Evidence map›Paper›PMID 42432222›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Lack of documented prophylactic vitamin K administration in newborns: incidence, predictors, and bleeding outcomes in a large healthcare network population.

Barry T Bloom, Mary Alice Keller, Kaashif A Ahmad, Laura L Daniel, Anthony C Rudine, Mitchell E Stern, Gabrielle Blade, Casey Martin, Meredith Mattlin, Xiaotong Fu and 2 more

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Barry T BloomHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA. barrybloom@aol.com.ORCID http://orcid.org/0000-0003-3517-2024
Mary Alice KellerHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Kaashif A AhmadHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Laura L DanielHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-3143-5915
Anthony C RudineHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Mitchell E SternHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Gabrielle BladeGenospace, Boston, MA, USA.
Casey MartinHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Meredith MattlinGenospace, Boston, MA, USA.
Xiaotong FuGenospace, Boston, MA, USA.
JaMario J AyersHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.
Shanna A Arnold EgloffHCA Healthcare Research Institute, HCA Healthcare, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-6472-939X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProphylactic vitamin K (pVitK) is recommended for all newborns to prevent vitamin K deficiency bleeding (VKDB), but reports of parental refusal are increasing. This study describes the possible drivers of no documented pVitK in a large US hospital network. STUDY

designThis retrospective cohort study consisted of full-term newborns born between 2017 and 2022, admitted to HCA Healthcare network facilities.

results884,876 newborns across 116 hospitals were included. 19,384 had no documented pVitK (2.2%). Using a multivariable model, having no documented pVitK was significantly associated with suspected VKDB bleeding (p = 0.018). Gestational age, maternal parity, maternal race, maternal ethnicity, and insurance type were the greatest predictors of lack of documented pVitK.

conclusionA lack of documented pVitK was associated with gestational age, maternal race and ethnicity, and an increased risk of suspected VKDB. This study identified areas for improved documentation and parental education.

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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.