Knowledge and Attitude among Doctors towards Use of Prophylactic Vitamin K in Neonatal Bleeding Disorders in Department of Obstetrics and Gynecology: Experience from Haj El-Safi Hospital, Sudan
DOI:
https://doi.org/10.15850/amj.v9n1.2518Keywords:
Bleeding disorder, neonate, obstetrics, vitamin KAbstract
Background: Vitamin K is crucial for neonates to prevent bleeding disorders. Raising awareness of vitamin K use would show positive outcomes. This study aimed to assess the knowledge and attitude of prophylactic use of vitamin K for bleeding disorders in neonates among doctors working in the Department of Obstetrics and Gynecology at Haj El-Safi Hospital, Sudan.
Methods: A descriptive cross-sectional study was conducted in February 2019, involving 36 doctors selected by convenience sampling. Data were collected by an interview-based questionnaire designed to measure the knowledge level of doctors toward vitamin K deficiency classification and interactions, guidelines availability and adherence, and parents counseling. Data were analyzed and presented in tables.
Results: The doctors involved in this study were 36, including 7 registrars, 6 medical officers, 23 house officers, mostly aged 20–25 years (n=29), and female (n=27). The level of knowledge about the classification of vitamin K deficiency and the interaction of vitamin K with other drugs among doctors was mostly good (n=14 and n=15, respectively). Registrars were the most in the good category (n=6, and n=7, respectively). Most doctors (n=23) were aware of vitamin K guidelines, while only 15 have continuous adherence, 16 of doctors counseled parents about the importance of prophylactic vitamin K.
Conclusion: The level of knowledge towards prophylactic vitamin K use in neonatal bleeding disorders among doctors in the Department of Obstetrics and Gynecology at Haj El-Safi Hospital is good.
References
Booth SL. Vitamin K: food composition and dietary intakes. Food Nutr Res. 2012;56(1):5505.
Ferland G. The discovery of vitamin K and its clinical applications. Ann Nutr Metab. 2012;61(3):213–8.
Hamidi MS, Gajic-Veljanoski O, Cheung AM. Vitamin K and bone health. J Clin Densitom. 2013;16(4):409–13.
Berenjian A, Mahanama R, Kavanagh J, Dehghani F. Vitamin K series: current status and future prospects. Crit Rev Biotechnol. 2015;35(2):199–208.
Van Winckel M, De Bruyne R, Van De Velde S, Van Biervliet S. Vitamin K, an update for the paediatrician. Eur J Pediatr. 2009;168(2):127.
Akbari S, Rasouli-Ghahroudi AA. Vitamin K and bone metabolism: a review of the latest evidence in preclinical studies. Biomed Res Int. 2018;2018:4629383.
Sankar MJ, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul VK. Vitamin K prophylaxis for prevention of vitamin K deficiency bleeding: a systematic review. J Perinatol. 2016;36(Suppl 1):S29–35.
Centers for Disease Control and Prevention (CDC). Notes from the field: late vitamin K deficiency bleeding in infants whose parents declined vitamin K prophylaxis--Tennessee, 2013. MMWR Morb Mortal Wkly Rep. 2013;62(45):901–2.
Grady SC, Frake AN, Zhang Q, Bene M, Jordan DR, Vertalka J, et al. Neonatal mortality in East Africa and West Africa: a geographic analysis of district-level demographic and health survey data. Geospat Health. 2017;12(1):501.
Gopalasamy K. Awareness among final year and postgraduate dental students on bleeding disorders’: a questionnaire based study. IJSR. 2017;6(3):2157–61.
Gosai S, Broadbent RS, Barker DP, Jackson PM, Wheeler BJ. Medical and midwifery attitudes towards vitamin K prophylaxis in New Zealand neonates. J Paediatr Child Health. 2014;50(7):536–9.
Jug DoÅ¡ler A, PetroÄnik P, MivÅ¡ek AP, ZakÅ¡ek T, Skubic M. Neonatal prophylaxis: prevention of vitamin K deficiency haemorrhage and neonatal ophthalmia. Zdr Varst. 2015;54(3):184–93.
Majid A, Blackwell M, Broadbent RS, Barker DP, Al-Sallami HS, Edmonds L, et al. Newborn vitamin K prophylaxis: a historical perspective to understand modern barriers to uptake. Hosp Pediatr. 2019;9(1):55–60.
Kerruish NJ, McMillan J, Wheeler BJ. The ethics of parental refusal of newborn vitamin K prophylaxis. J Paediatr Child Health. 2017;53(1):8–11.
Hamrick HJ, Gable EK, Freeman EH, Dunn LL, Zimmerman SP, Rusin MM, et al. Reasons for refusal of newborn vitamin K prophylaxis: implications for management and education. Hosp Pediatr. 2016;6(1):15–21.
Sankar M, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul V. Vitamin K prophylaxis for prevention of vitamin K deficiency bleeding: a systematic review. J Perinatol. 2016;36(S1):S29–35.
WHO. Pocket Book of Hospital Care for Children: Guidelines for the management of Common Illnesses with Limited Resources. WHO: Geneva; 2005.
WHO. Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources. 2nd ed. WHO: Geneva; 2013.
Isarangkura PB, Chuamsumrit A, Hathirat P. Idiopathic vitamin K deficiency in infants: its roles in infant morbidity and childhood handicaps. Thromb Haemost. 1989;62:363.
Khambalia AZ, Roberts CL, Bowen JR, Nassar N. Maternal and infant characteristics by mode of vitamin K prophylaxis administration. J Paediatr Child Health 2012;48(8):665–8.
Downloads
Published
Issue
Section
License
- Authors retain copyright and grant Althea Medical Journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to freely share and remix the work with an acknowledgement of the work's authorship and initial publication in Althea Medical Journal. Althea Medical Journal is licensed under CC BY-NC 4.0
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Althea Medical Journal.
