Gosai Sonal, Broadbent Roland S, Barker David P, Jackson Pamela M, Wheeler Benjamin J
Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
J Paediatr Child Health. 2014 Jul;50(7):536-9. doi: 10.1111/jpc.12490. Epub 2014 Feb 17.
Neonates are at risk for potentially life-threatening vitamin K deficiency bleeding. This can be readily prevented with prophylactic vitamin K following delivery. In this context, most vitamin K-deficiency bleeding occurs in those whose parents decline newborn vitamin K. One factor influencing parental decision-making is information received from health professionals. This study examined attitudes and perceptions towards newborn vitamin K in relevant health-care professionals.
A literature review and one-on-one semi-structured interviews were conducted to inform questionnaire design. Midwives and selected medical staff employed in the South Island of New Zealand were then invited to complete an anonymous survey exploring attitudes and perceptions towards vitamin K prophylaxis in newborns.
The survey achieved an overall response rate of 57%. Almost all responding medical staff and 76% of midwives agreed with the current New Zealand Ministry of Health vitamin K guideline. All medical staff but only 55% of midwives feel that all babies should receive vitamin K. Differences were also seen between professionals with respect to vitamin K education and risks.
This is the first study to examine attitudes and perceptions of midwives and doctors to vitamin K prophylaxis in neonates. Considerable discrepancies in attitude are evident, and in some midwives, a lack of confidence in this intervention is apparent. How this affects education to families is unknown. Increased understanding of this phenomenon, along with improved education and communication to professionals and families, is required.
新生儿有患可能危及生命的维生素K缺乏性出血的风险。分娩后使用预防性维生素K可很容易地预防这种情况。在这种情况下，大多数维生素K缺乏性出血发生在父母拒绝给新生儿使用维生素K的人群中。影响父母决策的一个因素是从医疗专业人员那里获得的信息。本研究调查了相关医疗保健专业人员对新生儿维生素K的态度和看法。
进行了文献综述和一对一的半结构化访谈，为问卷设计提供信息。然后邀请新西兰南岛的助产士和选定的医务人员完成一项匿名调查，探讨对新生儿维生素K预防的态度和看法。
该调查的总体回复率为57%。几乎所有回复的医务人员和76%的助产士都同意新西兰卫生部目前的维生素K指南。所有医务人员都认为所有婴儿都应该接受维生素K，但只有55%的助产士持此观点。在维生素K教育和风险方面，不同专业人员之间也存在差异。
这是第一项研究助产士和医生对新生儿维生素K预防的态度和看法的研究。态度上存在明显差异，一些助产士对这种干预措施缺乏信心。这如何影响对家庭的教育尚不清楚。需要更多地了解这一现象，并改善对专业人员和家庭的教育及沟通。
