Effect of a reduced vitamin K supplementation on prothrombin time in prematures and high-risk neonates

Acta Paediatr. 1996 Jun;85(6):747-9. doi: 10.1111/j.1651-2227.1996.tb14138.x.

Abstract

Recommendations for vitamin K supplementation were recently changed to 3 x 1 mg orally in healthy term neonates and 0.2 mg parenterally in prematures and high-risk neonates. Prothrombin times (PT) at reduced vitamin K doses (120 patients, 170 samples) during the first 6 weeks of life were below 40% in 6 patients only; all low PTs were unrelated to vitamin K. In the remaining patients, median PT was 100%; 79% of patients had values above 70%. PT was related to birthweight, gestational age and age. There was no decrease over the observation period. Following reduced oral and parenteral vitamin K regimens PTs were well within published reference values for neonates given larger amounts of vitamin K.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Administration, Oral
  • Age Factors
  • Birth Weight
  • Gestational Age
  • Hemostatics / administration & dosage*
  • Humans
  • Infant, Newborn
  • Infant, Premature / blood*
  • Injections, Intramuscular
  • Prospective Studies
  • Prothrombin Time*
  • Reference Values
  • Vitamin K / administration & dosage*

Substances

  • Hemostatics
  • Vitamin K