Closing the loophole: midwives and the administration of vitamin K in neonates

J Pediatr. 2009 May;154(5):769-71. doi: 10.1016/j.jpeds.2008.11.038.


In Texas, apprentice midwives do not have prescriptive authority to administer parenteral vitamin K. This case report underscores the importance of parenteral vitamin K administration in preventing vitamin K deficiency bleeding and the potential danger in prohibiting apprentice midwives from providing this standard of care to the newborn.

Publication types

  • Case Reports

MeSH terms

  • Antifibrinolytic Agents / therapeutic use*
  • Brain Death
  • Humans
  • Infant
  • Injections, Intramuscular
  • Intracranial Hemorrhages / etiology
  • Intracranial Hemorrhages / therapy
  • Male
  • Midwifery / legislation & jurisprudence*
  • Texas
  • Vitamin K / therapeutic use*
  • Vitamin K Deficiency / complications
  • Vitamin K Deficiency / prevention & control*


  • Antifibrinolytic Agents
  • Vitamin K