Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance
- PDF / 461,497 Bytes
- 6 Pages / 595.28 x 790.87 pts Page_size
- 50 Downloads / 122 Views
Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance Lauren H. Marcewicz1,2,6 · Joshua Clayton1,3 · Matthew Maenner1,4 · Erika Odom2 · Ekwutosi Okoroh2 · Deborah Christensen4 · Alyson Goodman4 · Michael D. Warren3 · Julie Traylor3 · Angela Miller3 · Timothy Jones3 · John Dunn3 · William Schaffner3,5 · Althea Grant2
© Springer Science+Business Media New York (outside the USA) 2017
Abstract Objectives Vitamin K deficiency bleeding (VKDB) in infants is a coagulopathy preventable with a single dose of injectable vitamin K at birth. The Tennessee Department of Health (TDH) and Centers for Disease Control and Prevention (CDC) investigated vitamin K refusal among parents in 2013 after learning of four cases of VKDB associated with prophylaxis refusal. Methods Chart reviews were conducted at Nashville-area hospitals for 2011–2013 and Tennessee birthing centers for 2013 to identify parents who had refused injectable vitamin K for their infants. Contact information was obtained for parents, and they were surveyed regarding their reasons for refusing.
Results At hospitals, 3.0% of infants did not receive injectable vitamin K due to parental refusal in 2013, a frequency higher than in 2011 and 2012. This percentage was much higher at birthing centers, where 31% of infants did not receive injectable vitamin K. The most common responses for refusal were a belief that the injection was unnecessary (53%) and a desire for a natural birthing process (36%). Refusal of other preventive services was common, with 66% of families refusing vitamin K, newborn eye care with erythromycin, and the neonatal dose of hepatitis B vaccine. Conclusions for Practice Refusal of injectable vitamin K
* Lauren H. Marcewicz [email protected]
John Dunn [email protected]
Joshua Clayton [email protected]
William Schaffner [email protected]
Matthew Maenner [email protected]
Althea Grant [email protected]
Erika Odom [email protected]
1
Centers for Disease Control and Prevention, Epidemic Intelligence Service, Atlanta, GA, USA
Ekwutosi Okoroh [email protected]
2
Centers for Disease Control and Prevention, Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA, USA
3
Tennessee Department of Health, Nashville, TN, USA
4
Centers for Disease Control and Prevention, Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA, USA
Julie Traylor [email protected]
5
Vanderbilt University School of Medicine, Nashville, TN, USA
Angela Miller [email protected]
6
Present Address: Department of Veteran’s Affairs, Atlanta VA Medical Center, Palliative and Supportive Care, 149 Ridley Lane, Decatur, GA 30030, USA
Deborah Christensen [email protected] Alyson Goodman [email protected] Michael D. Warren [email protected]
Timothy Jones [email protected]
13
Vol.:(0123456789)
Matern Child Health J
was more common among families choosing to give birth at birt
Data Loading...
