The uptake of vitamin K prophylaxis among breastfeeding women

Abstract

A brief overview of the onset and incidence of haemorrhagic disease of the newborn (HDN) is given along with some of the facts relating to vitamin K prophylaxis and an explanation of how HDN became assoiated with breastfed babies. The author argues that the association of HDN with breastfeeding is misguided and as a result explores the effect that this has on the uptake of vitamin K prophylaxis. The results of a local study are provided which demonstrate an unexplained increase in the uptake of vitamin K prophylaxis among breastfeeding women, in comparison to women feeding with formula. In an attempt to determine a rationale for the findings, a number of areas are explored which include the views and experiences of midwives who are expected to take an active role in ensuring women are able to make an informed choice. The outcome of the enquiries provides interesting reading and a possible basis for a more robust research study.