Illinois General Assembly: Oral Vitamin K For Newborns

Thursday, August 22, 2019

Oral Vitamin K For Newborns

Newborn babies are given vitamin K injections to prevent a serious disease called haemorrhagic disease of the newborn HDN. VKDB is defined as bleeding from any source stopped by the administration of vitamin K.

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Prior to 1999 the term Hemorrhagic Disease of the Newborn was used for this condition.

Oral vitamin k for newborns. The Canadian Paediatric Society and the College of Family Physicians of Canada recommend routine IM administration of a single dose of vitamin K at 05 mg to 10 mg to all newborns. Administering PO vitamin K 20 mg at birth repeated at 2 to 4 and 6 to 8 weeks of age should be confined to newborns whose parents decline IM vitamin K. In some parts of Europe.

Infants who receive the vitamin K shot do not require further supplementation. The best method of giving your baby vitamin K is an injection soon after the birth. However it is less effective as the absorption of the whole drug cannot be guaranteed.

Its recommended that all newborn babies should receive vitamin K at birth McNinch and Tripp 1991. 05mg 1mg vitamin K IM at birth. How is the vitamin K given.

Vitamin K is needed for blood clotting. Vitamin K can be given by mouth if preferred but oral doses arent as effective. Contraindicated in preterms infants who are unwell and unable to take oral vitamin K or mothers that have taken medications that interfere with vitamin K metabolism.

It contains 05 to 1 mg of depending on birth weight vitamin K in one dose whereas oral vitamin K requires three carefully timed administrationswhich are easy to forget especially in. Vitamin K1 should be given to all newborns as a single intramuscular dose of 05 to 1 mg. 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.

The third dose is to be administered after. Vitamin K is a fat-soluble group of vitamins Vitamin K1 and K2 that are essential for the production of the factors needed to clot blood. Your baby is given vitamin K as oral drops via their mouth in either two or three doses during their first week.

Strongly recommend that all newborn babies receive vitamin K soon after birth to prevent VKDB until they build up their own supplies. However Group D prothrombin index was significantly reduced as compared with the other three groups. If its not offered to you or youre concerned in any way ask before you leave hospital or the birthing centre.

The American Academy of Pediatrics has recommended that Vitamin K is given as a single parenteral dose of 05 mg to 1 mg or an oral dose of 2 mg for the newborn infant3 Mallik et al. Infant vomits within 1 hour of administration repeat the oral dose. 2 4mg PO vitamin K after first feeding then 2mg within first week and weekly while breastfeeding OR.

Oral vitamin K is not consistently absorbed through the stomach and intestines and it does not provide adequate amounts for the breastfed infant. For formula-fed neonates without risk of haemorrhage a 2 mg oral dose of vitamin K at birth followed by a second 2 mg oral dose between day 2 and 7 is probably sufficient to prevent VKDB. In the UK youll be offered vitamin K as an injection for your baby.

Vitamin K can be given to babies as a liquid by mouth. Health care providers should clarify with. Oral Vitamin K as prophylaxis for HDN.

Done a study on the comparative efficacy of oral and injection Vitamin K and showed that oral Vitamin K. Your midwife will give your baby a 2mg dose shortly after birth. A vitamin K shot given at birth is the best way to prevent low amounts of vitamin K and VKDB in infants.

2 4mg PO vitamin K after first feeding then 2mg at 2 4 weeks and again at 6 8 weeks OR. Vitamin K is given to newborns to prevent Vitamin K Deficiency Bleeding VKDB. If you dont want your baby to have the injection vitamin K can be given by mouth unless your.

As a matter of fact the American Academy of Pediatrics has a policy statement titled Controversies Concerning Vitamin K and the Newborn In this paper the AAP recommends the following. If you decide to do the oral dose instead of the shot know that most people do the 3 doses of 2mg once at birth again at 2-4 weeks and again at 6-8 weeks. Oral vitamin K has to be given in a three-dose course over the first four six weeks and there is a risk that babies will miss out on the second or third doses and therefore not complete the course.

If you prefer they can have it orally instead although they will need further doses Puckett and Offringa 2000. The following article provides some interesting information about why Vitamin K is so important in newborns as well as the shot and oral options. Per dose 1 mg for 1 dose to be given at birth the intravenous route may be used in preterm neonates with very low birth-weight if intramuscular injection is not possible however it may not provide the prolonged protection of the intramuscular injection any neonate receiving intravenous vitamin K should be given subsequent oral doses.

The injection is given by a midwife into the muscle of your babys thigh. The majority of newborns in the United States receive intramuscular IM vitamin K for prophylaxis against vitamin K deficiency bleeding VKDB. The Vitamin K Shot in Newborns.

It is therefore concluded that oral Vitamin K is as effective as injectable Vitamin K and its usage is recommended in our country to reduce complications and costs of parenteral therapy.

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