title: Retrospective analysis of the diagnostic yield of newborn drug testing.
abstract: BACKGROUND
  The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy.
  
  
  METHODS
  A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother's medical record was performed on all cases for which one or more drug(s) or metabolite(s) were identified and confirmed in meconium or urine.
  
  
  RESULTS
  229 (9.2%) of 2,497 meconium samples out of 7,749 live births confirmed positive for one or more non-medical drugs. History of maternal non-medical drug and/or tobacco use in pregnancy was present in 90.8% of non-medical drug use cases. Addition of social risk factors and inadequate prenatal care increased the yield to 96.9%.
  
  
  CONCLUSIONS
  Use of focused screening criteria based on specific maternal and social risk factors may detect many prenatal non-medical drug exposures.
authors: Stead Family Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, IA 52242, USA. kelly-wood@uiowa.edu.
authors: Kelly E
authors: KE
authors: Wood
authors: Lori L
authors: LL
authors: Sinclair
authors: Carolyn D
authors: CD
authors: Rysgaard
authors: Frederick G
authors: FG
authors: Strathmann
authors: Gwendolyn A
authors: GA
authors: McMillin
authors: Matthew D
authors: MD
authors: Krasowski
mesh_terms: D000293:Adolescent; D000328:Adult; D000662:Amphetamines / Q000032:analysis; D000701:Analgesics, Opioid / Q000032:analysis; D001569:Benzodiazepines / Q000032:analysis; D003042:Cocaine / Q000032:analysis; D013759:Dronabinol / Q000032:analysis; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000032:analysis*; D007231:Infant, Newborn; D008470:Meconium / Q000737:chemistry*; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D012907:Smoking; D015813:Substance Abuse Detection / Q000379:methods*; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000652:urine; D016482:Urinalysis; D055815:Young Adult
chemical_list: D000662:Amphetamines; D000701:Analgesics, Opioid; D013287:Illicit Drugs; D001569:Benzodiazepines; D013759:Dronabinol; D003042:Cocaine