The ethics of parental refusal of newborn vitamin K prophylaxis

Kerruish, Nikki; McMillan, John; Wheeler, Benjamin J

doi:10.1111/jpc.13364

Cited by 7 publications

(10 citation statements)

References 24 publications

(34 reference statements)

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“…In contrast, repeated refusal of parents to give the vitamin to their babies has led to an increased rate of bleeding disorders due to vitamin K deficiency. [13][14][15] According to a study, vitamin K is commonly given as prophylaxis after birth to prevent the newborn's hemorrhagic disease (HDN). Among infants who have not received vitamin K prophylaxis at birth, the incidence of HDN is estimated at 35 (10.5 to 80) per 100,000 live births, being lower in high-income countries at 8.8 (5.8 to 17.8) per 100,000 live births.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitude among Doctors towards Use of Prophylactic Vitamin K in Neonatal Bleeding Disorders in Department of Obstetrics and Gynecology: Experience from Haj El-Safi Hospital, Sudan

Hassan¹,

Malik²,

Elawad³

et al. 2022

amj

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Background: Vitamin K is crucial for neonates to prevent bleeding disorders. Raising awareness of vitamin K use would show positive outcomes. This study aimed to assess the knowledge and attitude of prophylactic use of vitamin K for bleeding disorders in neonates among doctors working in the Department of Obstetrics and Gynecology at Haj El-Safi Hospital, Sudan. Methods: A descriptive cross-sectional study was conducted in February 2019, involving 36 doctors selected by convenience sampling. Data were collected by an interview-based questionnaire designed to measure the knowledge level of doctors toward vitamin K deficiency classification and interactions, guidelines availability and adherence, and parents counseling. Data were analyzed and presented in tables. Results: The doctors involved in this study were 36, including 7 registrars, 6 medical officers, 23 house officers, mostly aged 20–25 years (n=29), and female (n=27). The level of knowledge about the classification of vitamin K deficiency and the interaction of vitamin K with other drugs among doctors was mostly good (n=14 and n=15, respectively). Registrars were the most in the good category (n=6, and n=7, respectively). Most doctors (n=23) were aware of vitamin K guidelines, while only 15 have continuous adherence, 16 of doctors counseled parents about the importance of prophylactic vitamin K. Conclusion: The level of knowledge towards prophylactic vitamin K use in neonatal bleeding disorders among doctors in the Department of Obstetrics and Gynecology at Haj El-Safi Hospital is good.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Attitude among Doctors towards Use of Prophylactic Vitamin K in Neonatal Bleeding Disorders in Department of Obstetrics and Gynecology: Experience from Haj El-Safi Hospital, Sudan

Hassan¹,

Malik²,

Elawad³

et al. 2022

amj

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“…The reasons for parental decline of vitamin K have been studied worldwide, with very similar results [15][16][17][18][20][21][22][23][24][25][26][27][28]. The principal concerns generally cited are: (1) increased risk of cancer, especially childhood leukemia (not supported by available data);…”

Section: Reasons For Refusal Of Vitamin Kmentioning

confidence: 98%

“…The current overall incidences of lack of neonatal Vitamin K administration and or late VKDB in the United States is unclear. Studies in New Zealand, Australia, Canada and Great Britain suggest incidences of refusal of parental vitamin K administration at birth of 1-7% [9,16,17]. Estimates for the USA range from 0-3.2% of births in hospitals, 14.5% in home births and up to 31% in birthing centers [18].…”

Section: Why a Resurgence Of Late Vkdb?mentioning

confidence: 99%

Vitamin K deficient bleeding and COVID-19: How are they related?

Volpe

2021

NPM

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“…8 appropriate balance between these 2 issues is essential because parents who perceive health professionals as overly coercive or manipulative may disengage not only with vitamin K prophylaxis but also with other subsequent medical services. 27 Therefore, we detail in the following paragraphs the known barriers to vitamin K prophylaxis and how these have evolved over time.…”

Section: Latementioning

confidence: 99%

Newborn Vitamin K Prophylaxis: A Historical Perspective to Understand Modern Barriers to Uptake

Majid¹,

Blackwell²,

Broadbent³

et al. 2019

Hospital Pediatrics

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Since its initial discovery almost a century ago, vitamin K has been labeled as both lifesaving and malignancy causing. This has led to debate of not only its use in general but also regarding its appropriate dose and route. In this article, we review through a historical lens the past 90 years of newborn vitamin K from its discovery through to its modern use of preventing vitamin K deficiency bleeding (VKDB). Although researchers in surveillance studies have shown considerable reductions in VKDB following intramuscular vitamin K prophylaxis, ongoing barriers to the universal uptake of vitamin K prophylaxis remain. Reviewing the history of newborn vitamin K provides an opportunity for a greater understanding of the current barriers to uptake that we face. Although at times difficult, improving this understanding may allow us to address contentious issues related to parental and health professional beliefs and values as well as improve overall communication. The ultimate goal is to improve and maintain the uptake of vitamin K to prevent VKDB in newborns.

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The ethics of parental refusal of newborn vitamin K prophylaxis

Cited by 7 publications

References 24 publications

Knowledge and Attitude among Doctors towards Use of Prophylactic Vitamin K in Neonatal Bleeding Disorders in Department of Obstetrics and Gynecology: Experience from Haj El-Safi Hospital, Sudan

Knowledge and Attitude among Doctors towards Use of Prophylactic Vitamin K in Neonatal Bleeding Disorders in Department of Obstetrics and Gynecology: Experience from Haj El-Safi Hospital, Sudan

Vitamin K deficient bleeding and COVID-19: How are they related?

Newborn Vitamin K Prophylaxis: A Historical Perspective to Understand Modern Barriers to Uptake

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