The provision of vitamin K to the nursing mothers
Background. Newborns and young infants, who are breastfed, are prone to vitamin K deficiency. The purpose of our work was to study the provision of rations for the nursing mothers of children, who are exclusively breastfed and who are at risk of developing latent hypovitaminosis K. Materials and methods. The object of the survey was 50 healthy women aged 19 to 39 years, who are breast-feeding children aged 0–6 months. To calculate the daily intake of vitamin K, a specially developed program was used — “Vitamin K intake calculator”. According to 3 typical daily diets, the average intake of vitamin K per day (μg) was calculated. Results. The average intake of vitamin K was 61.0 ± 3.5 μg. The data obtained were distributed in quartiles. The values of the lower quartile (0–25%) were 26.3–37.1 μg, of the upper (75–100%) — 85.2–99.2 μg. Seven (14 %) of the upper quartile (75–100%) representatives, who have rations close to the physiological consumption of vitamin K, are informed about the significance of this vitamin and daily use of products with its high content. Another 23 (46 %) nursing mothers, representatives of the 2nd — 3rd quartiles (25–75%), were not sufficiently informed about the significance of vitamin K, but consumed foods with its high and medium contents. Twenty (40 %) nursing mothers, representatives of the lower quartile (0–25 %), were not sufficiently informed about the value of vitamin K and did not eat foods with its high content. Conclusions. The supply of vitamin K to the rations of nursing mothers in the industrial city of southern Ukraine does not reach the recommended level of its consumption — 120 μg per day. 14 % of respondents regularly eat foods with high vitamin K content, and this can provide 75–85 % of the daily requirement for vitamin K. Insufficient supply of nursing mothers with vitamin K can exacerbate vitamin K deficiency in infants aged 0–6 months.
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Ministry of Нealth of Ukraine. Order № 152 dated April 4, 2005. On the approval of the Protocol for the medical care of a healthy newborn child. Available from: http://old.moz.gov.ua/ua/portal/dn_20050404_152.html. Accessed: April 4, 2005. (in Ukrainian).
Pry`kaz MOZ Ukray`ny ot 04.04.2005#152 Care protocol for healthy newborns / Pry`kaz MOZ Ukray`ny ot 04.04.2005.#152(in Russian).
Ivanko OG, Solianik AV, Pashchenko IV. Ontogenetic view on PIVKA-II in the development of prothrombin synthesis in infants. Pathologia. 2017;14(41):276-281. doi: 10.14739/2310-1237.2017.3.118319. (in Russian).
Markevich VE, Redko EK, Zaitsev IE, Zagorodniy NP, Petrashenko VA. Late hemorrhagic disease of the newborn: the problem exists. International Journal of Pediatrics, Obstetrics and Gynecology. 2013;4(2):5-12. (in Russian).
Pykhteyeva MV, Vorobyova EN, Momot AP. Connection of the containing of vitamin K in the dietary with efficiency of indirect anticoagulant therapy. Meditsina i obrazovanie v Sibiri. 2014;(2):1298. (in Russian).
United States Department of Agriculture, Agricultural Research Service. USDA National Nutrient Database for Standard Reference, Release 21. 2008. Available from: https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/nutrient-data-laboratory/docs/sr21-home-page/.
Elalfy MS, Elagouza IA, Ibrahim FA, AbdElmessieh SK, Gadallah M. Intracranial haemorrhage is linked to late onset vitamin K deficiency in infants aged 2-24 weeks. Acta Paediatr. 2014 Jun;103(6):e273-6. doi: 10.1111/apa.12598.
Sankar MJ, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul VK. Vitamin K prophylaxis for prevention of vitamin K deficiency bleeding: a systematic review. J Perinatol. 2016 May;36 Suppl 1:S29-35. doi: 10.1038/jp.2016.30.
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