Exhibit 13-2. Laboratory Tests for Pregnant Women Who Are Opioid Addicted

• Complete blood count with differential and platelets
• Chemistry screen (K, Na, Cl, Ca, P, CO2, creatinine, blood glucose, blood urea nitrogen, total bilirubin, total serum protein albumin)
• Hepatic panel (liver function tests)
• Hepatitis B surface antigen (full panel if positive)
• Hepatitis C antibody
• Rubella titer
• Serology (Venereal Disease Research Laboratory or Rapid Plasma Reagin tests)
• Sickle prep (if appropriate)
• Blood type; Rh and indirect Coombs Varicella (if unsure of history)
• HIV (with counseling)
• Urine tests
Urinalysis—routine and microscopic
Urine culture and sensitivity
Urine drug screen
• Tuberculin skin test (Mantoux)
• Alpha-fetoprotein between 15 and 21 weeks' gestation (optimal, 16 to 18 weeks)
• 1-hour, 50 mg glucose challenge test at 24 to 28 weeks' gestation (at initial visit if risk factors)
• Repeat complete blood count and serology at 24 to 28 weeks' gestation
• Group B Strep vaginal-rectal culture at 35 to 37 weeks' gestation

Reprinted from Obstetrics and Gynecology Clinics of North America, 25(1), Kaltenbach et al., dependence during pregnancy. Effects and management, pp. 139–151, 1998, with permission from Elsevier.

From: Chapter 13. Medication-Assisted Treatment for Opioid Addiction During Pregnancy

Cover of Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs.
Treatment Improvement Protocol (TIP) Series, No. 43.
Center for Substance Abuse Treatment.

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