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Newborn Nursery Prophylaxis Refusers

Lisa Patel, MD
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No me gusta!

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Lisa and Sol discuss the growing phenomenon of parents refusing newborn nursery prophylactic interventions

 

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Paul G. -

Could you provide the historical reference which was quoted for vit K? Thank you!

Solomon B., MD -

Hi Paul- here is what Lisa told me (hope it helps!):
"The passage was quoted in a paper—I think the original work was Traits clinique et pratique des maladies des enfantes, 2nd edition by Frederic Rilliet and Antoine Charles Ernest (2nd edition dropped way back in 1861. (edited)
Can't find the paper where I found this case report unfortunately, but in reading about what the 2nd edition covered, it is pretty likely this case report was lifted from the 2nd edition.
Here is the entirety of the passage:
There is a vivid account by a physician named Frederic Rilliet of twins with gastrointestinal hemorrhage in Geneva: ‘On January 30, 1846, I was called to see a newborn said to be in greatest danger… . The little boy [a twin born at term 9 h before] had released meconium after half a teaspoon of castor oil had been given… two hours later released a stool abundant with pure blood, liquid and mixed with clots… at 1 pm a third stool rich in blood… . I placed a cold vinegar compress on the abdomen and prescribed rhatany enemas, which were immediately returned together with a large quantity of blood… on February 8, he had completely recovered… . The firstborn infant still in an alarming state, I was called to the second infant at 6 pm who vomited blood and had passed several stools with liquid blood… . I ordered rhatany enemas but he yielded, like his brother, abundant sanguinolent stools… same symptoms as in the first case: paleness, getting cold, small pulses, shivering limbs… improved on February 2 and recovered completely, but remained pale and weak as his brother…"

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Spare the Rod, Spare the Child Full episode audio for MD edition 193:40 min - 91 MB - M4APeds RAP February 2019 Written Summary 366 KB - PDF

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