Social and legal implications of urine drug screen analysis in the neonate: A case of suspected specimen mishandling.

BACKGROUND

The legal implications associated with illicit drug use during pregnancy are significant, as providers are required to notify child protective services when a drug-exposed infant is identified.

CASE REPORT: The case presented involves possible specimen mishandling in two infants at risk for in utero drug exposure and describes alternative methodologies available to confirm specimen identity.

CONCLUSIONS

It is critical that institutions establish and adhere to stringent procedures when screening newborns.