Vitamin K Prophylaxis in Newborn: Current Hospital Practices in a Metropolitan City

Authors

  • Pranab Kumar Chowdhury Associate Professor of Pediatrics, Chittagong Medical College, Chittagong, Bangladesh
  • Arjun Chandra Dey Neonatal Pediatric fellow, Mount Sinai Hospital, University of Toronto, Canada
  • Sanat Kumar Barua Associate Professor of Pediatric Nephrology, Chittagong Medical College, Chittagong, Bangladesh
  • Musammet Rasheda Begum Assistant Professor of Agricultural Economics and Social Sciences, Chittagong Veterinary and Animal Sciences University, Chittagong, Bangladesh
  • Mohammad Shameem Hasan Associate Professor of Pediatrics, Chittagong Medical College, Chittagong, Bangladesh
  • Pujanjali Chowdhury Honorary Medical Officer of Pediatrics, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Najneen Hayder Honorary Medical Officer of Pediatrics, Chittagong Medical College Hospital, Chittagong, Bangladesh

DOI:

https://doi.org/10.3329/jcmcta.v27i1.62283

Keywords:

Neonate; Vitamin K Deficiency; Hemorrhage; Prophylaxis

Abstract

Vitamin K deficiency may cause unexpected bleeding sometimes severe one into the brain in previously apparently healthy neonates, known as Vitamin K Deficiency Bleeding (VKDB) of newborn. Vitamin K prophylaxis in the newborn continues to be a worldwide health concern. A single intramuscular prophylactic dose (0.5 to 1 mg) of vitamin K within first 6 hrs of delivery is preferable till date in preventing VKDB. This observational study was carried out to see the current practices of vitamin K prophylaxis in newborn in different health care centers of a metropolitan area of Chittagong in Bangladesh from July 2013 to December 2013. Total 103 cases were enrolled in this study among them in 82 (79.61%) cases vitamin K prophylaxis was administered after initiation of breast feeding and in 21 (20.39%) cases it was offered before initiation of breast feeding. In 89 (86.40%) cases route of administration was oral whereas in 2 (1.94%) and 12 (11.65%) cases routes were intramuscular and intravenous respectively. In this study it is observed that most of the neonates received vitamin K prophylaxis orally, which is not the currently recommended route to prevent VKDB. So awareness should be promoted in this regard.

JCMCTA 2016 ; 27 (1) : 46 - 50

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Published

2016-10-08

How to Cite

Chowdhury, P. K. ., Dey, A. C. ., Barua, S. K. ., Begum, M. R. ., Hasan, M. S. ., Chowdhury, P. ., & Hayder, N. . (2016). Vitamin K Prophylaxis in Newborn: Current Hospital Practices in a Metropolitan City. Journal of Chittagong Medical College Teachers' Association, 27(1), 46–50. https://doi.org/10.3329/jcmcta.v27i1.62283

Issue

Vol. 27 No. 1 (2016)

Section

Papers and Originals