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Because newborns are vitamin K–deficient at birth, they are at risk for vitamin K deficiency bleeding (VKDB). To prevent this, we routinely administer intramuscular vitamin K shortly after birth. However, some parents refuse this therapy — a trend that is on the rise according to prepandemic studies. To examine recent patterns of vitamin K receipt, investigators reviewed the charts of nearly 5 million infants born at 35 or more weeks’ gestation across 400 U.S. hospitals between 2017 and 2024.
The percentage of newborns not receiving intramuscular vitamin K increased significantly during the study period — from 2.9% to 5.2%.
Maternal race and ethnicity was associated with nonreceipt of intramuscular vitamin K; the highest rat…