Belgian Journal of Paediatrics
A snapshot on current practices and recent trends on vitamin K prophylaxis in term neonates in Flanders
Vol. 24 No. 1 (2022), Research articles
Vol. 24 No. 1 (2022)

A snapshot on current practices and recent trends on vitamin K prophylaxis in term neonates in Flanders

Research articles
Published 2022-04-10 — Updated on 2023-01-17
Kirsten Keiren
Department of Public Health and Primary Care, KU Leuven, Belgium
Myriam van Winckel
Department of Paediatrics, Ghent University Hospital and Ghent University, Belgium
Karel Allegaert
Department of Development and Regeneration, and Department of Pharmacy and Pharmaceutical Sciences, KU Leuven, Belgium. Department of Hospital Pharmacy, Erasmus MC University Medical Centre, Rotterdam, the Netherlands

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Keywords

newborn
infant
vitamin K
vitamin K deficient bleeding
prophylaxis

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How to Cite

Keiren, K., van Winckel, M., & Allegaert, K. (2023). A snapshot on current practices and recent trends on vitamin K prophylaxis in term neonates in Flanders. Belgian Journal of Paediatrics, 24(1), 67–68. Retrieved from https://belgjpaediatrics.com/index.php/bjp/article/view/98 (Original work published April 10, 2022)
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Abstract

A survey on vitamin K prophylaxis for term newborns with responses from 56/59 Flemish maternities and 17/30 midwifery units that do home deliveries unveiled relevant variability. About 50% of maternities use the intramuscular (1-2 mg), about 50% the oral (1-2 mg) route, with 5 different maintenance doses in breastfed infants. Nine/13 recently (<5 years) changed regimens were a switch from oral to intramuscular. Midwifery units only use oral vitamin K, with  6 different regimens. Both paediatricians and midwives reported personal experience with parental refusal of intramuscular (20/54 and 13/15) or any prophylaxis (11/54 and 16/16) respectively.

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