Hola EIR,
Te copio la respuesta de una seguidora de la página Invisible Midwives a una publicación sobre la evidencia de la administración de la vit K en el que se relatan 5 casos de hemorragias cerebrales y digestivas de neonatos a los que no se les había puesto el konakion. Espero que para ti también resulte interesante.
"Thx for that Kemi! Was the topic of my dissertation.
Not talked (unless I missed as lengthy, thorough article).
They talk about low risk pregnancy & svd. However antidepressants such as citalopram reduce maternal VK therefore reducing VK in babies therefore this group of baby is at risk.
Same with antiepileptic drugs (high risk pregnancy).
Hate the term baby have low VK. No they have a normal level for their physiology. As they also have "high" Hb in correspondence to older infants, children and adults.
They do not coagulate like we do; they have higher fibrogen levels compare to us.
VK administration DOES not reduce ALL risks of VKBD unlike what pharmaceutical labs make us think.
Kenakio is NOT a vegetarian product as developed in the gut of cows: big dilemma for vegetarians, vegans, Hindu people as well as Muslim and Jewish people practicing their religion as not Halal or Kosher.
Based on this alone; are we really obtaining informed consent when offering VK? My answer is NO.
I have had serious discussion with paeds @ work when I have heard them bullying parents who decline VK: " well if your baby falls on its head and starts bleeding you will regret not giving it ... But you have been warned" Pffff VK wouldn't stop an internal haemorrhage in case of accident otherwise why don't we give it as high dose to women who have a PPH?
VK is a PRECURSOR not a coagulant (remember that big cascade of factors that gives us all a headache & fuzzy sight)
So my conclusion is: yes lets offer it as a blanket because after all we practice defensively (Pfff again) but lets make sure we tell parents the TRUTH & stop bullying them once they have the right facts.
Nature never fails us, yes could be natural selection.... I think there is something we are missing (most likely because the studies are financed by pharmaceutical labs... Bias or not? I let you decide as autonomous practitioners)."