ArticlePediatrics2018
Factors Associated With Refusal of Intramuscular Vitamin K in Normal Newborns.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 31 citations in OpenAlex.
- Article
- Review
- Characterizing Vitamin K Refusal in Term Hospital-Born Infants in Minnesota, 2015-2019.Hospital pediatrics · 2025Article
- Article
- Midwives' Perspectives about Vitamin K Prophylaxis Against Vitamin K Deficiency Bleeding of the Newborn.Maternal and child health journal · 2022Article
- Prevalence and factors associated with vitamin K prophylaxis utilization among neonates in rural Ethiopia in 2016.BMC pediatrics · 2022Article
- Physicians' Opinion and Practice of Vitamin K Administration at Birth in Romania.Healthcare (Basel, Switzerland) · 2022Article
- Improving Compliance With Revised Newborn Hepatitis B Vaccination Policy.Hospital pediatrics · 2021Article
- Refusal of Intramuscular Vitamin K by Parents of Newborns: A Review.Hospital pediatrics · 2020Review
- Oral Vitamin K Prophylaxis in Newborns: A Survey of Clinician Opinions and Practices.Hospital pediatrics · 2020Article
- Refusal of Vitamin K by Parents of Newborns: A Qualitative Study.Academic pediatricsArticle
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectiveRefusal of intramuscular (IM) vitamin K administration by parents is an emerging problem. Our objective was to assess the frequency of and factors associated with refusal of IM vitamin K administration in well newborns in the United States.
methodsWe determined the number of newborns admitted to well newborn units whose parents refused IM vitamin K administration in the Better Outcomes through Research for Newborns network and, in a nested patient-control study, identified factors associated with refusal of IM vitamin K administration by using a multiple logistic regression model.
resultsOf 102 878 newborns from 35 Better Outcomes through Research for Newborns sites, parents of 638 (0.6%) refused IM vitamin K administration. Frequency of refusal at individual sites varied from 0% to 2.3%. Exclusive breastfeeding (adjusted odds ratio [aOR] = 3.4; 95% confidence interval [CI]: 2.1-5.5), non-Hispanic white race and/or ethnicity (aOR = 1.7; 95% CI: 1.2-2.4), female sex (aOR = 1.6; 95% CI: 1.2-2.3), gestational age (aOR = 1.2; 95% CI: 1.1-1.4), and mother's age (aOR = 1.05; 95% CI: 1.02-1.08) were significantly associated with refusal of IM vitamin K administration. Refusal of the administration of both ocular prophylaxis and hepatitis B vaccine was also strongly associated with refusal of IM vitamin K administration (aOR = 88.7; 95% CI: 50.4-151.9).
conclusionsRefusal of IM vitamin K by parents of newborns is a significant problem. Interventions to minimize risks to these newborns are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.