Science

Rising Refusal of Vitamin K for Newborns Poses Health Risks

Rising Refusal of Vitamin K for Newborns Poses Health Risks
Editorial
  • PublishedDecember 9, 2025

A significant number of parents in the United States are increasingly refusing the administration of vitamin K for their newborns, raising concerns among healthcare professionals. Research conducted by doctors at The Children’s Hospital of Philadelphia (CHOP) reveals that the rate of newborns not receiving this vital supplement has surged, potentially endangering their health.

The study analyzed the medical records of approximately 5 million newborns from 2017 to 2024. The findings indicate a rise in the percentage of infants not receiving the recommended intramuscular dose of vitamin K, climbing from 2.92% in 2017 to 5.18% in 2024. This represents a relative increase of 77% over the study period.

Understanding the Importance of Vitamin K

Vitamin K plays a crucial role in blood clotting, helping the body produce proteins necessary to avoid excessive bleeding. While adults typically obtain adequate levels of vitamin K from diet and gut bacteria, newborns are born with low levels of this essential vitamin. Breast milk is not a sufficient source, and it takes several months for infants to accumulate adequate vitamin K through solid foods.

Without proper supplementation, infants are at risk for a rare but serious condition known as vitamin K deficiency bleeding (VKDB). This condition can lead to severe complications, including bleeding in the brain which may result in a stroke. Since 1961, the American Academy of Pediatrics has recommended that all newborns receive a vitamin K injection shortly after birth, a practice that has significantly reduced the incidence of VKDB in the U.S.

Lead author and neonatologist Kristan Scott stated, “There may be a growing perception among parents that vitamin K is unnecessary.” This shift in perception is concerning, as opting out of vitamin K supplementation poses a health gamble for newborns.

Factors Contributing to the Trend

The reasons behind the rising refusal of vitamin K remain unclear, although the researchers noted that there have been no changes in medical guidelines that would explain this trend. Speculation suggests that the COVID-19 pandemic may have fueled distrust in public health recommendations, impacting parental attitudes toward medical interventions.

The pandemic has seen a surge in anti-vaccination sentiments, with some parents conflating vitamin K shots with vaccines. Despite not being vaccines themselves, the refusal of vitamin K may overlap with the beliefs held by those skeptical of vaccinations.

Scott emphasized the implications of this trend, stating, “Unfortunately, opting out of Vitamin K for a newborn is akin to gambling with a child’s health.” The straightforward and safe measure of vitamin K administration effectively prevents severe complications, and refusing it could have dire consequences for vulnerable infants.

This alarming trend is part of broader concerns regarding infant health in the United States. Recently, a government-organized advisory panel, reassembled by health secretary Robert F. Kennedy Jr., rejected a long-standing recommendation for universal hepatitis B vaccinations at birth.

As the debate around parental choices and public health continues, the health of newborns remains at the forefront of medical discussions. Ensuring that parents are informed about the importance of vitamin K may be crucial in reversing the current trend and safeguarding infant health.

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