Vitamin K prophylaxis in newborns

Abstract We looked at existing recommendations and supporting evidence on the effectiveness of vitamin K given after birth in preventing the haemorrhagic disease of the newborn (HDN). We conducted a literature search up to the 10th of December 2019 by using key terms and manual search in selected so...

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Main Author: Sophie Jullien
Format: Article
Language:English
Published: BMC 2021-09-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-021-02701-4
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author Sophie Jullien
author_facet Sophie Jullien
author_sort Sophie Jullien
collection DOAJ
description Abstract We looked at existing recommendations and supporting evidence on the effectiveness of vitamin K given after birth in preventing the haemorrhagic disease of the newborn (HDN). We conducted a literature search up to the 10th of December 2019 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported. All newborns should receive vitamin K prophylaxis, as it has been proven that oral and intramuscular prophylactic vitamin K given after birth are effective for preventing classical HDN. There are no randomized trials looking at the efficacy of vitamin K supplement on late HDN. There are no randomized trials comparing the oral and intramuscular route of administration of prophylactic vitamin K in newborns. From older trials and surveillance data, it seems that there is no significant difference between the intramuscular and the oral regimens for preventing classical and late HDN, provided that the oral regimen is duly completed. Evidence assessing vitamin K prophylaxis in preterm infants is scarce.
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spelling doaj.art-091ae64eadad4127a3ba1b2b7f0ee2de2022-12-21T19:15:40ZengBMCBMC Pediatrics1471-24312021-09-0121S11710.1186/s12887-021-02701-4Vitamin K prophylaxis in newbornsSophie Jullien0Barcelona Institute for Global Health, University of BarcelonaAbstract We looked at existing recommendations and supporting evidence on the effectiveness of vitamin K given after birth in preventing the haemorrhagic disease of the newborn (HDN). We conducted a literature search up to the 10th of December 2019 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported. All newborns should receive vitamin K prophylaxis, as it has been proven that oral and intramuscular prophylactic vitamin K given after birth are effective for preventing classical HDN. There are no randomized trials looking at the efficacy of vitamin K supplement on late HDN. There are no randomized trials comparing the oral and intramuscular route of administration of prophylactic vitamin K in newborns. From older trials and surveillance data, it seems that there is no significant difference between the intramuscular and the oral regimens for preventing classical and late HDN, provided that the oral regimen is duly completed. Evidence assessing vitamin K prophylaxis in preterm infants is scarce.https://doi.org/10.1186/s12887-021-02701-4Vitamin K deficiency bleedingVitamin K prophylaxisHaemorrhagic disease of newbornNewborn
spellingShingle Sophie Jullien
Vitamin K prophylaxis in newborns
BMC Pediatrics
Vitamin K deficiency bleeding
Vitamin K prophylaxis
Haemorrhagic disease of newborn
Newborn
title Vitamin K prophylaxis in newborns
title_full Vitamin K prophylaxis in newborns
title_fullStr Vitamin K prophylaxis in newborns
title_full_unstemmed Vitamin K prophylaxis in newborns
title_short Vitamin K prophylaxis in newborns
title_sort vitamin k prophylaxis in newborns
topic Vitamin K deficiency bleeding
Vitamin K prophylaxis
Haemorrhagic disease of newborn
Newborn
url https://doi.org/10.1186/s12887-021-02701-4
work_keys_str_mv AT sophiejullien vitaminkprophylaxisinnewborns