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Dear all, coincidently, I heard one of
my colleagues consent a women last night on Vit K and she informed the mother
that babies have little or no vit K at birth until the gut flora can
develop and thence oral absorption begins. This was not my understanding
of the facts, but as I was not able to put my finger on the source and veracity
of my info, said nothing to the other MW. But I would like to know the
real facts. Can anyone help?
----- Original Message -----
Sent: Saturday, May 27, 2006 7:47
AM
Subject: [ozmidwifery] Re:
One thing that I wonder about:
Routine supplementation with any vitamin seems to
be a bad idea for pregnant women as well as for babies. Do we know the effects
of supplementation with vitamin K on pregnant women? What intricate balances
might this be upsetting? It seems like this could be another, if more natural
form of blanket treatment.
If we truly believe that mother nature has
designed things well and the newborn low levels are there for a reason, then
do we want to boost the levels available in mum's milk?
More to ponder,
Penny
----- 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: <[email protected]>
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: <[email protected]>
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: [email protected]
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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