Hi Brenda,
The surveillance is the reporting of neonates suspected of having HDN
caused by low levels of vit K - not a randomised trial - everyone
agrees an RCT would be impossible due to the low numbers of babies who
do have problems, and the difficulty proving that the problem is caused
by whatever vitamin K deficiency may be. Levels of vitamin K drop due
to other problems such as liver or gut related pathologies - most of
the babies who have died from late onset K deficiency have in fact had
undiagnosed liver problems.
And the discussion around diet, supplements etc is interesting, but if
you spend enough time around big hospitals and see the pitiful state a
lot of women are in these days - obese, addicted to coca cola, first
choice of a meal after birth is a Big Mac, than you start to see a
whole picture of why we might need to make sure people are getting some
food groups.
Hmm,
Sue
Thank
you Sue,
So.........
why haven't hospitals in Oz been given this info when they are
administering this drug, mainly IM (perhaps ineffectively) on a daily
basis to 100's of babies ??
The
healthy neonates aside, what if it doesn't work effectively on the 'at
risk' babies it was designed to assist?
Are they
part of a randomised trial,happening without parental consent ?
Brenda
-----
Original Message -----
Sent:
Friday, May 26, 2006 8:11 PM
Subject:
Re: [ozmidwifery] Re:
Hi,
With the new Konakion MM it's the other way around. It has been
designed by increasing it's absorbability in fat to be more affective
if given orally. It has NOT been proven to be as effective as the old
Konakion in being absorbed by the IM route. They are waiting to see if
the surveillance of the new Konakion through Australia, Switzerland and
a few other countries is as effective IM as it is oral. The oral route
has been found to give a higher vit K cover than the IM route over a
few weeks.
THere is so much misinformation about vit K. It is available to the
baby through breastmilk and maternal supplementation does increase
neonatal serum K levels. What more do we want??
And by the way, all formla fed babies should be excluded from any study
due to the addition of vit K to formulas. ie babies planned to be
formula fed do not need vit k!!
Sue
student midwife
birth practitioner
vit K has been my research assignment for the past three years
If a solution is designed to be given IM is it absorbed effectively if given via the GI tract ?
No mention of this in the literature accompanying the Konakion.
Most IM meds are NOT designed to be administered or guaranteed by the pharmaceutical company to be effective if given orally.
It may be neutralised by gastric secretions, I am unaware of any research re this.
Anyone else know of any ?
If you are going to introduce a foreign substance into the GI tract of a baby you'd want to have a good reason & be sure that it was being absorbed wouldn't you ?
With kind regards
Brenda Manning
www.themidwife.com.au
----- Original Message -----
From: "diane" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, May 26, 2006 6:48 PM
Subject: Re: [ozmidwifery] Re:
Apart from the fact it tastes like Sh** (very bitter). Been reading about
Vit K all day today . Seems like a pretty good option as far as the
statitistics go.
http://www.nhmrc.gov.au/publications/_files/ch39.pdf
they recommend further research into the effectiveness of supplimenting
brestfeeding mothers to increase the vit K in breastmilk as an effective
suppliment.
Di
----- Original Message -----
From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, May 26, 2006 5:30 PM
Subject: RE: [ozmidwifery] Re:
Just a side question if that's okay - what are your opinions on oral
vitamin
K versus injection?
Best Regards,
Kelly Zantey
Creator, BellyBelly.com.au
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]] On Behalf Of Andrea Quanchi
Sent: Friday, 26 May 2006 3:24 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re:
The place I work we give it when we do the NST. It was a midwife
decision not an evidence based one. Like giving it with the vit K it
is easier to do it at a predictable time so that it doesn't get
overlooked. The midwives wanted not to do it at birth as they were
wanting to do as little as possible to interupt Mum and baby, As we
need to have a signed consent form to give it and the mothers have
often not filled this is prior to birth it was very interupting to
get all this"Done" on the birth day and we find it not an issue later
when everyone has had time to sit down read the literature and
discuss it. Of course then we do have a number of mums who decline
to have it which is their right and is not an issue at all.
Andrea Q
On 25/05/2006, at 8:10 PM, Amanda W wrote:
Hi all,
I have just started working at a new health facility that tends to
give hep B injections on day 2 or 3. I have come from a facility
that gives hep B at birth when vitamin k is given. Can anyone shed
some light as to why the might do it this way. Any articles. They
seem to not know why they do it. I just want to change practice so
that can be done at the same time as the vitamin k.
Thanks.
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