Skip to main content
The BMJ logoLink to The BMJ
. 1994 Apr 2;308(6933):908–910. doi: 10.1136/bmj.308.6933.908

Why we need a clinical trial for vitamin K.

J M Slattery 1
PMCID: PMC2539847  PMID: 8173376

Abstract

Vitamin K is given to many babies born in the United Kingdom, but we still do not know if it has substantial hazards. Because the population exposed to vitamin K is very large even quite small hazards would involve many adverse events. It is therefore important to be able to put reasonably close bounds on the potential damage that vitamin K prophylaxis could cause. Past research has not allowed us to do this but a large randomised controlled clinical trial of vitamin K against no vitamin K, enrolling only infants at low risk of haemorrhagic disease, would do so. There is no question that vitamin K is a useful treatment in babies at highest risk of haemorrhagic disease: the question is whether the trend towards use of vitamin K in lower risk babies should be encouraged.

Full text

PDF
908

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bhanchet P., Tuchinda S., Hathirat P., Visudhiphan P., Bhamaraphavati N., Bukkavesa S. A bleeding syndrome in infants due to acquired prothrombin complex deficiency: a survey of 93 affected infants. Clin Pediatr (Phila) 1977 Nov;16(11):992–998. doi: 10.1177/000992287701601106. [DOI] [PubMed] [Google Scholar]
  2. DAM H., DYGGVE H., LARSEN H., PLUM P. The relation of vitamin K deficiency to hemorrhagic disease of the newborn. Adv Pediatr. 1952 Jan;5:129–153. [PubMed] [Google Scholar]
  3. Draper G. J., Stiller C. A. Intramuscular vitamin K and childhood cancer. BMJ. 1992 Sep 19;305(6855):709–711. doi: 10.1136/bmj.305.6855.709. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ekelund H., Finnström O., Gunnarskog J., Källén B., Larsson Y. Administration of vitamin K to newborn infants and childhood cancer. BMJ. 1993 Jul 10;307(6896):89–91. doi: 10.1136/bmj.307.6896.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Golding J., Greenwood R., Birmingham K., Mott M. Childhood cancer, intramuscular vitamin K, and pethidine given during labour. BMJ. 1992 Aug 8;305(6849):341–346. doi: 10.1136/bmj.305.6849.341. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Handel J., Tripp J. H. Vitamin K prophylaxis against haemorrhagic disease of the newborn in the United Kingdom. BMJ. 1991 Nov 2;303(6810):1109–1109. doi: 10.1136/bmj.303.6810.1109. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Klebanoff M. A., Read J. S., Mills J. L., Shiono P. H. The risk of childhood cancer after neonatal exposure to vitamin K. N Engl J Med. 1993 Sep 23;329(13):905–908. doi: 10.1056/NEJM199309233291301. [DOI] [PubMed] [Google Scholar]
  8. McNinch A. W., Tripp J. H. Haemorrhagic disease of the newborn in the British Isles: two year prospective study. BMJ. 1991 Nov 2;303(6810):1105–1109. doi: 10.1136/bmj.303.6810.1105. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Miller R. W. Vitamin K and childhood cancer. BMJ. 1992 Oct 24;305(6860):1016–1016. doi: 10.1136/bmj.305.6860.1016-c. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sutherland J. M., Glueck H. I., Gleser G. Hemorrhagic disease of the newborn. Breast feeding as a necessary factor in the pathogenesis. Am J Dis Child. 1967 May;113(5):524–533. doi: 10.1001/archpedi.1967.02090200056003. [DOI] [PubMed] [Google Scholar]
  11. VIETTI T. J., MURPHY T. P., JAMES J. A., PRITCHARD J. A. Observations on the prophylactic use of vitamin Kin the newborn infant. J Pediatr. 1960 Mar;56:343–346. doi: 10.1016/s0022-3476(60)80185-0. [DOI] [PubMed] [Google Scholar]

Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES