Rising Vitamin K Refusal in Ontario

Hospitals across Ontario are reporting an increase in families declining the recommended intramuscular (IM) Vitamin K injection at birth. While this decision may be perceived as low risk, refusal increases the risk of Vitamin K Deficiency Bleeding (VKDB)—a rare but potentially serious and preventable condition in newborns.

Healthcare professionals may find guidance in the American Academy of Pediatrics publication (Pediatrics, 2026): Vitamin K Deficiency Bleeding After Refusal: A Sentinel Event in a Misinformation Era. The paper describes the clinical and safety implications of Vitamin K refusal and outlines considerations for approaching refusal conversations, documentation, follow‑up, and family education in a safe and respectful manner.