Argh, I keep going back and forth about this, without being able to make a decision!
Originally I was going to decline unless there was any sign of trauma or big variation from normal during birth because the theoretical risk of bleeding disorder is pretty small.
Then I got to thinking that while some bleeds could be detected with enough time to react ... a brain bleed probably could not. And while that's a pretty extreme case and highly unlikely ... it's also super scary.
So that got me back on the other side - lets get it, better safe and sorry. Which then got me to comparing injected vit K between oral vit K and the different oral protocols ... without really being able to make much sense of it, since there does not seem to be much consensus around this - the preference of injected seems to be mostly because it's easier, because some oral formulations (available in Europe, not US) increase the likelihood of jaundice, and because the injected formulation taken orally has not really been researched (but then, neither has the routine vit K injection....).
So now I'm in a position where I'm leaning towards just getting it done, and with injection ... BUT thinking we might already have a high jaundice risk (ABO incompatibility, plus family history on both sides - on DH's for hemolytic reaction also due to ABO incompatibility, and on my end some sort of early enzyme deficiency, don't really know more details), which makes me flip flop back to other no side....
Of course, I will talk about this with my midwifes. And if I'm just comparing scary scenarios, brain bleed is still scarier than jaundice. But since we're planning a home birth, and we are already starting with a concrete jaundice risk, increasing it to the point where it might not be dealt with at home and need hospital transfer (not just because of the transfer itself, obviously), well, that's at the very least worrying.
So what would you guys do?
Or has anyone done extensive research around the whole vitamin K issue, and could give me some resources and opinions?