vitamin K yang digunakan yaitu jenis vitamin K1 (phytomenadion) dengan dosis pemberian 1 mg/ml dosis tunggal, suntik intramuskular, atau oral 3 kali 2 mg, diberikan pada waktu bayi baru lahir, umur 3 sampai 7 hari, dan pada saat bayi berumur 1-2 bulan. [6][7][8]…”

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Pengetahuan, Sikap, Dan Perilaku Tenaga Penolong Persalinan Di Puskesmas Kota Manado Terhadap Profilaksis Vitamin K

Suoth¹,

Gunawan²,

Pateda³

2015

eCl

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In Indonesia, the infant mortality rate (IMR) is 41.4 per 1.000 live births. It is projected that the rate will be 18 per 1.000 live births in 2025. One of the efforts to decrease the IMR is prevention of the occurrence of cerebral hemorrhage in newborns. This hemorrhage is caused by coagulation disorders due to a deficiency of vitamin K. Vitamin K injection is essential for newborns to prevent this hemorrhage. This was a descriptive study with a cross-sectional design that was conducted by using questionnaires. Respondents were taken from 15 community health centers in Manado. The results showed that of the 102 birth aattendants: 60.8% had good knowledge; 69.6% thought that vitamin K prophylaxis should be administered to all newborn babies; 57.8% agreed that this prophylaxis should be administered after birth; 64.7% thought that vitamin K prophylaxis could prevent cerebral hemorrhage of the newborns; 78.4% agreed that vitamin K was available at the community health centers; 56.9% knew that vitamin K prophylaxis did not cause any harmful side effects; 87.3% gave vitamin K prophylaxis to the newborns; 85.3% administered vitamin K to the newbornss immediately after birth; and 89.2% provided community health centers with vitamin K. Conclusion: In this study, most of the birth attendants had good knowledge, administered vitamin K prophylaxis to the newborns, and provided the health community centers with vitamin K.Keywords: cerebral hemorrhage, vitamin K prophylaxis, birth attendantsAbstrak: Indonesia sebagai negara sedang berkembang mempunyai angka kematian bayi (AKB) 41,4 per 1.000 kelahiran hidup yang diproyeksikan menjadi 18 per 1.000 kelahiran hidup pada tahun 2025. Salah satu upaya menurukan AKB ialah dengan mencegah terjadinya perdarahan otak pada bayi baru lahir. Perdarahan ini diakibatkan gangguan proses koagulasi oleh kekurangan vitamin K. Pemberian injeksi vitamin K sangat penting pada bayi baru lahir untuk mencegah perdarahan otak tersebut. Penelitian bersifat deskriptif dengan desain potong lintang dan menggunakan kuesioner yang dibagikan pada tenaga penolong persalinan di 15 puskesmas Kota Manado. Hasil penelitian memperlihatkan bahwa dari 102 tenaga penolong : 60,8% mempunyai tingkat pengetahuan tergolong baik; 69,6% berpendapat bahwa profilaksis vitamin K harus diberikan pada semua bayi baru lahir; 57,8% setuju profilaksis vitamin K bermanfaat untuk mencegah perdarahan bayi baru lahir; 78,4% setuju ketersediaan vitamin K di Puskesmas/Pondok bersalin; 56,9% berpendapat bahwa tidak ada efek samping berbahaya untuk profilaksis vitamin K; 87,3% tenaga kesehatan memberikan profilaksis vitamin K; 85,3% tenaga kesehatan memberikan vitamin K segera setelah lahir; dan 89,2% tenaga kesehatan menyediakan vitamin K di puskesmas/pondok bersalin. Simpulan: Sebagian besar tenaga penolong persalinan pada 15 puskesmas di kota Manado mempunyai tingkat pengetahuan tergolong baik, memberikan profilaksis vitamin K, dan menyediakan vitamin K di puskesmas atau pondok bersalin.Kata kunci: perdarahan serebral, profilaksis vitamin K, tenaga penolong persalinan

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Pengetahuan, Sikap, Dan Perilaku Tenaga Penolong Persalinan Di Puskesmas Kota Manado Terhadap Profilaksis Vitamin K

Suoth¹,

Gunawan²,

Pateda³

2015

eCl

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Refusal of Intramuscular Vitamin K by Parents of Newborns: A Review

Loyal

Shapiro

2020

Hospital Pediatrics

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In 2019, the American Academy of Pediatrics made public education about intramuscular vitamin K administration at birth a public health priority, partly in response to reports of refusal of intramuscular vitamin K by parents of newborns that led to vitamin K deficiency bleeding (VKDB). We reviewed the literature on the frequency of, reported reasons for, and factors associated with refusal of intramuscular vitamin K, incidence of VKDB in newborns who did not receive intramuscular vitamin K, and use of oral vitamin K to prevent VKDB. Without prophylaxis, estimates of the incidence per 100 000 births of VKDB range from 250 to 1700 for early VKDB and from 10.5 to 80 for late VKDB. The frequency of refusal of intramuscular vitamin K by parents ranged from 0% to 3.2% in US hospitals, up to 14.5% in home births, and up to 31.0% in birthing centers. Reported reasons for refusal were concern of harm from the injection, a desire to be natural, and a belief in alternative methods of prophylaxis. Parents who refused intramuscular vitamin K were more likely to refuse immunizations. Many different regimens were used for orally administered vitamin K; it is not clear which is best, but all are less effective than intramuscular vitamin K. VKDB is rare but can result in either neurologic sequelae or death. In addition to continued surveillance of the frequency of both refusal of intramuscular vitamin K and VKDB, a renewed focus on education of and collaboration with parents is needed to address this major public health threat.

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Change in hospital protocol regarding the use of vitamin K prophylaxis in newborns following a case of spontaneous subdural haematoma in a previously healthy 40-day-old infant

Cited by 2 publications

References 11 publications

Pengetahuan, Sikap, Dan Perilaku Tenaga Penolong Persalinan Di Puskesmas Kota Manado Terhadap Profilaksis Vitamin K

Pengetahuan, Sikap, Dan Perilaku Tenaga Penolong Persalinan Di Puskesmas Kota Manado Terhadap Profilaksis Vitamin K

Refusal of Intramuscular Vitamin K by Parents of Newborns: A Review

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