Thromb Haemost 1980; 44(03): 159-160
DOI: 10.1055/s-0038-1650109
Original Article
Schattauer GmbH Stuttgart

Evidence against Vitamin K Deficiency in Normal Neonates

R G Malia
The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, England
,
F E Preston
The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, England
,
V E Mitchell
The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, England
› Author Affiliations
Further Information

Publication History

Received 28 July 1980

Accepted 13 October 1980

Publication Date:
13 July 2018 (online)

Summary

Umbilical cord plasmas from 24 normal full-term neonates were studied. We confirmed the prolonged prothrombin time and low levels of Vitamin K dependent clotting factors previously described (1), but using a number of recently developed immunological and coagulation techniques we could find no evidence of vitamin K deficiency. We conclude that the decreased levels of vitamin K dependent clotting factors of normal neonates are the result of decreased synthesis by the immature liver and that it is questionable whether vitamin K prophylaxis is necessary for these infants.

 
  • References

  • 1 Abali AJ, Iamerens SDe. Coagulation changes in the neonatal period and in early infancy. Pediatr Clin North Am 1962; 9: 785-817
  • 2 Deutche E. In: G. Gever laboratiums diagnostik Normwalwerke under Interpretation, Verlag August Steinkopf Berlin, 1969
  • 3 Bas BM, Muller AD, Voort-Beelen JM. The relationship between staphylocoagulase reacting factor and proteins induced by vitamin K antagonists. J Mol Med 1975; 1: 65-72
  • 4 Laurell CB. Quantitative estimation of proteins by electrophoresis in agarose gels containing antibodies. Anal Biochem 1966; 15: 45-63
  • 5 Malia RG, Preston FE, Mitchess VE. A PIVKA-like inhibitor in normal neonates. Proc XVII Cong Int Soc Haematol Paris, July 1978 p. 123
  • 6 Clarke HG, Freeman TA. A quantitative Immunoelectrophoresis method (Laurell Electrophoresis). In: Peeters H. (Ed) Prot Bioc Fluids 14. Amsterdam: Elsevier: 1967: 503-509
  • 7 Austen DE G, Rhymes L. In: A laboratory manual of blood coagulation. Oxford: Blackwell Scientific Publications 1975 49
  • 8 Denson KW E. The levels of factors II, VII, IX and X by antibody neutralisation techniques in the plasma of patients receiving phenindione therapy. Br J Haematol 1971; 20: 643-648
  • 9 Hemker HC, Veltkamp JJ, Henson A, Loeliger EA. Nature of prothrombin synthesis; preprothrombinaemia in vitamin K deficiency. Nature 1963; 200: 589-590
  • 10 Stenflo J. Vitamin K and the biosynthesis of prothrombin. J Biol Chem 1973; 248: 6325-6329
  • 11 Hemker HC, Muller AD. Kinetic aspects of the interaction of blood clotting enzymes. Thromb Diath Haemmorrhag 1968; 20: 78-87
  • 12 Malia RG, Preston FE, Blackburn EK. The effect of PIVKA and its associated procoagulant proteins in liver disease. Thromb Haemostas 1977; 389: 288
  • 13 Van Doorm JM, Muller AD, Hemker HC. Heparin-like inhibitor, not vitamin K deficiency in the newborn. Lancet 1977; i: 852-853
  • 14 Gobel N, Sonnesclein-Kosenow S, Petrick C, Von VossH. Vitamin K deficiency in the newborn. Lancet 1977; ii: 187-188
  • 15 Mori PG, Bisogni C, Odino S, Tonini GP, Boeri E, Serra G, Romano C. Vitamin K deficiency in the newborn. Lancet 1977; ii: 188