Whatever happened to parental choice? While Vit K is life saving in babes that need it, not ALL little ones do. As far as the eye drop, I think that is BS: unless a laboring Mom has an active STD, what is the point? I understand WHY its a routine thing but women should have choices as to what happens to their little ones: the state should have no say.
First they start with "little things" next, its "All pregnant women must deliver at the hosiptal" (I know it may seem like a stretch, but I could see it happening.
Anyhoo, I don't know what you can do about the vita K shot but I heard about a couple that went to a lawyer about it and got a letter saying that if the hosiptal did the vita k shot, they would sue (for denying them the RIGHT to choose)
Mama to DS (6/07) , DD (6/09) , and DD (07/12) ..
If I can find those articles, I'll try to come back and post a reference or a link.
About the Vit K oral drops, can you get a pediatrician to order the oral vit K and have that on hand to prove that you are indeed treating your child to prevent a brain bleed. I really don't see how anyone could claim you're harming your child, even if they do get social services involved.
It sucks that you're even having to consider this! It's your baby, you shouldn't have to argue with the state about treating your child for illnesses he doesn't have!
|STATE OF NEW YORK DEPARTMENT OF HEALTH
The Governor Nelson A Rockefeiler Empire State Plaza
Albany, New York 12237
Dennis P. Whalen
Executive Deputy Commissioner
September 10, 1999
We have been alerted that a growing number of new parents are refusing to allow their newborns to receive a Vitamin K injection or eye prophylaxis. We are writing to remind you that both these interventions are required in New York State by both the sanitary code and the hospital code (Sections 12.2 and 405.21(e)(4)(v)(b), 10 NYCRR). Neither regulation exempts infants whose parents object to the practice. Since these treatments are mandated by state regulation, informed consent is unnecessary, and hospitals and individual providers cannot be sued for administering them. Conversely, a provider’s failure to administer these treatments could result in a citation. A parent’s refusal of these treatnents can be reported to Child Protective Services
In addition to being required by New York State regulations, Vitamin K and eye prophylaxis are both widely recognized by professionals as the standard of care for newborns. The Guidelines for Perinatal Care, 4th Edition (1997), published by the American Academy of Pediatrics and American College of Obstetricians and Gynecologists, recommend both interventions for all newborns.
Vitamin K is given within an hour of birth to prevent hemorrhagic disease of the newborn, a potentially fatal condition. It must be given by injection, since oral vitamin K has not been shown to be as effective, and thereare no oral vitamin K preparations available for pediatric use in this country. Vitamin K prophylaxis is mandated for all newborns because the condition it prevents is life-threatening and because the intervention is itseff very safe. Vitamin K has been reported on rare occasions to cause hyperbilirubinemia in the newborn, but only at doses many times higher than the 0.5 - 1.0 mg dose recommended for preventing hemorrhagic disease of the newborn.
Eye prophylaxis - either 1% silver nitrate solution or ophthalmic ointment containing erythromycin (0.5%) or tetracycline (1%) is given to prevent gonococcal and/or chiamydial infections of the eyes. These infections were once a common Cause of blindness and have now bean almost entirely eradicated through use of prophylactic medications. Eye prophylaxis is a universal requirement because of the seriousness of the condition prevented and because the treatment is effective and safe. Moreover, targeted prophylaxis, treating only infants of mothers known to be infected with gonorrhea and/or chiamydia, is not an effective approach to prevention in this case. Both these infections are common among women of childbearing age, and both organisms can be very difficult to culture. Targeted prophylaxis would miss many infants at risk and lead to many cases of preventable blindness. Parents may object to eye prophylaxis because they have heard that it causes serious eye irritation. While silver nitrate drops can cause an imtant conjunctivitis in the newborn, both of the antibiotic alternatives have minimal, side-effects and are highly effective.
If you have further questions about the application of these regulations, please contact the Bureau of Women’s Health at (518) 474-1911, or the Bureau of Hospital & Primary Care Services at (518) 402-1004.
Mary Applegate, MD MPH
Bureau of Women’s Health
Frederick J, Heigel
Bureau of Hospital & Primary Care Services
What the law says:
|Effective Date: 19/07/2000
Title: Section 12.2 - Precautions to be observed for the prevention of purulent conjunctivitis of the newborn
12.2 Precautions to be observed for the prevention of purulent conjunctivitis of the newborn. It shall be the duty of the attending physician, licensed midwife, licensed nurse or other authorized provider in attendance at a delivery to place into the eyes of the infant, on delivery, an agent effective for preventing purulent conjunctivitis of the newborn, such as tetracycline or erythromycin eye preparation or a one percent solution of nitrate of silver.
|Effective Date: 19/07/2000
Title: Section 12.3 - Precautions to be observed for the prevention of hemorrhagic diseases and coagulation disorders of the newborn and infants related to vitamin K deficiency
12.3 Precautions to be observed for the prevention of hemorrhagic diseases and coagulation disorders of the newborn and infants related to vitamin K deficiency. It shall be the duty of the attending physician, licensed midwife, registered professional nurse or other licensed medical professional attending the newborn to assure administration of a single parenteral dose of 0.5-1.0 mg. of natural vitamin K(1) oxide (phytonadione) within one hour of birth.
I do know she offers oral vit. K, though, so maybe that's a legal option in NYS?
SAHM to DS Jan09, DD Mar11.
We're doing oral vit. k and no eye drops. Not sure on the legality per se, but I know of a lot of other people here who have done it that way or just not done both at home. If I ended up in a hospital transfer, I wouldn't really even try to deny them or modify them.
Also - our midwife does 6 weeks of our infant care including the certificates, PKU tests and all that stuff so I"m not worried there.
After spending some time on Google, there is no religious exemption for the eye drops or vitamin K. Also, NYS has been known to call in CPS for parents who refuse. :
Army wife - Mama to Liam (9/07), Laine (5/09), and Eliza (7/11)
I have read about NY in several papers about consent and public health and the stories are always of CPS being called and a judge forcing the parents to do it or have their child removed from their custody (presumably until it is done). As far as I know, it applies to the Hep B vaccine as well.
Nope. You can turn down the vaccine, but not the vit k and eye goop.
It doesn't really remove the stupidity of forcing K/goo (I mean really, of all the things to require those two are a bit silly) but it's easier on the babe.
In terms of CPS... yes, they can remove the child from parental custody for the 30 seconds it takes. But it also means you're name is on a list somewhere. That may never be an issue, but if you know your life choices may be a bit outside the norm (you don't vax, you co-sleep, you radical unschool, you may UC in the future, you belong to a religious minority, etc) this could be an issue for you.
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mama to (4/05), (6/07vbac), (8/09vbac), and (9/11vbac)
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