We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Vitamin K Prophylaxis: Oral or Parenteral?

Am J Dis Child. 1988;142(1):14-16. doi:10.1001/archpedi.1988.02150010020011.
Text Size: A A A
Published online


Sir.—Vitamin K prophylaxis for all newborns has been recommended since 1961,1 and the need for parenteral vitamin K prophylaxis has recently been reaffirmed.2 Several authors, however, have argued for oral instead of parenteral vitamin K administration3,4 to avoid the troublesome injection.

The safety of parenteral vitamin K prophylaxis (intramuscular or subcutaneous) in preventing classical hemorrhage disease of the newborn has been established beyond doubt, whereas the relationship between vitamin K prophylaxis and late-onset hemorrhagic disease (LHD) due to vitamin K deficiency has not been clearly determined. From patient reports providing information as to whether the affected infants had been given parenteral vitamin K prophylaxis at birth (Table), however, we have found some evidence of a protective effect; bleeding despite parenteral vitamin K prophylaxis at birth was observed in only four of 63 patients with late-onset vitamin K deficiency hemorrhage.

A recent study on the prevalence of


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.