Hi Rob,
I work at a freestanding birth center with Certified Nurse Midwives, and it
is our policy (always has been) to offer a Vit K injection as part of the
routine newborn care.  Some of our families refuse it, and we have them sign
a waiver that has detailed info about clotting disorders,signs they should
be looking for after discharge, and when to seek followup if a clotting
disorder is suspected.
  The town I live in also has a very active community of lay midwives, and
it has been my observation that they are divided on this issue, some give
the Vit. K, others do not.
Martha Johnson RN IBCLC
Eugene, Oregon

-----Original Message-----
From: Robert Cordes DO [mailto:[log in to unmask]]
Sent: Tuesday, February 29, 2000 11:01 AM
Subject: Vit K and midwives


A recent article in my local newspaper was about illnesses that mimic child
abuse. It talked of a case of an Amish girl who had a disorder of Vit K.
It went on to say that today babies receive an injection of Vit K at birth
and in infant formula but this girl was delivered by a midwife then
breastfed and received neither.
Doesnt sound good does it.
I will send the editor a letter clarifing about breastfeeding. J
ust to make it clear there are midwives how give Vit K correct? Is there any
office midwife policy about this?
thanks,
Rob

Rob Cordes, DO, FAAP, FACOP
general pediatrician
Wilkes Barre PA
mailto:[log in to unmask]

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