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Sweet Pea ​Births
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Info Sheet: Newborn Vitamin K Shot/Oral Dose
Posted on October 4, 2013 at 3:39 PM |
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Here is another installment in our Information Sheet series. These info sheets are designed to give you information as a starting point for your own research to decide what is the best choice regarding this option for your family. We are not medical experts or care providers. We are informed consumers who want to help other families make informed consumer decisions when they say "YES" or "NO" Definition: Newborn Vitamin K Shot/Oral Dose A single injection containing .5 to
1 milligram of vitamin K is given in one of your baby’s thighs. An oral form of Vitamin K was finally developed in
the late 1990s and is now available for parents who prefer to give Vitamin K to
their baby orally. In 2003 the American Academy of Pediatrics
recommended that vitamin K1 should be given to all neonates as a single,
intramuscular dose of 0.5 to 1 mg29, and this recommendation was
recently reaffirmed in 2009. History Why was it developed? Research in 1937 found that prothrombin
times (PT, the time required for blood to clot) in normal neonates were between
30-60% adult levels, falling to 15-30% on day two, and then gradually rising
again until about day 10. This research led to the continuing belief that
these low levels in the newborn are a deficiency and need to be corrected.
In 1939, vitamin K was isolated from
alfalfa by Dam, for which he later received the Nobel Prize, along with Edward
Doisy, who isolated vitamin K. Further research in
1939 by Waddell and Guerry found that low plasma prothrombin
levels could be elevated by the administration of oral vitamin K. What was it supposed to treat?
Has it been effective: as in, has the incidence decreased because of the
intervention/procedure/test?
Source: E Hey. “Vitamin K – what, why and when.”
Archives of Disease in Childhood Fetal and Neonatal Edition 2003; 88:F80. Pros
Cons
Injection also includes following: WARNING — INTRAVENOUS AND INTRAMUSCULAR USE Severe reactions, including fatalities, have
occurred during and immediately after INTRAVENOUS injection of phytonadione,
even when precautions have been taken to dilute the phytonadione and to avoid
rapid infusion. Severe reactions, including fatalities, have also been reported
following INTRAMUSCULAR administration. Typically these severe reactions have
resembled hypersensitivity or anaphylaxis, including shock and cardiac and/or
respiratory arrest. Some patients have exhibited these severe reactions on
receiving phytonadione for the first time. Therefore the INTRAVENOUS and
INTRAMUSCULAR routes should be restricted to those situations where the
subcutaneous route is not feasible and the serious risk involved is considered
justified. Additional Information
Please make sure to check out the other topics in the Info Sheet series as you educate yourself and prepare to write your birth, postpartum and newborn plan for your family. What are your thoughts on the Vitamin K shot? Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
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