Management

Treatment—general support as indicated by clinical presentation. FFP for immediate correction of bleeding. Vitamin Ki 1mg IV will correct PT/APTT to normal for age—takes ~24 h.

Prophylaxis—img at birth will prevent all early and most delayed vit K deficiency in neonate

Because of concerns of cancer risk in neonates given parenteral vitamin K some SCBU give oral vitamin K (2-3mg) to neonates at routine risk, reserving IM for high risk babies (prems/sick/maternal drugs/birth trauma/LSCS birth). Further oral vitamin K at intervals recommended for breast-fed babies, to prevent late onset HDN but is difficult to enforce.

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