Newborn Drug Testing

Timely detection of in utero drug exposure is critical for effective detection and management of intoxication, withdrawal syndrome, and long-term needs (social and medical) for exposed neonates.

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Why Choose ARUP for Newborn Drug Testing?

Mass spec icon

ARUP analyzes by mass spectrometry up front, eliminating the need for reflex testing in most cases.
Mass spectrometry is the gold standard for drug detection and is usually used only to confirm positive results from a preliminary screen. By eliminating the screen, the potential for inaccurate results is reduced and time-consuming reflex testing is avoided.


Turnaround times icon

Quick turnaround times and 24/7 service provide timely care and can reduce overall costs.
Testing is performed 7 days/week. Additionally, client services and on-call pathologists are available 24/7. Therefore, results can be received faster, which has the potential to provide more timely care and reduce costs.


Enhanced reports icon

Interfaced results, enhanced reports, and drug-positivity dashboards help caregivers provide excellent care.
Results can be received through an interface for seamless integration of all patient results. Enhanced reports help caregivers clearly read patient test results. ARUP’s dashboard benchmarks test positivity rates against state and national averages and can be used in various public health initiatives.

 

Available ARUP Tests

See ARUP’s testing options in the Laboratory Test Directory.

Panels

Drug Detection Panel, Meconium, Qualitative (3004583)

Drug Detection Panel and THC Metabolite, Meconium, Qualitative (3006373)

Drug Detection Panel, Umbilical Cord Tissue, Qualitative (2006621)

Drug Detection Panel and THC Metabolite, Umbilical Cord Tissue, Qualitative (3006371)

Add-On tests

Ethyl Glucuronide, Umbilical Cord Tissue, Qualitative (3000443)

Kratom, Umbilical Cord Tissue, Qualitative (3005874)

Marijuana Metabolite, Meconium, Qualitative (0092316)

Marijuana Metabolite, Umbilical Cord Tissue, Qualitative (3000256)

Drugs and Drug Metabolites Reported

Opioids

Buprenorphine

Codeine

Dihydrocodeine

Fentanyl

Heroin metabolite (6-acetylmorphine)

Hydrocodone

Hydromorphone

Meperidine

Methadone

Methadone metabolite (EDDP)

Morphine

N-desmethyltramadol

Naloxone

Norbuprenorphine

Norhydrocodone

Noroxycodone

Noroxymorphone (umbilical cord only)

O-desmethyltramadol

Oxycodone

Oxymorphone

Propoxyphene (umbilical cord only)

Tapentadol

Tramadol

Stimulants

Amphetamine

Cocaine

MDMA (Ecstasy)

Methamphetamine

Methylphenidate (meconium only)

Phentermine

Cocaine metabolites: benzoylecgonine, m-hydroxybenzoylecgonine, cocaethylene

Sedatives/​Hypnotics

7-aminoclonazepam

Alprazolam

Butalbital

Clonazepam

Diazepam

Lorazepam

Midazolam

Nordiazepam

Oxazepam

Phenobarbital

Temazepam

Zolpidem

α-hydroxyalprazolam

α-hydroxymidazolam

Other

Gabapentin

Phencyclidine (PCP)

Ethanol Metabolite (add-on option for umbilical cord)

THC metabolite (included in ARUP test codes 3006371 and 3006373 or add-on option)

Kratom (add-on option for umbilical cord): mitragynine (included in meconium panels) and speciociliatine

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Chain of Custody May Not Be Required

Umbilical cord and meconium drug tests are performed to support clinical and social management decisions and do not usually require chain of custody.

If chain of custody is required, ARUP can provide a specimen tracking form to help authenticate the specimen collection and transport process, if desired. Contact ARUP Client Services for more information.

Additional Resources

ARUP Consult®: Laboratory Test Selection Support

Topics from ARUP Consult

Newborn Drug Screening - Meconium and Umbilical Cord Tissue

Testing Algorithms from ARUP Consult

Test Fact Sheets from ARUP Consult

Drug Detection Panel Testing, Meconium and Umbilical Cord Tissue

Ethyl Glucuronide, Umbilical Cord Tissue, Qualitative

Kratom, Umbilical Cord Tissue, Qualitative


 

Dr. Gwen McMillin

From the Expert

Newborn Drug Testing: Laboratory Testing Options and What to Expect From Results
By: Gwendolyn A. McMillin, PhD

Labmind Podcast: An Interview With Dr. Gwen McMillin: The Challenge of Newborn Drug Testing


 

Umbilical Cord Collection

Resources that provide an overview of umbilical cord tissue collection for drug testing at ARUP.

Umbilical Cord Collection Instructions

Umbilical Cord Collection Video