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MARY E. O'CONNOR, MD; DEANNA SUE LIVINGSTONE, MD; JOE HANNAH, MD; DONNA WILKINS, MD

Am J Dis Child. 1983;137(6):601-602.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hemorrhagic disease of the newborn was described in 1894 by Townsend.¹ It occurs in the first week of life, independent of trauma, anoxia, or infection, and appears to be a self-limiting condition if unassociated with life-threatening hemorrhage. It is caused by vitamin K deficiency, which has been reported in several infants 4 to 8 weeks old. The American Academy of Pediatrics recommends that all newborns receive 0.5 to 1 mg of phytonadione, an aqueous colloidal suspension.² With the increase in alternative birthing and breast-feeding, this recommendation needs to be reemphasized.

Report of Cases.—CASE 1.—A 5-week-old infant had seizures and apnea after 24 hours of increasing irritability and poor feeding. He was born after a 42-week uncomplicated pregnancy to a gravida 2, para 1 mother with a "self-trained midwife" assisting at the uncomplicated home delivery. Birth weight was 3.9 kg. He did not receive vitamin K or . . . [Full Text PDF of this Article]

Author Affiliations
Methodist Hospital Indianapolis

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