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Hospitals gave patients meds during childbirth, then reported them for illicit drug use
(www.usatoday.com)
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And that’s basically it!
Lol, yeah, that started reason doesn't hold up well. Your basic urine drug screen (UDS) will flag benzos (midazolam in this article), natural opiates (not fentanyl and those derivatives), cocaine, barbiturates, marijuana, amphetamines, and I think that's it. The only ones likely to cause fetal withdrawal are benzos and opiates. Works well enough for benzos, but withdrawals are pretty rare. The most common are opiates, but the most common opiates won't show up on the UDS. So why use it?