routine

The UCLA women’s gymnastics team enters the NCAA regionals on Friday in Corvallis, Ore., focused on three principles — calm, confidence and commitment to one another. The Bruins started leaning on the mantra to help them stay dialed in as they took home the Big Ten tournament title, Mika Webster-Longin said.

Now, they will use it as they to push to reach the NCAA championship.

“The Big Ten win really feels good and helps our confidence going [into NCAA regionals],” she said. “It felt great to put everything together because I feel like we really built off of one another and showed what we can do to not only the Big Ten competition, but to everyone.”

“It gives us just the right amount of confidence going into regionals and then seeing where it takes us,” Tiana Sumanasekera said.

UCLA gymnasts Nola Matthews, left, and Tiana Sumanasekera, right, cheer as Jordan Chiles lands a jump during her floor exercise routine at Pauley Pavilion on Jan. 17.

(Gina Ferazzi / Los Angeles Times)

During the NCAA Corvallis Regional, San José State and Washington will face off for spots in the main pool. No. 4 seed UCLA then competes in one of two sessions on Friday at 7 p.m. against No. 13 seed Minnesota, Iowa and the winner of the Spartans versus Huskies early matchup.

If the Bruins place in the top two, they advance to the regional final on Sunday to face the top two teams in the other regional pool that includes No. 5 seed Alabama, No. 12 seed Utah, Denver and host Oregon State.

The top two teams in the regional final along with the top individual all-around performer and top event finishers not on a qualifying team advance to the NCAA championship.

Last year, UCLA finished in first place during its opening regional matchup and second during the finals, advancing to the championship meet.

The Bruins’ biggest takeaway from last season’s competition has been to be intentional, attack their gymnastics and be aggressive with their routines, UCLA coach Janelle McDonald said.

“The best teams that have the most success at these competitions are the ones that really leave no doubt out there,” she said.

At this point in the season, performing a familiar routine isn’t hard for UCLA. The Bruins’ main focus is on nailing details and to be present during every moment of their routines to score every possible point. With a two-day competition waiting for them in Corvallis, the Bruins also need to make sure they commit to recovery treatment so that they’re as sharp as possible for the second day of competition, McDonald said.

“That’s really been our mentality, be really efficient, very confident, very present and intentional about what we’re doing,” she said.

The stakes are higher, but the conference champions say they will treat this as business as usual. The Bruins want to lock in and highlight the areas that have helped them demonstrate competitive greatness throughout the season.

“Each and every weekend we’re building that mentality,” McDonald said. “We have so many experiences under our belt that we’ve learned from.”

Sumanasekera said hard work all season has helped prepare the team for the test it faces this weekend.

“We’re really excited, we have incredible depth on this team, so I think that really helped us in the long run,” she said.

UCLA teammates cheer as gymnast Jordan Chiles completes her floor routine during the Big Four competition at Pauley Pavilion on Feb. 27.

(Etienne Laurent / For The Times)

Webster-Longin experienced the postseason last year as a freshman. This year, she had a late start due to an illness that kept her out for three meets.

Since returning on Feb. 27, she has competed in all-around events during the last three meets and has improved her scores each week.

That was the moment Webster-Longin remembered just how competitively great she is, McDonald said.

“I’ve seen the details become more consistent, and I’ve just seen her just be excited to go out and help the team in any way they need,” McDonald said, “And boy, has she done just that.”

Webster-Longin was asked to fill in as an emergency injury replacement during her first meet of the season and has figured out how to be successful whenever she’s placed in the lineup.

“At least for me, trusting the work I put in this year and even the experience I’ve had last year helped me be able to step up for those pressure situations and important moments,” she said.

Alipio has turned the page

UCLA gymnast Ciena Alipio celebrates after competing on the uneven bars during the Big Four meet at Pauley Pavilion on Feb. 27.

(Katharine Lotze / Getty Images)

During the Big Ten championship, Ciena Alipio fell during her balance beam routine. It was a moment when she was looking forward to doing her best, McDonald said, but Alipio didn’t have the result she wanted. Instead, it was a great lesson for her to learn — mistakes happen.

“She’s just really been able to turn the page and get back into training,” she added. “She’s had a great week of training. She looked phenomenal and just really dialed in and it kind of put those kinds of mistakes behind you.”

One day at an Idaho hospital, half the newborns Dr. Tom Patterson saw didn’t get the vitamin K shots that have been given to babies for decades to prevent potentially deadly bleeding. On another recent day, more than a quarter didn’t get the shot. Their parents wouldn’t allow it.

“When you look at a child who’s innocent and vulnerable — and a simple intervention that’s been done since 1961 is refused — knowing that baby’s going out into the world is super worrisome to me,” said Patterson, who’s been a pediatrician for nearly three decades.

Doctors across the nation are alarmed that skepticism fueled by rising anti-science sentiment and medical mistrust is increasingly reaching beyond vaccines to other proven, routine preventive care for babies.

A recent study in the Journal of the American Medical Assn., which analyzed more than 5 million births nationwide, found that refusals of vitamin K shots nearly doubled between 2017 and 2024, from 2.9% to 5.2%. Other research suggests that parents who decline vitamin K shots are much more likely to refuse getting their newborns the hepatitis B vaccine and an eye ointment to prevent potentially blinding infections. Rates for that vaccination at birth dropped in recent years, and doctors confirm that more parents are refusing the eye medication.

“I do think these families care deeply about their infants,” said Dr. Kelly Wade, a Philadelphia neonatologist. “But I hear from families that it’s hard to make decisions right now because they’re hearing conflicting information.”

Innumerable social media posts question doctors’ advice on safe and effective measures like vitamin K and eye ointment. And the Trump administration has repeatedly undermined established science. A federal advisory committee whose members were appointed by Health Secretary Robert F. Kennedy Jr. — a leading anti-vaccine activist before joining the administration — voted to end the long-standing recommendation to immunize all babies against hepatitis B right after birth. On Monday a federal judge temporarily blocked all decisions made by the reconfigured committee.

One common thread that ties together anti-vaccine views and growing sentiments against other protective measures for newborns is the fallacy that natural is always better than artificial, said Dr. David Hill, a Seattle pediatrician and researcher.

“Nature will allow 1 in 5 human infants to die in the first year of life,” Hill said, “which is why generations of scientists and doctors have worked to bring that number way, way down.”

Vitamin K’s importance

Babies are born with low levels of vitamin K, leaving them vulnerable because their intestines can’t produce enough until they start eating solid foods at around 6 months old.

“Vitamin K is important for helping the blood clot and preventing dangerous bleeding in babies, like bleeding into the brain,” said Dr. Kristan Scott of the Children’s Hospital of Philadelphia, lead author of the JAMA study.

Before injections became routine, up to about 1 in 60 babies suffered vitamin K deficiency bleeding, which can also affect the gastrointestinal tract. Today the condition is rare, but research shows that newborns who don’t get a vitamin K shot are 81 times more likely to develop severe bleeding than those who do.

Hill has seen what can happen.

“I cared for a toddler whose parents had chosen that risk,” the Seattle doctor said. The child essentially had a stroke as a newborn and wound up with severe developmental delays and ongoing seizures.

At a February meeting of the Idaho chapter of the American Academy of Pediatrics, doctors said they knew of eight deaths from vitamin K deficiency bleeding in the state over the preceding 13 months, said Patterson, who is president of the chapter.

Infections prevented by other newborn measures can also have grave consequences. Erythromycin eye ointment protects against gonorrhea that can be contracted during birth and potentially cause blindness if untreated. The hepatitis B vaccine prevents a disease that can lead to liver failure, liver cancer or cirrhosis.

Even if a pregnant woman is tested for gonorrhea and hepatitis B, no test is perfect, and she may get infected after testing, said Dr. Susan Sirota, a pediatrician in Highland Park, Ill. Either way, she risks passing the infection to her child.

Why are parents refusing routine care?

Parents give many reasons for turning down preventive measures, including fear that they might cause problems and not wanting newborns to feel pain.

“Some will just say they want more of a natural birth philosophy,” said Dr. Steven Abelowitz, founder of Ocean Pediatrics, which has three clinics in Orange County. “Then there’s a ton of misinformation. … There are outside influences, friends, celebrities, nonprofessionals and political agendas.”

Abelowitz practices in an area of the county with about an equal mix of Republicans and Democrats.

“There’s more mistrust from the conservative side, but there’s plenty on the more liberal side as well,” he said, “It’s across-the-board mistrust.”

Social media provides ample fuel, spreading myths and pushing unregulated vitamin K drops that doctors warn babies can’t absorb well.

Doctors in numerous states say parents refusing vitamin K shots often also decline other measures. Sirota, in Illinois, encountered a family that refused a heel stick to monitor glucose for a baby at high risk for having potentially life-threatening low blood sugar.

Care refusals aren’t a new phenomenon. Wade, in Philadelphia, said she’s seen them for 20 years. But until recently, they were rare.

Twelve years ago, Dana Morrison, now a Minnesota doula, declined the vitamin K shot for her newborn son, giving him oral drops instead.

“It came from a space of really wanting to protect the bonding time with my baby,” she said. “I was trying to eliminate more pokes.”

Her daughter’s birth a couple of years later was less straightforward, leaving the infant with a bruised leg. Morrison got the vitamin K shot for her.

Knowing what she does now, Morrison said, she would have gotten it for her son, too.

Efforts to persuade

Doctors hope to change minds, one parent at a time. And that begins with respect.

“If I walk into the room with judgment, we are going to have a really useless conversation,” Hill said. “Every parent I serve wants the best for their children.”

When parents question the need for the vitamin K shot, Dr. Heather Felton tries to address their specific concerns. She explains why it’s given and the risks of not getting it. Most families decide to get it, said Felton, who has seen no uptick in refusals.

“It really helps that you can take that time and really listen and be able to provide some education,” said Felton, a pediatrician at Norton Children’s in Louisville, Ky.

In Idaho, Patterson sometimes finds himself clearing up misconceptions. Some parents will agree to a vitamin K shot when they find out it’s not a vaccine, for example.

These conversations can take time, especially since the parents doctors see in hospitals usually aren’t people they know through their practices.

But doctors are happy to invest that time if it might save babies.

“I end every discussion with parents with this: ‘Please understand at the end of the day, I’m passionate about this because I have the best interest of children in my mind and heart,’” Patterson said. “I understand this is a hot topic, and I don’t want to disrespect anybody. But at the same time, I’m desperately saddened that we’re losing babies for no reason.”

Ungar writes for the Associated Press.