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dc.contributor.advisorWheeler, Ben
dc.contributor.advisorKerruish, Nicola
dc.contributor.authorMiller, Hayleigh
dc.date.available2016-08-16T01:25:19Z
dc.date.copyright2016
dc.identifier.citationMiller, H. (2016). Declining Intramuscular Newborn Vitamin K Prophylaxis: An Exploration of Parental Decision Making and Influencing Factors (Thesis, Bachelor of Medical Science with Honours). University of Otago. Retrieved from http://hdl.handle.net/10523/6738en
dc.identifier.urihttp://hdl.handle.net/10523/6738
dc.description.abstractObjective Newborn infants are at risk of potentially life-threatening vitamin K deficiency bleeding. This is readily prevented with prophylactic vitamin K at birth. In New Zealand, the recommended route of prophylaxis is intramuscular (IM) but the uptake rates are lower than that of comparable countries. This study investigated the reasoning of parents who opted out of IM vitamin K prophylaxis for their newborn. Study Design Semi-structured interviews were conducted with fifteen families from the Otago/Southland region of New Zealand about their choice to opt out of IM vitamin K. Interview data was analysed using thematic analysis in order to elucidate themes capturing important aspects of parental decision making. Results Parents opt out of IM vitamin K for a variety of reasons. These were clustered into three main themes: parental beliefs and values, concerns about their child’s welfare, and external influencing factors. Parents also raised a number of concerns regarding other perinatal and childhood interventions. Conclusion This study identified factors that influence parental decision making, and lead to a decision to opt out of IM newborn vitamin K prophylaxis. These findings can contribute to the wider body of literature that informs public health initiatives focused on newborn vitamin K prophylaxis.en_NZ
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherUniversity of Otago
dc.rightsAll items in OUR Archive are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
dc.subjectvitamin Ken_NZ
dc.subjectnewbornen_NZ
dc.subjectvitamin K deficiency bleedingen_NZ
dc.subjecthemorrhagic disease of the newbornen_NZ
dc.subjectpediatricsen_NZ
dc.subjectparental choiceen_NZ
dc.subjectparental decision makingen_NZ
dc.subjectdoctor patient relationshipen_NZ
dc.subjectdecision makingen_NZ
dc.subjectpregnancyen_NZ
dc.subjectpublic healthen_NZ
dc.titleDeclining Intramuscular Newborn Vitamin K Prophylaxis: An Exploration of Parental Decision Making and Influencing Factorsen_NZ
dc.typeThesis
dc.date.updated2016-08-16T00:06:20Z
dc.language.rfc3066en
thesis.degree.disciplineWomen's and Children's Healthen_NZ
thesis.degree.nameBachelor of Medical Science with Honoursen_NZ
thesis.degree.grantorUniversity of Otago
thesis.degree.levelHonours
otago.openaccessOpenen_NZ
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